Association for Healthcare Accreditation Professionals

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Joint Commission updates LS, EC chapters

Fri, 02/16/2018 - 21:05
Three revisions to The Joint Commission’s Life Safety and Environment of Care chapters will go into effect on March 11. The respective changes add more clarity to requirements regarding non-rated doors, environmental features of anesthetics areas, corridor door latch. However, not all changes apply to all the same programs, so you should check to see [...]

Tell us what you’re looking for in Accreditation Books

Thu, 02/15/2018 - 01:37
Hi there! I’m working on the newest batch of Accreditation books out and I need your help! This year we’re planning on writing books on: Mock Tracers CMS Compliance Crosswalks Suicide Prevention Survey Readiness These book will come with with the newest updates to CMS and other Accrediting Orgs. Plus tools, checklists, and quizzes, and more! But before we can get started, we [...]

Public comments open for NFPA active-shooter standards

Mon, 02/12/2018 - 22:05
Preparing to respond to an active-shooter event, whether that involves a surge of patients to your facility because of an incident off-campus or a hostile intruder inside your building, has become a major concern to most hospital officials. For only the second time in its history, the National Fire Protection Association (NFPA) is fast-tracking development of [...]

Tell us what you think about PSMJ and BOAQ

Fri, 02/09/2018 - 00:11
Dear BOAQ & PSMJ Subscribers, We’re making much needed overhauls to BOAQ and PSMJ’s website this year. But before that happens, we want to hear your thoughts on how we can improve in 2018. Please share your feedback by taking this quick survey: BOAQ Survey: https://goo.gl/kCPSER PSMJ Survey:  https://goo.gl/kCPSER Your responses are invaluable to us and if you have ideas or suggestions for us, [...]

CMS Inpatient-Only List: Preparing for Critical Changes in 2018

Fri, 02/09/2018 - 00:07
Each year CMS revises its inpatient-only list of approximately 1,700 procedures. The most notable changes to the list that went into effect January 1, 2018 include the addition of coronary revascularization during an acute myocardial infarction and the removal of total knee arthroplasty. Knee replacements, according to CMS, now may be performed on either an inpatient or [...]

Surgeon sued for double booking surgery

Thu, 02/01/2018 - 20:36
There’s a reason why the American College of Surgeons (ACS) recommends asking patients if they’re okay with a concurrent surgery before operating. A Manhattan doctor found that out the hard way, after two former patients sued him last month for $14 million, according to the Boston Globe. The patients claim that David B. Samadi, MD, chief of [...]

CDC Director Brenda Fitzgerald resigns

Wed, 01/31/2018 - 23:39
Just two days after Alex Azar was sworn in as the new head of the Department of Health and Human Services (HHS), Azar accepted the resignation of his CDC director. Brenda Fitzgerald resigned this morning, a day after POLITICO reported that she bought shares in a tobacco company not long after taking the job — a serious conflict [...]

Joint Commission to roll out new maternal care and infectious disease requirements

Wed, 01/24/2018 - 01:26
On July 1, 2018, The Joint Commission will implement three new elements of performance (EP.) The EPs are intended to reduce the risk of diseases like HIV and syphilis being passed from mother to child during birth. The accreditor made the announcement in the latest R3 Report, with the aim of protecting both the mother and child [...]

CMS: Physicians and nurses can text, just not medical orders

Mon, 01/15/2018 - 11:13
CMS is clearing up recent confusion on what medical providers can text each other. The agency confirmed care team members are allowed to text patient information over a secure messaging app. However, texting medical orders is still verboten. Some providers have taken to secure messaging platforms as a way to contact providers during emergency, to consult [...]

Prepping hospitals for winter storms

Fri, 01/12/2018 - 20:12
With the biting cold and heavy snow that struck the East Coast this month, and with more on the way healthcare organizations should take a look at their preparation plans for blizzards and snowstorms.  The following tips come from Allina Health in Minneapolis, MedStar Montgomery in Olney, Md., and University of Maryland Medical Center (UMMC) [...]

Joint Commission: Life Safety revisions for behavioral healthcare

Fri, 01/05/2018 - 20:26
The Joint Commission has revised its Life Safety standards LS.04.01.20 through LS.04.02.50 for its Behavioral Health Care Accreditation program. The changes apply to residential behavioral health care facilities and go into effect July 1, 2018. The revisions change the “residential occupancy” requirements so they align with the 2012 edition of the National Fire Protection Association’s [...]

CMS and Joint Commission change hospital eligibility requirements

Thu, 01/04/2018 - 20:30
Both organizations have changed their expectations on the defintion of a hospital. CMS’s new S&C Memo 17-44-Hospitals says that surveyors will use average daily census (ADC) and average length of stay (ALOS) data to determine if the hospital is primarily engaged in providing services to inpatients, and “a hospital must have inpatients at the time of survey [...]

CMS memo defines ligature risk and clarifies expectations

Wed, 01/03/2018 - 22:23
A new CMS memo creates a definition of a ligature risk, a time frame for correcting them, and interim guidance for surveyors, plus requirements for requesting a time extension for a plan of correction taking longer than 60 days. CMS says that while not all ligature risks can be eliminated, hospitals are expected to show [...]

Joint Commission to Increase Hand Hygiene Focus

Wed, 01/03/2018 - 00:22
The Joint Commission will soon be scrutinizing hand hygiene more closely. Starting in 2018, if a surveyor from the accrediting organization witnesses an individual who directly cares for patients fail to perform required hand hygiene, the person’s healthcare organization will receive a citation under The Joint Commission’s Infection Prevention and Control (IC) standard IC.02.01.01, element of [...]

FDA bans 24 ingredients in healthcare antiseptics

Tue, 12/19/2017 - 22:13
The FDA has banned two dozen active ingredients used in healthcare products because they weren’t generally recognized as safe and effective for use in over-the-counter (OTC) products. The ban is specifically aimed at OTC products used primarily in medical settings like hospitals, clinics, and doctors’ offices. The ingredients had been used in antiseptic hand washes [...]

2018 version of “Patient Safety Systems” Chapter available

Tue, 12/19/2017 - 16:19
The Joint Commission has released the most recent versions of it’s PS Chapter for hospitals, nursing care centers, critical access hospitals, behavioral healthcare centers, laboratories, and more. PS chapter AHC 2018 PS chapter CAH 2018 PS chapter HAP 2018 PS chapter LAB 2018 PS chapter NCC 2018 PS chapter OBS 2018 PS chapter OME 2018 SSIS chapter BHC 2018

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 [...]

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