Right around this time every year, The Joint Commission updates its list of top-cited or most challenging standards. As a follow-up to this annual discussion, and in conjunction with BOJ's own coverage of 2012's most challenging standards, AHAP conducted a benchmarking survey in October...
Briefings on Accreditation & Quality - Volume 23, Issue 11
Identify the standard where leadership will be held accountable for noncompliance Every fall, The Joint Commission unveils updated statistics regarding the standards and National Patient Safety Goals that have been causing the most problems with compliance out in the field. As in years past,...
Briefings on Accreditation & Quality - Volume 23, Issue 11
In May, CMS released revisions to the Medicare final rule for hospital and critical access hospital requirements. These revisions went into effect in relatively short order-July 16-and required updates to be made to The Joint Commission's own standards to ensure compliance between the two...
Briefings on Accreditation & Quality - Volume 23, Issue 11
By the time the general public hears about an impaired clinician, whether it's a nurse, technician, or physician, it is often too late to head an incident involving that clinician off at the pass-whether that incident is a medical error, diversion of medication, or something even worse, like the...
Briefings on Accreditation & Quality - Volume 23, Issue 11
Last month in this space, we began our discussion of the latest round of changes from CMS, specifically targeting order sets, preprinted orders, and standing orders. Following up on where we left off last month, let's take a closer look at how CMS addresses cardiovascular order sets and end...
Briefings on Accreditation & Quality - Volume 23, Issue 10
The threat of loss of accreditation is one that keeps survey coordinators and hospital leaders awake at night, but for most hospitals, it's more of a bogeyman than an actual threat-there are many stages an organization must go through and fail before their accrediting bodies slam the hammer down...
Briefings on Accreditation & Quality - Volume 23, Issue 10
It is often said that the accreditation world is growing more streamlined. With Joint Commission standards more aligned with CMS requirements than ever before, and The Joint Commission's two primary competitors, the Healthcare Facilities Accreditation Program and Det Norske Veritas, basing their...
Briefings on Accreditation & Quality - Volume 23, Issue 10
There are three separate tag numbers that hospitals must review in order to understand the CMS requirements for standing orders, protocols, and order sets. Additionally, CMS included information on this topic in the changes to the hospital Conditions of Participation (CoP), which were published...
Briefings on Accreditation & Quality - Volume 23, Issue 9
Cultural awareness has risen to the top of healthcare development and concerns in recent years. Ensuring that patients' needs are met, that they understand the education given to them, that appropriate translation services are provided-all of these components and more must be built into a...
Briefings on Accreditation & Quality - Volume 23, Issue 9
Event reporting varies widely from facility to facility, and the kind of medical record system a facility uses (paper or electronic) can have a dramatic effect on its data collection and what can be done with that work. So when Jennifer Trallo, RN, MSN, MBA, director of quality management at...