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TJC, Others respond to CMS concerns about AO consulting, conflicts of interest

By A.J. Plunkett With less than four days to go before the February 19 public comment deadline, so far only The Joint Commission (TJC) and the Center for Improvement in Healthcare Quality (CIHQ) are among the hospital accrediting organizations (AO) to formally respond to CMS’ concerns about conflict of interest. CMS published a request for information in mid-December, asking [...]

2019 Accreditation Salary Survey

Wonder how your salary holds up to others in your field? Did you get a raise? Did other people get a bonus but not you? How many hats do your colleagues wear? Take our “2019 Accreditation Professional Salary Survey” and we’ll compile the results for you and your colleagues around the country so you can know [...]

Hospital-Acquired Conditions drop 13%

By John Commins Hospital-acquired conditions dropped 13% from 2014 to 2017; from 99 per 1,000 acute care discharges to 86 per 1,000, according to newly released federal data. That reduction translates into 910,000 fewer HACs, including adverse drug events and healthcare-associated infections, which helped prevent 20,500 hospital deaths and saved $7.7 billion over the three-year span, according [...]

PSMF Targets Problem of Postoperative Delirium in Older Adults

By Jay Kumar As it works toward its goal of eliminating preventable in-hospital deaths, the Patient Safety Movement Foundation (PSMF) has identified a new challenge to target: postoperative delirium. Speaking in January at the 7th annual meeting of the World Patient Safety Science & Technology Summit in Huntington Beach, California, a panel of experts discussed the issues around postoperative [...]

CMS’ hospital readmission reductions program’s impact downgraded

The reduction in readmission rates is about half as large as previously reported, researchers say. Gains from Medicare’s most prominent readmissions reduction initiative have been overstated, recent research indicates. Since October 2012, the Hospital Readmissions Reduction Program (HRRP) has financially penalized hospitals for high readmissions rates. HRRP started with three targeted conditions—acute myocardial infarction, heart failure, and pneumonia. In 2012, the [...]

Joint Commission: how to improve patient depression screening and treatment

A new study published in The Joint Commission Journal on Quality and Patient Safety showcases four ways to improve screening and treatment of patients for depression. Depression is the leading cause of disability and 16.2 million Americans experienced a major depressive episode in 2016.  The condition often goes untreated in certain demographics such as minorities, refugees, and [...]

(Webinar) Accreditation 101: A Beginner’s Guide to Hospital Surveys

Webinar Date: Tuesday,February 19 2019 |1:00-2:30 p.m. EST Presented by: Heather Forbes, BSN, RN, CEN, CPhT Register: http://hcmarketplace.com/accreditation-101-guide-hospital-surveys Summary: Accreditation is a complex topic with multiple branches, specialties, and nuances. New accreditation specialists often come from disparate backgrounds, with huge variations in the type and amount of training (if any) they had before accepting their new role. There’s a steep learning curve [...]

Why Auditing Catheter Dislodgement is a Patient Safety Must

By Christopher Cheney Dislodgement of venous access devices such as catheters is widespread and underreported, a survey of 1,500 clinicians shows. There are several negative impacts from dislodgement of peripheral and central catheters including interrupted treatment, supply waste with catheter replacement, phlebitis, and infection. Dislodgement is a significant source of wasteful spending at health systems and hospitals, the author of the survey, Nancy [...]

Patient Safety Movement announces progress towards Zero Harm goal

By Jay Kumar Patient Safety Movement (PSM) has made major progress toward its goal of zero preventable deaths worldwide by 2020, even though it likely won’t achieve that goal, PSM founder and CEO Joe Kiani told attendees Friday at the group’s 7th annual World Patient Safety, Science & Technology Summit in Huntington Beach, California. That said, PSM [...]

ABMS Vision for the Future Commission Releases Report on MOC Process

NAMSS - Sat, 01/26/2019 - 01:27

On December 11, 2018, the ABMS Vision for the Future Commission released a report regarding their review of the MOC process. The Commission was tasked with reviewing MOC within the current medical profession and confronted issues that ABMS Boards and Diplomats experience. The Commission addressed areas that are problematic for physicians and provided recommendations for overhauling the MOC system, including retiring the “maintenance of certification” terminology. It remains to be seen what specific changes the ABMS will make to the MOC process, but the commission’s report represents a concerted turn towards real change in the current status quo.
                The Commission also recommended that ABMS boards conduct research to analyze the success of continued certification in helping clinicians provide quality and safe care for their patients. In addition, ABMS should research potential activities that help clinicians maintain their skills. The commission did not directly address fees, yet the survey measured that 58% of doctors said MOC costs were their top concern, 52% said MOC was a burden, and 48% said MOC was not a true reflection of their abilities as clinicians. The Commission report suggested shifting from single point-in-time assessments leveraged years apart to more regular, longitudinal, multi-source assessments to provide more useful appraisals of physicians’ ongoing competence. The report also encouraged medical staff offices and other credentialing professionals not to make credentialing and privileging decisions solely on the basis of certification status, but to utilize certification as an additional data point when evaluating practitioner applicants.
Commission Co-Chairs Christopher Colenda, MD and William Scanlon, PhD told Medscape that while fee structures and pricing were not addressed in the Commission report, they noted that boards should implement reasonable fees. They believe that the changes recommended will enhance the value of the MOC process for all stakeholders. Former NAMSS Presidents, Linda Waldorf and Diane Meldi contributed to the Commission’s work.
Click hereto read the Commission’s draft report and herefor more information regarding the ABMS commission report on MOC. NAMSS will continue to monitor any further actions of the Commission and changes to the MOC process.

