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...
Hospitals, clinical laboratories, and ambulatory surgery centers (ASC) accredited by HFAP showed improvements in 2020. Fewer organizations faced repeat deficiencies than in prior years, and there was a strong showing in overall emergency management. There’s always a question about whether...
The Joint Commission (TJC) is hiring almost twice as many new surveyors than usual this year to deal with a backlog of triennial surveys delayed because of the COVID-19 pandemic.
The goal is that all triennial surveys delayed in 2020 will done in 2021, but that may mean moving some...
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.)
Be sure your facility electronic Statement of Conditions™ (eSOC) and Basic Building Information (eBBI) are up to date with accurate business occupancy information. Expect life safety (LS) surveyors to start inspecting many of your off-campus sites now that The Joint Commission (TJC) has a new LS...
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procedures to ensure primary source verification is carried out and that records and licenses for practitioners are not outdated.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procedures to ensure primary source verification is carried out and that records and licenses for practitioners are not outdated.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...
As the nation continues its recovery from the pandemic, be aware of the continuing changes in regulatory guidance—and how they might impact your health system. For instance, while some 1135 blanket waivers are being ...
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,...
