Association for Healthcare Accreditation Professionals

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Updated: 1 hour 36 min ago

Main manual for CMS’ hospital Interpretive Guidelines updated

Wed, 12/13/2017 - 22:22
For the first time in two years, the online version of CMS’ State Operations Manual, Appendix A — also known as SOMA by some — is showing it has been revised! The date on the appendix, which offers CMS surveyors Interpretive Guidelines to follow when implementing the hospital Conditions of Participation (CoP), is now Nov. 17, [...]

Study: Concurrent surgeries are safe

Thu, 12/07/2017 - 21:20
A review of more than 2,000 neurosurgical cases published in the Journal of the American Medical Association, found no greater risk of postoperative complications for patients operated on by surgeons conducting overlapping surgeries. This casts a new light on the controversial practice, which is routine at many facilities nationwide. The study, published earlier this month, examined patients who [...]

Workplace violence prevention resources

Tue, 11/28/2017 - 21:06
More than 70% of significant WPV injuries occur in healthcare and social service settings. That number has been on the rise, and the victims are primarily healthcare workers. Here are some other free resources and training on workplace violence prevention in your healthcare organization: 1.    The Center for Health Design’s Safety Risk Assessment Toolkit 2.    The [...]

Know the medical gas cylinder storage requirements

Tue, 11/28/2017 - 20:01
Editor’s note: This update was provided by Brad Keyes, CHSP, owner and senior consultant for Keyes Life Safety Compliance, LLC, and a consulting editor for Healthcare Life Safety Compliance.  The following medical gas cylinder storage requirements are relative to the National Fire Protection Association (NFPA) Standards 99 Health Care Facilities (2005 edition) and are updated for [...]

Door alarms limit OR foot traffic and infection risks

Tue, 11/28/2017 - 00:50
A new study published in Orthopedics has found the best way to cut the number of unnecessary foot traffic in the operating room (OR) is by installing a door alarm. About a third of door openings during surgery are for unessential reasons, like future planning and social visits. The opening and closing of doors during surgery increases the [...]

CMS Emergency Prep rule is now enforceable by surveyors

Mon, 11/27/2017 - 21:47
It’s finally here. CMS’ new Emergency Preparedness rule went into effect on Wednesday, November 15, which means surveyors can now cite facilities who aren’t compliant with the rule’s requirements. The rule closes gaps in CMS’ previous regulations, such as requiring facilities to have contingency planning in place, emergency response training for staff, and communicate and coordinate their [...]

Webinar: Suicide Prevention in Hospitals: Reduce Risk and Comply With Joint Commission Requirements

Tue, 11/21/2017 - 00:53
Presented on: Tuesday, November 21, 2017, 1:00-2:30 p.m. EST Speaker: Ernest E. Allen, ARM, CSP, CPHRM, CHFM Program Level: Intermediate  Registration: Summary:  Hospitals are continually working to reduce the risk of patient suicide in their facilities, but the problem persists. The Joint Commission has placed particular emphasis on reducing suicide risk, including a National Patient Safety Goal and a recent Sentinel Event [...]

USP deadline on hazardous drug handling postponed until 2019

Tue, 11/14/2017 - 21:15
The U.S. Pharmacopeial Convention (USP) has announced it intends to push back the compliance deadline for USP Chapter <800> “Hazardous Drugs; Handling in Healthcare Settings” from July 1, 2018, to December 1, 2019. USP <800> applies from the moment a hazardous drug is received at the loading dock all the way through to the medicine’s disposal. [...]

Thoughts about all that documentation the CoPs require? CMS wants to know

Mon, 11/13/2017 - 21:06
Have thoughts about the paperwork you have to generate because of Medicare’s Conditions of Participation (CoP)? Or rather, do you have thoughts you’d like to share with the public, as well as the Department of Health and Human Services (HHS)? Now’s your chance. CMS has posted a call for comments on the paperwork required under the [...]

Joint Commission announces four survey focus areas

Mon, 11/13/2017 - 20:45
Representatives from The Joint Commission, URAC, DNV-GL, the Healthcare Facilities Accreditation Program (HFAP), and National Committee for Quality Assurance (NCQA) took the stage at the 2017 NAMSS Educational Conference & Exhibition to share what they have learned from this year’s accreditation surveys and to tell audience members about relevant standards changes The Joint Commission announced four [...]

West Virginia cities sue Joint Commission over alleged role in opioid crisis

Thu, 11/09/2017 - 22:21
Four West Virginia cities and towns filed a class-action lawsuit against The Joint Commission and Joint Commission Resources on November 2, claiming the accreditor “grossly misrepresented the addictive qualities of opioids” in their pain management standards. The town of Ceredo and cities of Charleston, Huntington, and Kenova claim that those standards forced hospitals to prescribe [...]

How to deal with unclear infection prevention guidelines

Thu, 11/02/2017 - 19:51
Written by Tinker Ready at HealthLeaders Media A team of physicians from the University of Iowa Hospitals and Clinics has put forward a strategy that aims to standardize infection prevention guidelines for procedures performed outside the operating room. The team contends that for most procedures, from skin biopsies to chest tube insertions, there is no authoritative guidance on infection [...]

Joint Commission releases updated Patient Blood Management Certification standards

Wed, 10/25/2017 - 20:57
The new standards were updated to meet the AABB’s guidelines and will go into effect on January 1, 2018. The Joint Commission’s Patient Blood Management Certification program was developed with the AABB, an international association focusing on cellular therapies, transfusion medicine, and blood management. The certification is based on the AABB’s Standards for a Blood Management [...]

What books should we write in 2018?

Tue, 10/24/2017 - 23:50
Hello! It’s book season at HCPro (also Halloween/Thanksgiving/sweater season) and we need your help! This is the time when we come up with possible book ideas for 2018. But of course, we don’t want to write about something readers aren’t interested in, and want to hear your thoughts. We need your feedback to get these books into production, so please [...]


Wed, 10/18/2017 - 22:24

Seeking nominees for The Platinum Awards

Wed, 10/18/2017 - 19:30
The Platinum Awards sets the standard for recognizing professionals and organizations who demonstrate success in the overarching healthcare continuum. Like no other awards program in the industry, the Platinum Awards brings professionals and organizations together to highlight their work, be publicly recognized, celebrate successes and collectively recognize that working as a team can ensure a safe, quality [...]

Another delay of CMS hospital star ratings system

Wed, 10/18/2017 - 01:30
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 [...]