The National Quality Forum (NQF) recently endorsed two outcomes-based measures from the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP). The measures, surgical site infections (SSI) and urinary tract infections (UTI), were created in partnership with CMS...
The Agency for Healthcare Research and Quality (AHRQ) has released its most recent Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report, which includes responses from 1,128 hospitals and 567,703 hospital staff, 76% of whom have direct interaction with patients...
Briefings on Accreditation & Quality - Volume 23, Issue 4
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 4
By now, the Health Insurance Portability and Accountability Act of 1996 (HIPAA) is well known to the healthcare community. Hospital staff and physicians have long been practicing a strict standard of patient privacy.
The Joint Commission tracks and trends the most-cited standards to help healthcare organizations identify where the most challenging areas in the year’s surveys are occurring. The Joint Commission has released the latest list this week.
Has a Joint Commission surveyor ever called you by the wrong name? Did you accidentally fumble your words while presenting the findings of your mock tracer to leadership? Or maybe you answered a series of survey questions perfectly only to find out you had a huge piece of spinach in your...
Do you have a colleague who helped launch a successful accreditation program in your hospital? Or who made significant contributions to improve survey-readiness in the field in general? Do you know a dedicated accreditation professional who makes a difference in the profession? Or an...