Shelia Hull, RN, Joint Commission specialist at Pikeville (KY) Medical Center, was with the organization just a few months before the latest PPR was due to The Joint Commission. At that time, Hull and her supervisor discovered the organization had fallen out of compliance with its timing...
Briefings on Accreditation & Quality - Volume 21, Issue 8
Survey coordinators are challenged to help their organizations navigate accreditation requirements, assess their organization’s compliance, and coordinate survey visits. Today more than ever, with limited available resources, organizations must be sure that resources used to fix issues...
In May, CMS released a set of updated clarifications to the often-challenging Anesthesia Services Conditions of Participation (CoP) Interpretive Guidelines.
These updates affected the following areas of Appendix A of the CMS State Operations Manual, section 482.52 a and b...
All you need to take advantage of the Agency for Healthcare Research and Quality’s (AHRQ) latest tool is hospital administrative or claims data. Called MONAHRQ (My Own Network, Powered by AHRQ), the free tool is a software program built to allow organizations to analyze data and/or create their...
The concept of a just culture is relatively new to the healthcare industry and has become a critical and necessary component of any organization’s approach to improving patient safety. I have quickly learned the importance of just culture as I review patient safety events, attend root cause...
