All Entries Tagged With: "Joint Commission surveys"
Multi-Dose Vials: Multiple Compliance Targets
The Joint Commission (TJC) recently released answers to many common questions about the correct storage, use, and disposal of multi-dose vials in clinical settings. While this information will settle several uncertainties, achieving compliance may still be a challenge.
TJC and CMS Survey Expertise Coming to A City Near You
Compass Clinical Consulting’s Practice Leader for Accreditation and Regulatory Compliance, Ruth Elzer, RN, MS, will be speaking at seminars across the country this summer. Check out the following events for the most recent information regarding compliance with the standards of The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS).
Joint Commission Medical Staff Changes: A Few Surprises
Since The Joint Commission’s MS.1.20 Implementation Task Force was convened in December 2007, the group has been working to define which aspects of the management of the Medical Staff need to be written specifically into the bylaws, and which items can be adopted through rules, regulations and related documents. The recently announced changes to the MS.01.01.01 standard include a few modifications that will come as a surprise to some hospitals and require action before the March 31, 2011, effective date.
Choosing the Right Tool for Hospital Risk Assessment: Focused Risk Vulnerability Analysis
by Amanda Brown, RN, MSM, CIC Part I of this series outlined the power of simple risk assessment to identify, mitigate, and eliminate hazards in the day-to-day operations of a hospital. Parts II and III will present approaches to risk assessment that are more complex and require more attention from multidisciplinary teams. In this installment, [...]
Choosing the Right Tool for Hospital Risk Assessment: Simple Risk Assessment
How can hospitals ensure that patients, employees, and visitors are safe in an environment rife with its own unique risks? The solution begins with risk assessment. This installment of our three-part series on risk assessment will describe the approach and tools that accompany simple risk assessment.
Joint Commission Surveys: Unannounced – and in 2010 – Unplanned
So you heard that the survey process was unchanged for 2010. Not so fast. As it turns out, The Joint Commission’s (TJC) 2010 Survey Guide subtlety outlines a survey process that holds some surprises for the new year. The latest surprise includes a new challenge for hospitals, the requirement to develop an agenda with surveyors minutes before the survey begins.
What is a Hospital Near-Death Experience?
The idea of a hospital near-death experience might sound a bit strange. What would cause a hospital to “die,” and how could it “come back to life?”
Just When You Thought It Was Safe to Go Tracing
The evolution of other standards and increasing pressure from the Centers for Medicare and Medicaid Services (CMS) will force tracer teams to be more knowledgeable and skilled to protect their hospitals from unexpected survey results.
Good News, Bad News for System Surveys
The news from the Joint Commission’s Hospital Executive Briefings is always a mixed bag of information. This year is no different. Hospitals surveyed as part of a healthcare system, though, should brace themselves for a big change.