Accreditation & Quality Compliance Advisor

AHAP Staff Challenge: Leadership

February 7, 2012
Leadership & Finance

True or False: Active members of the medical staff are not allowed to participate as members of the governing board.

Accreditation & Quality Compliance Advisor

From the AHAP Blog: Book Excerpt: Tracking required staffing effectiveness standards

February 7, 2012
Accreditation & Survey Preparation

The requirements of standard LD.04.04.05 EPs 1, 7, and 13 mandate that governance receives an annual report encompassing not only system and process failures, but also sentinel event information, degree of family involvement, and actions taken to improve safety as well as the adequacy of...

Accreditation & Quality Compliance Advisor

What’s new with AHAP: Feb 28 Quarterly Networking Call

February 7, 2012
Accreditation & Survey Preparation

AHAP’s first 2012 quarterly networking call on recent survey observations will take place on February 28th at 2 pm EST (1 pm Central, 11 am Pacific).

Briefings on Accreditation & Quality - Volume 23, Issue 2

CMS 30-minute rule: How does this affect your facility?

February 1, 2012
Accreditation & Survey Preparation

After reading this article, you will be able to:

  • Identify CMS' new stance on the so-called "30-minute rule"
  • Discuss changes to CMS' requirements for standing orders
Patient Safety Monitor Journal - Volume 13, Issue 2

When and how to wash privacy curtains

February 1, 2012
Patient Safety

Privacy curtains are a seemingly innocuous part of a patient room compared with the various other high-touch surfaces that are the focus of environmental cleaning.

Briefings on Accreditation & Quality - Volume 23, Issue 2

OIG issues report critical of CMS handling of serious adverse events

February 1, 2012
Quality & Errors

On November 1, 2011, the Office of Inspector General (OIG) released a report that examined CMS' response to serious adverse events in hospitals. The report, entitled "Adverse Events in Hospitals: Medicare's Responses to Alleged Serious Events," concludes that "Medicare's system of...

Briefings on Accreditation & Quality - Volume 23, Issue 2

Radiation risks of diagnostic imaging

February 1, 2012
Patient Safety

After reading this article, you will be able to:

  • Discuss how many deaths are believed to be caused by ­radiation from CT scans, according to a recent article by the American College of Radiology
  • ...
Briefings on Accreditation & Quality - Volume 23, Issue 2

Organization's CLABSI reduction process garners regional recognition

February 1, 2012
Infection Control

After reading this article, you will be able to:

  • Identify the three silos NUMC used when developing ­process improvement for CLABSI prevention
  • Discuss the tools and tactics used by
    • ...
Briefings on Accreditation & Quality - Volume 23, Issue 2

Briefings on the Joint Commission, February 2012

February 1, 2012
Accreditation & Survey Preparation

After reading this article, you will be able to:

  • Identify the three silos NUMC used when developing ­process improvement for CLABSI prevention
  • Discuss the tools and tactics used by
    • ...
Patient Safety Monitor Journal - Volume 13, Issue 2

Patient Safety Monitor Journal, February 2011

February 1, 2012
Patient Safety

Policies and procedures are the backbone of the hospital and provide the aim and direction of hospital operations.

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