Below is a sample of records and documents requested during TJC triennial hospital surveys in August, according to Gayle Nash, RN, MPH, CEO of Nash Healthcare Consulting.
Your facility will need diagrams or schematics of its water system and a way to address stagnant water under the new requirements set out by a new standard from The Joint Commission (TJC). The new Environment of Care standard EC.02.05.02 requires hospitals to have a water management program “in...
Expect emergency preparedness and infection control to remain front and center during accreditation and compliance surveys for the immediate future as 2021 starts much the way most of 2020 played out-–with all hospital operations centered around a pandemic that ebbs and surges and a political...
As COVID-19 and the rest of this year’s chaos continues to take its toll on your hospital, set up ways for your staff to let off steam, meditate for a few minutes, or just find some peace and quiet. And remember to help them grieve. Think about setting up a place online or in your facility to...
As promised, surveys are resuming across the country. And as promised, one of the main items of discussion is how well organizations have responded to the coronavirus pandemic—including their handling of infection control (IC) and implementation of long-term emergency management (EM) operations...
Expect The Joint Commission (TJC) to get tougher on water management and infection control, preconstruction risk assessments, workplace violence protections, and kitchen safety. Don’t be surprised if TJC Life Safety Code®(LSC) surveyors go into places you may not have seen...
Q: When an employee completes the OSHA Respirator Medical Evaluation Questionnaire (Appendix C to section 1910.134) and answers yes to one or more of the questions, they need a medical...
The Healthcare Facilities Accreditation Program (HFAP), the oldest CMS-approved hospital accreditation program in the nation, has merged with the Accreditation Commission for Health Care (ACHC) in a move designed to expand both organizations’ reach in the compliance world.