Having your documentation organized for survey is always a challenge, but especially so when dealing with HR requirements and personnel files. Remember that as of January 1, 2021, The Joint Commission updated its Human Resources standard HR.01.01.01, EP 1 to include the documentation icon.
The Joint Commission is asking for feedback on proposed changes to hospital requirements on resuscitation and the long-awaited new elements of performance on workplace violence prevention.
DNV GL Healthcare will conduct full, deemed reaccreditation surveys remotely, under certain conditions approved by CMS. Other accreditation organizations (AO) are declining to do so. But CMS says virtual survey processes will be allowed only during the current public health emergency (PHE). And...
As of January 1, 2021, you will have one less thing to worry about: The Joint Commission (TJC) is eliminating its requirement that hospitals work toward achieving a 90% flu vaccination rate under Infection Prevention and Control standard IC.02.04.01.
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.
Your facility will need diagrams or schematics of its water system and a way to address stagnant water under the new requirements set out by a new standard from The Joint Commission (TJC). The new Environment of Care standard EC.02.05.02 requires hospitals to have a water management program “in...
As COVID-19 and the rest of this year’s chaos continues to take its toll on your hospital, set up ways for your staff to let off steam, meditate for a few minutes, or just find some peace and quiet. And remember to help them grieve. Think about setting up a place online or in your facility to...
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Without addressing the root causes of hand hygiene noncompliance before COVID-19, facilities will fall back into bad patterns after the pandemic says Klaus Nether, DHS, CSSMBB, the executive director of high reliability product delivery at The Joint Commission’s Center for...
As promised, surveys are resuming across the country. And as promised, one of the main items of discussion is how well organizations have responded to the coronavirus pandemic—including their handling of infection control (IC) and implementation of long-term emergency management (EM) operations...
