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Friday 6:36 CST, October 31, 2014

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Topics Library

Webinars Offered by CLSI and The Joint Commission

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Visit the CLSI Web site to view upcoming education offerings with The Joint Commission as well as On-Demand Webinars.

Related Items: Laboratory Accreditation Program , Laboratory Resource

10/31/2014
Standards FAQ

Perception of Care

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Q. How many patients do we need to evaluate for patient perception of care to meet the standard DSPM.5 EP.1 if we do not have this requirement as one of our performance measures?

10/31/2014
Standards FAQ

Hypoglycemia

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Q. What is the definition of hypoglycemia? DSPM.1 EP.2.a

10/31/2014
Standards FAQ

Nutritional Screening Documentation

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Q. Who is supposed to perform the nutritional screening and document results to meet standard DSCT.5 EP.4.a?

10/31/2014
Standards FAQ

Protocols and Orders

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Q. Can hypoglycemia and hyperglycemia pre-printed protocols/orders be used for meeting DSDF.4 EP.2.b “plans for the treatment of hypoglycemia and hyperglycemia are established for each patient?”

10/31/2014
Standards FAQ

Nutritional Assessment

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Q. Explain further what the following statement means: “nutritional assessments are conducted for patients not consistently reaching glucose targets”. Who does the assessment? What type of glucose targets are you referring too? DSDF.3 EP.2.a

10/31/2014
Standards FAQ

Discharge Documentation

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Q. What type of communication is acceptable for meeting DSCT.3 EP.2.a? Can the nurse give the discharge papers to the patient and tell them to take this to the health care provider when they go for their visit?

10/31/2014
Standards FAQ

Diabetic Educator

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Q. Does a Certified Diabetic Educator have to be on the staff/multidisciplinary team in order to achieve certification? DSPR.1 EP.1

10/31/2014
Standards FAQ

A1C Requirement

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Q. Are women with GDM included in the A1C requirement? DSDF.2 EP.5.a

10/31/2014
Standards FAQ

Follow-up Appointment

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Q. If the patient already has an appointment with the physician managing their diabetes, do you need to make another appointment? DSDF.6 EP.1.a

10/31/2014
Standards FAQ

Staff Education

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Q. How much diabetes specific education must the identified members demonstrate? DSDF.1 EP.1

10/31/2014
Standards FAQ

Eligibility

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Q. What types of patients are included in this program? Are only those patients that the diabetes team is consulted on, included?

Related Items: Inpatient Diabetes

10/31/2014
Content Page

Advanced Certification in Inpatient Diabetes

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Advanced Certification in Inpatient Diabetes - Upcoming November 12, 2013 teleconference.

10/31/2014
Topics Library

List of 2014 Accountability Measures

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This list includes all measures designated as accountability measures, including the year designated.

Related Items: Accountability Measures , Hospital

10/31/2014
Topics Library

List of 2014 Accountability Measures (For 2015 Recognition)

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The Accountability Measure list includes an additional column where a check is displayed next to each individual measure for which CY 2014 data will be used for Top Performer Recognition in 2015.

Related Items: Hospital , Top Performer

10/31/2014
Topics Library

2015 List of ORYX Vendors Supporting eCQM Data Transmissions

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2015 ORYX Vendors Supporting eCQM Measure Sets Data Transmission

Related Items: Performance Measurement , Performance Measurement Systems

10/31/2014
Topics Library

Ebola Preparedness: A CDC/Joint Commission Webinar

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This webinar provides information on recommended hospital protocols and containing the spread of infectious disease.

Related Items: Ebola Preparedness

10/30/2014
Topics Library

Technical Assistance Teleconference List

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Listen to audio replays of the Bureau of Primary Healthcare's monthly technical assistance teleconferences.

Related Items: Ambulatory Health Care , BPHC - Teleconferences

10/30/2014
Blog

Envisioning a safety culture - The perspective of one psychiatric hospital

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To me, it’s one of the most moving and inspiring, parts of surveying an accredited psychiatric hospital. As the last day rolls around and the leadership session begins invariably the subject of high reliability in health care comes up. That topic usually spawns talk of how staff and leadership envision a safety culture at their facility. As a surveyor and field director, I have had the privilege to witness many of these conversations, and they rarely fail to move me.

Related Items: Physician , Blog

10/29/2014
Topics Library

Joint Commission Measure Sets Effective January 1, 2015

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Joint Commission Measure Sets Effective January 1, 2015

Related Items: Core Measure Information

10/28/2014
Topics Library

Brochure: We received the Gold Seal of Approval from The Joint Commission

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We received the Gold Seal of Approval from The Joint Commission. What does this mean?

Related Items: Gold Seal , Accreditation

10/28/2014
Content Page

Resources for Maintaining Behavioral Health Accreditation

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Research Resources added.

10/28/2014
Topics Library

Prepublication Standards – Revised Requirements for Ambulatory Surgical Centers

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In response to CMS’s review of its application, The Joint Commission developed and revised several elements of performance (EPs) for ambulatory surgical centers that elect to use The Joint Commission’s deemed status option.

Related Items: Prepublication Standards , Ambulatory Health Care , Deemed Status , Ambulatory Surgery Centers

10/28/2014
Topics Library

2015 Flexible ORYX Reporting Options and Core Measure Set Selection Form

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Effective with January 1, 2015 discharges accredited hospitals have the flexibility of meeting their ORYX measure reporting requirements through one of three options.

Related Items: Hospital , ORYX , Performance Measurement , Core Measures , Hospital ORYX Forms

10/28/2014
Topics Library

The Joint Commission - Inspiring Health Care Excellence

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This brochure provides an overview of the services, standards and quality and safety efforts of The Joint Commission, including the work of the Center for Transforming Healthcare, Joint Commission Resources and Joint Commission International.

Related Items: About The Joint Commission , Joint Commission Resources , Joint Commission International , Center for Transforming Healthcare

10/27/2014
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