Association for Healthcare Accreditation Professionals

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Another delay of CMS hospital star ratings system

13 hours 9 min ago
CMS will delay an update to its controversial hospital star rating system for the second time in four months. The update was expected to launch this month and the new setback means the tool might not be available to the public until 2018. CMS told reporters that it needed more time “to continue its examination of potential [...]

Joint Commission: screening for violence

Sat, 10/14/2017 - 01:17
In the October edition of Perspectives, The Joint Commission reiterated the need to screen patients for potential risks to themselves or others. This is part of a long-standing and ongoing effort to change the sky-high rates of workplace violence in healthcare. More than 70% of the 23,000 significant injuries resulting from workplace assault in 2013 happened [...]

Joint Commission updates EM standards to match CMS

Sat, 10/14/2017 - 01:15
In response to CMS’ final emergency preparedness rule issued earlier this month, The Joint Commission announced revisions to its emergency management (EM) standards. CMS is expected to approve the updated standards before they go into effect on November 15. Accredited organizations can access the proposed drafts on their Joint Commission Connect™ extranet site, with more information on the [...]

HFAP revises emergency management standards

Wed, 10/11/2017 - 00:14
HFAP has revised its Emergency Management standards in our Acute Care, Critical Access, and Ambulatory Surgical Center manuals to be in compliance with “Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers and Suppliers, Final Rule.” The chapter is the only change to the manuals. The updated requirements include the need for: A written Emergency Operations Plan [...]

Webinar: USP : Hazardous Drug Compliance and Safety in 2018

Mon, 10/09/2017 - 20:59
Presented on: 1:00-2:30 p.m. EST, Monday, October 30, 2017   Presented by: Patricia C. Kienle, RPh, MPA, FASHP Level of Program: Intermediate Who should listen: Accreditation specialists, regulatory officers, safety officers, pharmacists, and any healthcare staff who work with hazardous drugs Registration:  Summary: Making drugs is risky business, even when it’s done in hospital pharmacies. From the person carrying the chemicals from the loading bay [...]

USP deadline on hazardous drug handling postponed until 2019  

Thu, 10/05/2017 - 01:36
The U.S Pharmacopeial Convention (USP) announced today that it is pushing back the compliance deadline for General Chapter <800> Hazardous Drugs; Handling in Healthcare Settings, from July 1, 2018 to December 1, 2019. USP <800> covers from the moment a hazardous drug is received at the loading dock all the way through to the medicine’s disposal. [...]

Mass shooting tests Las Vegas hospitals with surge of more than 500 patients

Tue, 10/03/2017 - 18:42
Moments after shots rang out along the iconic Las Vegas strip Sunday night, sending thousands of concertgoers scrambling for cover, the city’s hospitals sprang into action. Dignity Health-St. Rose Dominican Hospital treated more than 50 people across its three campuses; the city’s only Level 1 trauma center, University Medical Center, treated another 100 people; and Sunrise [...]

CMS temporarily suspends some Medicare requirements for hurricane-stricken hospitals

Wed, 09/27/2017 - 01:45
Joint Commission also suspending surveys of hurricane affect hospitals temporarily CMS Administrator Seema Verma announced the agency is temporarily suspending certain Medicare requirements for healthcare providers assisting with Hurricane Irma recovery efforts in Florida, Puerto Rico, and the U.S. Virgin Islands. The Joint Commission also announced that it would be suspending survey activities in the affected areas [...]

Joint Commission provides tips for improving handoffs

Wed, 09/20/2017 - 18:56
This September, The Joint Commission posted an infographic on “high-quality hand-offs.” The infographic is a companion to the accreditor’s Sentinel Event Alert (SEA) 58 on inadequate handoff communications and its effect on patient care. Transferring a patient’s care between providers is major point of failure for healthcare. Every transfer runs the risk of key treatment information being garbled, forgotten, [...]

George Mills lands gig with Chicago firm as his Joint Commission exit approaches

Wed, 09/13/2017 - 20:26
Two weeks after The Joint Commission confirmed that its engineering department director would be leaving the organization, a Chicago-based professional services firm proudly announced him as a new hire. George Mills, MBA, FASHE, CEM, CHFM, CHSP, who worked 14 years for the accrediting organization, will transition next month into his new job as director of healthcare technical [...]