Press Room

Joint Commission News Releases - Wed, 01/16/2019 - 15:18
Press Room

Three Ways to Limit Overprescribing Antibiotics in the Urgent Care Setting

By Christopher Cheney Antibiotics stewardship at urgent care centers is in the spotlight after the release of a pair of recent studies. Appropriate prescribing of antibiotics by healthcare providers is essential to help avoid the development of antibiotic-resistant infections, which the Centers for Disease Control and Prevention calls one of the most severe public health problems in the country. About [...]

Financial Penalties in Hospital Readmissions Linked to Higher Mortality

By John Commins Using financial penalties to reduce hospital readmissions has been linked to a significant rise in post-discharge mortality for patients with heart failure and pneumonia, a new, large-scale study shows. In an article published last week in JAMA, researchers at Beth Israel Deaconess Medical Center examined the unintended consequences of the Hospital Readmissions Reduction Program, a [...]

EPA announces final rule to set new standards on hazardous waste pharmaceuticals

By A.J. Plunkett Get the word out to everyone in your organization who handles hazardous waste pharmaceuticals that soon, flushing or rinsing those drugs down a drain into the sewers will be specifically prohibited by the EPA. That’s harder. On the easier end, you can tell your nurses that the packaging for a patient’s nicotine patch, gum, [...]

CMS examines possible Conflicts of Interests in Accreditation Organizations

By John Commons  Federal regulators are asking for public comment and cite ‘disparity rates’ between state audits and AO reviews of healthcare facilities. The Centers for Medicare & Medicaid Services is asking questions about potential conflicts of interest between Medicare accrediting organizations and the healthcare facilities they monitor. “We are concerned that the practice of offering both accrediting [...]

TJC anticoagulant NPSG updated

The Joint Commission (TJC) announced revisions to its anticoagulant therapy National Patient Safety Goal (NPSG) on December 7. NPSG 03.05.01 has eight new Elements of Performance (EPs). All the changes are listed in R3 Report 19 and will take effect on July 1, 2019. The update applies to all TJC accredited hospitals, critical access hospitals, nursing [...]

Joint Commission Revises Suicide Prevention National Patient Safety Goal

The Joint Commission (TJC) this week announced revisions to its suicide prevention National Patient Safety Goal (NPSG) to improve quality and safety of care for patients treated for behavioral health conditions and who are identified as high-risk for suicide. Effective July 1, 2019, NPSG.15.01.01 (Reduce the risk for suicide) is applicable to all Joint Commission-accredited hospitals [...]

2018 Updates to the NPDB Guidebook

NAMSS - Tue, 12/11/2018 - 21:37

           The Health Resources and Services Administration (HRSA) recently updated its online National Practitioner Data Bank (NPDB) Guidebook on October 26, 2018. This is the first time the Guidebook has been updated since April 2015. The October 2018 Guidebook added a new section titled “Length of Restriction” under Chapter E: Reporting Adverse Clinical Privileges Actions and alters language regarding the reportability of proctoring. The Guidebook also adds seven new questions and answers to the end of Chapter E. Additionally, the Guidebook clarifies that indirect action taken by a physician during an investigation maybe reportable.
            The new section titled “Length of Restriction” states that if a restriction has an adverse effect on a practitioner’s privileges for more than 30 days, then it is reportable on the 31st day, regardless if the length of the restriction is in writing. The seven new questions that address reporting requirements address the following topics:
  1. Agreements not to exercise privileges while under an investigation (Q. 22)
  2. Leave of absence while under investigation that restricts privileges (Q.23)
  3. Reappointment application review (Q.24)
  4. Resignation while subject to a “quality improvement plan” (Q. 25)
  5. Restrictions versus generally-applicable guidelines regarding first assistants and practitioner specific requirements (Q.31)
  6. A practitioners lapse of privileges at the end of a scheduled term (Q.46)
  7. Guidelines on updating NPDB reports modified by Court order (Q.49)
Click here for more information regarding the NPDB Guidebook.  

Suicides and drugs cut U.S. life expectancy

U.S. life expectancy dropped to 78.6 years in 2017, according to the CDC, with the main culprits of the decline being drug overdoses and suicides. The research shows that a baby born in 2017 had 1.2 months shaved off its life expectancy compared to one born 12 months earlier.  This is the third year in [...]

Use TRAIN matrix to triage patients in mass evacuation

By  A.J. Plunkett (aplunkett@h3.group) Modify the Triage by Resource Allocation for IN-patient (TRAIN) matrix to suit your facility’s needs in case of a mass evacuation. Developed by the Lucile Packard Children’s Hospital at Stanford in Palo Alto, California, the matrix is combined with the hospital’s electronic medical records system to allow quick assessment of patients and the types [...]