In the quest to meet Joint Commission standards, it is very helpful to have a highly engaged medical staff. While usually not employed by the hospital, the medical staff is key to the hospital's success in meeting many of the Joint Commission standards. But how does a healthcare facility get...
Briefings on Accreditation & Quality - Volume 23, Issue 6
The Healthcare Facilities Accreditation Program (HFAP) is often called "the quiet accreditor." One of the small group of organizations granted deeming authority by CMS to accredit hospitals, HFAP has been a part of the healthcare accreditation landscape for over 60 years. But, much like its...
Briefings on Accreditation & Quality - Volume 23, Issue 6
The Healthcare Facilities Accreditation Program (HFAP) is often called "the quiet accreditor." One of the small group of organizations granted deeming authority by CMS to accredit hospitals, HFAP has been a part of the healthcare accreditation landscape for over 60 years. But, much like its...
Patient safety has long stood on a variety of tenets, some of which have formed the process and basis for how professionals (both leaders and clinicians) conduct improvement work. Some of these are well-known and accepted: Patient safety is a right. A high level of patient safety performance...
Many hospitals struggle with readmissions, and sometimes a readmission might be out of the control of the hospital. Still, when Jan Williams, RN, BSN, program director for the Health Enhancement Program (HEP) at Mary Lanning Memorial Healthcare (MLMH) in Hastings, Neb., and the...
If you haven’t had a chance yet to participate in this year’s Accreditation Professional Salary Survey, make sure you check it out by the end of this week. It is completely anonymous, as always. Remember, the more participants we...
Here at AHAP, we know that networking with your colleagues to share information is important to you, and that sometimes communicating over the internet isn’t enough. So, we’re well on our way to facilitating local chapters. We mentioned the launch of local chapters at the AHAP conference a...
Did you miss the second quarterly networking call last week on blanket warmer policies? Good news: we’ve already posted a recording of the call to the AHAP website here. (Note: you will need to log into the...
Q: The surveyor found that on three records, there was lack of pertinent patient problems cited on an initial nursing assessment and lack of documentation on the interdisciplinary plan of care to address individual patient issues. Can I clarify this finding?