The following is a summary rundown of the top clinical deficiencies for acute care and critical access hospitals surveyed in 2020 by HFAP, as outlined in the accrediting organization’s 2021 HFAP Quality...
Update your inspection, testing, and maintenance documentation and check your exit signs when preparing to host life safety surveyors from The Joint Commission (TJC) at your business occupancies. (For more information on the new standards, see page 1.)
Find a detail-oriented person at ambulatory healthcare sites to review credentialing and privileging procedures to ensure primary source verification is carried out and that records and licenses for practitioners are not outdated. Appoint a rotating “secret shopper” among your staff to audit...
Find a detail-oriented person at ambulatory healthcare sites to review credentialing and privileging procedures to ensure primary source verification is carried out and that records and licenses for practitioners are not outdated. Appoint a rotating “secret shopper” among your staff to audit...
If your healthcare organization has taken advantage of federal 1135 blanket waivers during the national public health emergency (PHE), be sure to review the use of those waivers as you prepare for survey to check if any were inconsistent with requirements under your state emergency or pandemic...
Sometimes as you get ready for survey, you just need a review of the basics. In the following excerpt from HCPro’s Survey Coordinator’s Handbook, 21st Edition, we offer you an introduction to the concept of criticality. (To learn more about the book, by author Jodi Eisenberg, MHA,...
In case you missed it, here’s a roundup of breaking news from the Accreditation & Quality Compliance Center since Inside Accreditation & Quality was last published.
Your staff has been dealing with the COVID-19 crisis at work and at home for more than a year. Help them to get back into a survey readiness mindset with this quick quiz. Hospitals have found that simple...
The last few months of managing a pandemic have exhausted you. But you still need to prepare for that upcoming survey, whenever it happens, whether it’s a virtual review or an on-site visit.
Start by taking a look back at your last survey report as well as last year’s environment of care...
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.
