We’re gearing up for the next issue of the AHAP Insider, and we’re looking for AHAP members who have a success story they’d like to share in an upcoming newsletter article. If you are interested in sharing your successes and initiatives, or just have a topic suggestion you’d like to hear...
In 2009, The Joint Commission added Leadership standard LD.03.01.01, "Leaders create and maintain a culture of safety and quality throughout the hospital," to recognize that behavior that intimidates others and affects staff morale and turnover can also be damaging to patient care, and to...
Briefings on Accreditation & Quality - Volume 23, Issue 9
Event reporting varies widely from facility to facility, and the kind of medical record system a facility uses (paper or electronic) can have a dramatic effect on its data collection and what can be done with that work. So when Jennifer Trallo, RN, MSN, MBA, director of quality management at...
In 2008, CMS published a ruling to stop reimbursing hospitals for certain healthcare-associated infections (HAI), including catheter-associated urinary tract infections (CAUTI) and central line-associated bloodstream infections (CLABSI). Four years later, that decision has made...
In 2009, The Joint Commission added Leadership standard LD.03.01.01, "Leaders create and maintain a culture of safety and quality throughout the hospital," to recognize that behavior that intimidates others and affects staff morale and turnover can also be damaging to patient...
Most infection control (IC) professionals can recite their No. 1 goal in their sleep: zero infections. Others also dream of 100% compliance with central line bundles, isolation precautions, and hand hygiene. The key for Joint Commission standard IC.01.04.01 is to prioritize...
Briefings on Accreditation & Quality - Volume 23, Issue 9
Cultural awareness has risen to the top of healthcare development and concerns in recent years. Ensuring that patients' needs are met, that they understand the education given to them, that appropriate translation services are provided-all of these components and more must be built into a...
Ever since it was first introduced to The Joint Commission's Medical Staff standards in 2007, the concept of focused professional practice evaluation (FPPE) has been something of a bugbear for hospitals. In theory, this sort of quality analysis and review makes perfect sense,...
