Articles

Inside Accreditation & Quality - Volume 2, Issue 2

CMS eliminates direct supervision requirement for outpatient departments

January 21, 2020

As of January 1, 2020, CMS has eliminated the direct supervision requirement.

Inside Accreditation & Quality - Volume 2, Issue 2

Clarification: 1135 waivers, temporary suspension of rules during a disaster

January 14, 2020
Accreditation & Survey Preparation, Natural & Manmade Disasters

Joint Commission–accredited hospitals and CAHs must have a process for requesting an 1135 waiver from CMS

Inside Accreditation & Quality - Volume 2, Issue 2

Guest column: Review new NPSG for critical access hospitals

January 7, 2020
Accreditation & Survey Preparation, Behavioral & Mental Health

This article reviews the importance of NPSG.15.01.01, element of performance (EP) 1, which has two separate sections with a very important difference.

Inside Accreditation & Quality - Volume 2, Issue 2

Suicide NPSG now applies to critical access hospitals

January 7, 2020
Accreditation & Survey Preparation, Behavioral & Mental Health

Critical access hospitals (CAH) accredited by The Joint Commission (TJC) will be expected to implement National Patient Safety Goal (NPSG) standard NPSG.15.01.01 starting July 1, 2020.

Inside Accreditation & Quality - Volume 2, Issue 2

Review your antibiotic stewardship program against latest CoP revisions

January 2, 2020
Accreditation & Survey Preparation, Infection Control, Quality & Errors

Hospital antibiotic stewardship programs will become a Condition of Participation (CoP) requirement as of March 30, 2020.

Inside Accreditation & Quality - Volume 2, Issue 2

CMS updates IC CoP as of March 30

January 2, 2020
Accreditation & Survey Preparation, Infection Control, Quality & Errors

Here is the revised wording of the hospital Condition of Participation (CoP) adding requirements for antibiotic stewardship. 

Inside Accreditation & Quality - Volume 2, Issue 2

Use digital dashboards to reduce wait times, improve patient experience

December 23, 2019
Quality & Errors

Known in the industry as e-consultations, the telemedicine platforms help connect PCPs with specialists to help improve care management and care coordination for patients. 

Inside Accreditation & Quality - Volume 2, Issue 2

Creating a culture that puts an end to sexual harassment in healthcare

December 23, 2019
Policies and Procedures, Workplace safety

7% of physicians and 11% of nurses, nurse practitioners, and physician assistants had experienced sexual harassment. 

Inside Accreditation & Quality - Volume 2, Issue 1

Fire safety may trump ligature risk, but surveyors likely will want both

December 16, 2019
Environment and Facilities, Fire & Life Safety, Accreditation & Survey Preparation, Behavioral & Mental Health

The Joint Commission’s (TJC) newest engineering director, Herman A. McKenzie, MBA, CHSP, told hospital leadership that life safety (LS) trumps ligature risk. But be prepared to not have a choice.

Inside Accreditation & Quality - Volume 2, Issue 1

TJC to focus on how hospitals prevent obstetric hemorrhage, treat severe hypertension

December 16, 2019
Patient Safety, Accreditation & Survey Preparation

Obstetric hemorrhage and severe hypertension are the two focus areas of the requirements that will come online in July 2020

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