What providers can do this National Suicide Prevention Week

Wed, 09/13/2017 - 01:02
National Suicide Prevention Week is September 10-16, bringing awareness to the 10th leading cause of death in the United States. This week is a time for physicians, nurses, and other providers to learn more about how their healthcare organizations can help suicidal patients. In 2013, 9.3 million adults had suicidal thoughts, 1.3 million attempted suicide, and 41,149 [...]

George Mills is leaving The Joint Commission

Fri, 08/25/2017 - 19:35
The Joint Commission confirmed Thursday afternoon that a key figure in standards interpretation for the healthcare accrediting organization will be departing this fall. George Mills, MBA, FASHE, CEM, CHFM, CHSP, who has served as director of the organization’s engineering department for the past six years, will leave his post effective October 9. Mills has been with The [...]

Joint Commission deletes ORYX standard

Wed, 08/23/2017 - 00:25
The Joint Commission will delete performance improvement standard PI.02.01.03 and its single element of performance on January 1, 2018. The standard had required facilities to receive a composite performance rate of 85% or higher on the ORYX accountability measures. The accreditor announced that it was deleting the standard because it wasn’t possible for facilities to accurately [...]

Crucial accreditation deadlines on the horizon for pain management and emergency preparedness

Tue, 08/22/2017 - 22:52
Time is running out to meet the new emergency management (EM) Conditions of Participation (CoP) and The Joint Commission’s revised pain management standards. The EM Interpretive Guidelines go into effect on November 15 while the pain management standards go into effect January 1. Emergency management The new EM CoPs fill gaps CMS’ previous regulations by compelling hospitals to communicate [...]

Solar Eclipse: Prepare for eye injuries

Mon, 08/21/2017 - 20:23
Healthcare providers should be on the lookout (no pun intended) for patients complaining of eye trouble over the next few days.  Monday, August 21, a total solar eclipse will occur over the continental United States, the first one to do so since 1918. Over 12 million of people will be able to see the sun completely [...]

New may not be better: hospital returns to paper and happier docs

Wed, 08/16/2017 - 16:00
The Illinois Pain Institute (IPI) was having trouble with its electronic health records (EHR). So they got rid of them and went back to paper. And they aren’t planning on going back anytime soon. Two years ago, all 70 members of the IPI voted unanimously to get rid of its EHR saying it was slowing down [...]

Fire and smoke: CMS clarifies which doors must be inspected annually

Tue, 08/15/2017 - 23:48
After pushback, federal officials backed away from their claim that smoke barrier doors must be inspected and tested annually. More than three weeks after a well-publicized compliance deadline passed, CMS announced Friday that the deadline would be pushed back nearly six months, giving facilities until New Year’s Day 2018 to comply with an annual testing requirement [...]

Joint Commission revises Medication Management EPs

Wed, 08/09/2017 - 16:34
The Joint Commission has revised Medication Management elements of performance (EP) for several of its programs. The changes will go into effect on January 1, 2018 and will impact hospitals, ambulatory care, behavioral care, home care, nursing care centers, critical access hospitals, and office-based practices accredited by The Joint Commission. The revisions will require organizations to: •    [...]

AAMI takes action on medical cart fires

Tue, 08/08/2017 - 19:30
Last year, the Food and Drug Administration (FDA) released a report warning that mobile medical carts have been overheating, igniting, smoking, burning, or exploding. This July, the Association for the Advancement of Medical Instrumentation (AAMI) responded by convening a group of experts to talk about this new fire hazard. Similar to the infamous Samsung Galaxy 8, [...]

CMS withdraws proposal to have AOs post survey reports online

Thu, 08/03/2017 - 19:24
A proposal by CMS to have accrediting organizations (AOs) post the details of survey reports online was withdrawn by the agency, not because of negative comments — although there were plenty — but because, well, it might be prohibited under federal law. CMS first made the proposal in April, tucking it into the latter pages of [...]