Tag: Standards

Joint Commission posts Top 5 most challenging requirements

Editor's Note The Joint Commission on September 4 posted the Top 5 most challenging requirements identified most frequently as “not compliant” during surveys and reviews during the first half of 2019. The Top 5 for hospital accreditation are: LS.02.01.35: The hospital provides and maintains systems for extinguishing fires (91%). EC.02.05.01:…

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By: Judy Mathias
September 5, 2019
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Joint Commission announces new Comprehensive Cardiac Center Certification performance measures

Editor's Note The Joint Commission on August 28 announced five new inpatient performance measures for the Comprehensive Cardiac Center Certification program, which will be effective January 1, 2020. Data collection for the measures will be mandatory for currently certified programs and organizations seeking initial certification. In addition to the mandatory…

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By: Judy Mathias
August 29, 2019
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Joint Commission: R3 Report details new standards for perinatal safety

Editor's Note The Joint Commission on August 28 announced the publication of an R3 Report on two new standards designed to improve the quality and safety of perinatal care in accredited hospitals. The standards, which will take effect July 1, 2020, require organizations to examine their processes and procedures for…

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By: Judy Mathias
August 29, 2019
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Joint Commission clarifies survey process for telehealth organizations

Editor's Note The Joint Commission announced August 7 that the applicability of its Ambulatory Health Care Accreditation standards for telehealth organizations, which provide remote services, deploy in-person staff, and/or have equipment used between patients, is being evaluated. In the meantime, areas of noncompliance related to infection control, equipment and utility…

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By: Judy Mathias
August 8, 2019
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Legal and ethical questions temper excitement about AI--Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. In this issue we continue our examination of the challenges related to AI, which began in last month’s issue…

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By: Cynthia Saver, MS, RN
July 24, 2019
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Joint Commission Ambulatory Care Accreditation team launches new campaign

Editor's Note The Joint Commission on May 8 announced that its Ambulatory Care Accreditation team is launching a "We Know Surgery" campaign to highlight its 45-year history accrediting ambulatory care organizations. The campaign, which is being launched in conjunction with the Ambulatory Surgery Centers Association (ASCA) conference in Nashville May…

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By: Judy Mathias
May 9, 2019
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Joint Commission announces updates to E-dition

Editor's Note The Joint Commission on April 24 announced that it will be posting spring 2019 updates to the E-dition® of its accreditation and certification manuals in May. The changes, which can be viewed on an organization’s Joint Commission Connect® extranet site, will go into effect July 1 unless otherwise…

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By: Judy Mathias
April 25, 2019
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ECRI Institute launches new web-based clinical practice guidelines repository with open access

Editor's Note ECRI Institute recently launched ECRI Guidelines Trust, a publicly available web-based repository of evidence-based national and international clinical guidelines as well as Guideline Briefs with TRUST Scorecards. The healthcare community has free access to the repository, which was created after funding cuts forced the Agency for Healthcare Research…

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By: Judy Mathias
February 11, 2019
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Follow pain management standards to ensure survey success

Postoperative pain management has always been a major focus of patient care. However, the opioid crisis is increasing the challenges healthcare leaders face because of the call for a national change in modalities of pain management. Regulatory bodies, specifically, are executing control to confront the opioid epidemic head on, making…

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By: Judith M. Mathias, MA, RN
January 14, 2019
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Joint Commission surveys now seek evidence of performance

In the past few months, the Joint Commission has implemented a new process for accreditation surveys and changed the wording and interpretation of some standards, particularly infection control. At the 2018 OR Manager Conference in Nashville, Tennessee, in September, John R. Rosing, MHA, FACHE, executive vice president and principal of…

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By: Judith M. Mathias, MA, RN
December 13, 2018
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