Review your antibiotic stewardship program against latest CoP revisions

Inside Accreditation & Quality
January 2, 2020
Accreditation & Survey Preparation, Infection Control, Quality & Errors

Hospital antibiotic stewardship programs will become a Condition of Participation (CoP) requirement as of March 30, 2020.Read More »

CMS updates IC CoP as of March 30

Inside Accreditation & Quality
January 2, 2020
Accreditation & Survey Preparation, Infection Control, Quality & Errors

Here is the revised wording of the hospital Condition of Participation (CoP) adding requirements for antibiotic stewardship. Read More »

CMS updates its surveyor’s manual for first time in more than a year

Accreditation & Quality Compliance Advisor
December 23, 2019
Accreditation & Survey Preparation

Just in time for the holidays, CMS is offering the gift of a newly revised State Operations Manual (SOM), one of the first significant overhauls...Read More »

CMS offers training on new electronic form for restraint-related deaths

Accreditation & Quality Compliance Advisor
December 23, 2019
Patient Safety, Policies and Procedures, Accreditation & Survey Preparation, Workplace safety

As of January 1, CMS eliminated the paper version of the form to report patient deaths associated with restraint or seclusion. Read More »

Will you create TJC’s next Emergency Preparedness poster?

Accreditation & Quality Compliance Advisor
December 17, 2019
Natural & Manmade Disasters, Environment and Facilities, Accreditation & Survey Preparation

Selected posters will be exhibited at the Emergency Management Standards Base Camp on April 21, and at the...Read More »

Fire safety may trump ligature risk, but surveyors likely will want both

Inside Accreditation & Quality
December 16, 2019
Environment and Facilities, Fire & Life Safety, Accreditation & Survey Preparation, Behavioral & Mental Health

The Joint Commission’s (TJC) newest engineering director, Herman A. McKenzie, MBA, CHSP, told hospital leadership that life...Read More »

TJC to focus on how hospitals prevent obstetric hemorrhage, treat severe hypertension

Inside Accreditation & Quality
December 16, 2019
Patient Safety, Accreditation & Survey Preparation

Obstetric hemorrhage and severe hypertension are the two focus areas of the requirements that will come online in July 2020Read More »

Revisiting The Joint Commission’s drug diversion advice, resources amid growing opioid epidemic

Patient Safety Monitor Journal
December 16, 2019
Accreditation & Survey Preparation, Quality & Errors

10% of healthcare workers in the U.S. are abusing drugs of some sort.Read More »

Suicide prevention NPSG now applies to Critical Access Hospitals

Accreditation & Quality Compliance Advisor
December 10, 2019
Accreditation & Survey Preparation, Behavioral & Mental Health

 The accreditor noted concerns about the very high rate of suicides in rural communities that critical access hospitals serve.Read More »

Expect the next decade to focus on coping with new technology and old problems

Inside Accreditation & Quality
December 10, 2019
Accreditation & Survey Preparation, Natural & Manmade Disasters, Environment and Facilities, Infection Control, Leadership & Finance, Fire & Life Safety, Patient Safety, Policies and Procedures, Quality & Errors, Behavioral & Mental Health, Workplace safety

Healthcare compliance changed quite a bit in the last decade. For one thing, fire safety moved into the current millennium with the adoption of...Read More »

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