The National Practitioner Data Bank (NPDB) was created to help hospitals vet physicians and keep problem physicians from traveling from hospital to hospital. Hospitals are required to check the NPDB when they add a new physician to the medical staff.
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...
Take another look at your workplace violence prevention (WVP) policies and procedures now that The Joint Commission (TJC) has formally published new and...
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procedures to ensure primary source verification is carried out and that records and licenses for practitioners are not outdated.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procedures to ensure primary source verification is carried out and that records and licenses for practitioners are not outdated.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...
Patient experience is a valuable element of addressing patient safety incidents and conducting quality improvement initiatives.
After decades of operating with provider-centric care, healthcare organizations are becoming increasingly patient-centric. Evaluating and improving patient...
Review the details of an interim final rule CMS published in May that sets COVID-19 vaccine requirements for long-term care (LTC) facilities and intermediate care facilities for individuals with intellectual disabilities (ICFs-IID). CMS is considering extending these requirements to other...
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...
Review any policies you updated to meet the requirements under the new Information Management standard to reflect that The Joint Commission (TJC) has already updated the language in its new elements of performance (EP).
Also note that CMS has finally updated its interpretive guidelines...
