Tag: Joint Commission

The Joint Commission revises several EPs for critical access hospitals to align with CMS

Editor's Note The Joint Commission, on May 3, announced the revision of several of its elements of performance (EPs) for critical access hospitals to align with the Centers for Medicare and Medicaid Services’ (CMS’) Conditions of Participation (CoPs). The revisions primarily address restraint and seclusion, the complaint process, and unified…

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By: Judy Mathias
May 4, 2023
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VAD implant requirement reinstated

Editor's Note The Joint Commission, on April 26, announced that the Centers for Medicare & Medicaid Services (CMS) requirement to count the volume of ventricular assist device (VAD) implants by surgeons will be reinstated on May 11. CMS stopped this requirement during the COVID-19 public health emergency.

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By: Judy Mathias
April 27, 2023
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The Joint Commission: Top 5 most challenging requirements for 2022

Editor's Note The Joint Commission, on April 19, posted the Top 5 requirements and corresponding elements of performance (EPs) identified most frequently as “not compliant” during surveys and reviews in 2022. The Top 5 for Hospitals have to do with: Implementing infection control activities when performing intermediate and high-level disinfection…

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By: Judy Mathias
April 20, 2023
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The Joint Commission issues Quick Safety on preventing light source-related burns during surgical procedures

Editor's Note The Joint Commission, on April 10, released a new Quick Safety advisory on preventing patient burns from light sources used during laparoscopic or arthroscopic procedures. Burns from these light sources can go unnoticed because they typically do not produce smoke or charring, even of surgical drapes, The Joint…

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By: Judy Mathias
April 11, 2023
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The Joint Commission updates Health Care Equity Resource Center

Editor's Note The Joint Commission, on April 5, announced that it had updated its Health Care Equity Accreditation Standards & Resource Center to assist organizations in meeting their healthcare equity standards. The new resources include: Six new Snapshots (brief synopses of approaches used by other organizations) from Cook County Health…

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By: Judy Mathias
April 6, 2023
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The Joint Commission clarifies time frame for querying National Practitioner Data Bank

Editor's Note The Joint Commission, on April 5, posted a clarification on the time frame for querying the National Practitioner Data Bank (NPDB). Among the revisions: Medical Staff (MS) Standard MS.06.01.07, Element of Performance (EP) 9 and Standard MS.07.01.01, EP 3, on the time frame to evaluate a licensed practitioner’s…

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By: Judy Mathias
April 6, 2023
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The Joint Commission seeking input on eCQMs survey

Editor's Note The Joint Commission, on March 22, announced that it is seeking input to a survey on the implementation and utilization of electronic clinical quality measures (eCQMs) to better assess the impact of prospective changes to data submission practices. This applies, in particular, to a healthcare organization’s readiness in…

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By: Judy Mathias
March 27, 2023
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The Joint Commission seeking comments on proposed environmental sustainability requirements

Editor's Note The Joint Commission, on March 22, announced that it is seeking comments on proposed new requirements to address environmental sustainability for the hospital and critical access hospital programs. The aim of the proposed new Leadership (LD) Standard LD.05.01.01 is to help facilities minimize their carbon footprints as they…

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By: Judy Mathias
March 23, 2023
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The Joint Commission: Refreshed Accelerate PI Dashboard Reports available for stroke centers

Editor's Note The Joint Commission, on March 15, announced that refreshed Accelerate PI Dashboard Reports are available for primary (PSCs) and comprehensive stroke centers (CSCs) to provide updated performance measurement data on quality measures selected for advanced certification programs. The reports contain data through the third quarter of 2022. Dashboards…

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By: Judy Mathias
March 16, 2023
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The Joint Commission revises PI requirement for preop, postop diagnoses discrepancies

Editor's Note The Joint Commission on March 1 announced a revision to Performance Improvement (PI) standard PI:01.01.01, Element of Performance (EP) 4, which has to do with data collection on significant discrepancies between preoperative and postoperative diagnoses. The revision was made after healthcare organizations expressed confusion with the requirement. The…

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By: Judy Mathias
March 2, 2023
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