In the coming year, hospitals accredited by The Joint Commission will see more on-site complaint surveys, plus more focus on their progress regarding health equity and environmental sustainability. But they might also see fewer and more efficient standard requirements.
At the urging of CMS, The Joint Commission has been providing surveyors with extra training on procedures related to investigating possible immediate jeopardy situations, as well as the use of open-ended questions during interviews with hospital staff.
As the healthcare industry turns fuller attentions towards the challenges of access, equity, and managing social determinants of health and the disparities arising from those determinants, I wanted to share an interesting article that focuses on the creation of inclusive care environments.
Review the latest recommendations for controlling methicillin-resistant Staphylococcus aureus, more commonly known as MRSA, with your infection prevention and control team as well as your medical staff leadership.
A new CMS Quality, Safety & Oversight group memo on suicide prevention urges hospitals to go above and beyond to help protect patients from themselves. Accrediting organizations like ACHC and TJC cite resources and offer tools to help.
CMS is worried that hospitals have too much advance notice of when surveyors will be on the premises to audit patient safety practices and identify problems, including those found while investigating patient complaints.
Keep required documents up to date and ready for surveyors, and have someone within the hospital leadership team available to come in on short notice once your hospital is within six months of its triennial survey date.