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...
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...
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...
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
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 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...
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,...
Fill in the blank: When a hospital uses The Joint Commission for the purposes of deemed status, it must ensure that entries into patient medical records are ___________ and ___________.
Will any of you be headed to Brooklyn for Executive Briefings on September 5th? AHAP will be represented in the audience there (I’ll be in attendance to listen in on what The Joint Commission has to say about the accreditation world this year personally) and I’d love to be able to say hello...
