Tag: Accreditation

The Joint Commission using hybrid survey for document review

Editor's Note The Joint Commission, on October 6, announced that it has begun using a hybrid approach with a document review surveyor during deemed hospital re-accreditation surveys meeting eligibility criteria, primarily a fully electronic health record (EHR). The hybrid approach consists of a surveyor working remotely (via Zoom or Microsoft…

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By: Judy Mathias
October 7, 2021
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The Joint Commission posts new sentinel event data

Editor's Note The Joint Commission, on September 29, released new sentinel event data for the first 6 months of 2021. The summary data of sentinel event statistics for the first half of 2021 covers 16,695 incidents reported from 1995 through June 30, 2021. Of these sentinel events: 47% led to…

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By: Judy Mathias
October 4, 2021
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The Joint Commission: Deadline for ISMP Medication Safety Self Assessment for Perioperative Settings extended

Editor's Note The Joint Commission, on September 15, announced that the deadline to participate in the Institute for Safe Medication Practices’ (ISMP) Medication Safety Self Assessment for Perioperative Settings has been extended to December 10. The self-assessment helps those in perioperative settings see how well their organizations’ systems and practices…

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By: Judy Mathias
September 16, 2021
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The Joint Commission reinstates volume requirements for advanced stroke certification programs

Editor's Note The Joint Commission on September 8 announced that it has returned to the original volume eligibility requirement for its advanced Thrombectomy-Capable Stroke Center (TSC) and Comprehensive Stroke Center (CSC) certification programs, effective September 1. Volume eligibility requirements were lowered in 2020 and into 2021 because of the COVID-19…

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By: Judy Mathias
September 9, 2021
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The Joint Commission seeking comments on proposed new emergency management requirements

Editor's Note The Joint Commission on September 1 announced that it is seeking comments on new and revised emergency management (EM) requirements for its hospital and critical access hospital accreditation programs. The aim of the proposed standards is to help healthcare organizations develop and improve their actions and responses to…

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By: Judy Mathias
September 2, 2021
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Joint Commission updates ACSS, THKR performance measures

Editor's Note The Joint Commission announced on August 25 that data collection for four new performance measures in the Advanced Certification in Spine Surgery (ACSS) program and one new performance measure in the Advanced Certification for Total Hip and Total Knee Replacement (THKR-5) program began on July 1. Programs are…

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By: Judy Mathias
August 26, 2021
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The Joint Commission revises HCSS certification program

Editor's Note The Joint Commission announced on August 4 that revisions to three Health Care Staffing Services (HCCS) certification standards will go into effect January 1, 2022. The changes include: Human Resources Management (HSHR) Standard HSHR.3 will now clarify that this is the organization’s new employee orientation for clinical staff…

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By: Judy Mathias
August 5, 2021
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The Joint Commission revises Sentinel Event definition, policy

Editor's Note The Joint Commission on July 21 announced new revisions to its Sentinel Event definition and policy that will apply to all accreditation and certification programs, except for Health Care Staffing Services and Integrated Care certification programs, effective January 1, 2022. The revisions clarify expectations regarding an organization’s partnership…

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By: Judy Mathias
July 22, 2021
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The Joint Commission releases Accelerate PI Dashboard Reports for 2Q

Editor's Note The Joint Commission announced on July 7 that second quarter Accelerate PI Dashboard Reports are available for accredited organizations. The reports reflect the most recent data from the Centers for Medicare & Medicaid Compare website and electronic clinical quality measure (eCQM) data reported under The Joint Commission's ORYX…

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By: Judy Mathias
July 8, 2021
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The Joint Commission to implement new, revised Performance Improvement, Leadership accreditation standards

Editor's Note The Joint Commission announced on June 23 that it will implement new and revised Performance Improvement and Leadership accreditation standards for all of its accreditation programs, beginning January 1, 2022. The revisions factor in two common themes found in organizations with successful improvement programs: adoption of established improvement…

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By: Judy Mathias
June 24, 2021
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