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Saturday 2:09 CST, April 30, 2016

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Standards FAQ

Hazard Vulnerability - Analysis

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What is a hazard vulnerability analysis?  

04/11/2016
Standards FAQ

Focused Professional Practice Evaluation (FPPE) - Monitoring Timeline

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What is the duration of the monitoring?

04/11/2016
Standards FAQ

Focused Professional Practice Evaluation (FPPE) - Predefined Process

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Must the process be defined in writing or defined in the medical staff bylaws?

04/11/2016
Standards FAQ

Focused Professional Practice Evaluation (FPPE)- Four Required Components

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Are there any required components for design of the focused evaluation process?

04/11/2016
Standards FAQ

Focused Professional Practice Evaluation (PFFE) - Performance Issues vs Triggers

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What is the distinction between performance issues and triggers and are there any examples?

04/11/2016
Standards FAQ

Grounds Maintenance - Safety

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How does grounds maintenance activities apply to safety in the environment of care?

Related Items: ec.02.01.01

04/11/2016
Standards FAQ

Focused Professional Practice Evaluation (FPPE) - Data Collection Guidelines

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Are there any guidelines for how to collect information for evaluation?

04/11/2016
Standards FAQ

Security - Pediatrics Risk Assessment

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What are the requirements for developing a security program/security management plan?

Related Items: ec.02.01.01

04/11/2016
Standards FAQ

Medical Equipment - Sharps/Needle Boxes Risk Assessment

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Are there specific requirements for the deployment of sharps/needle boxes or containers?

Related Items: ec.02.01.01

04/11/2016
Standards FAQ

Soiled Utility Room Security - Risk Assessment

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Are soiled utility rooms required to be locked?

Related Items: ec.02.01.01

04/11/2016
Standards FAQ

Utilities - Electrical Panels Risk Assessment

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Are electrical panels required to be locked?

Related Items: ec.02.01.01

04/11/2016
Standards FAQ

Medical Equipment - Blanket Temperature Risk Assessment

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What standards apply to the requirement for organizations to maintain blanket temperatures?

Related Items: ec.02.01.01

04/11/2016
Standards FAQ

Under-Sink Storage - Risk Assessment

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What is the requirement for under-sink storage?

Related Items: ec.02.01.01

04/11/2016
Standards FAQ

Smoke Barrier Wall - Penetrations

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What are the requirements for penetrations in smoke barrier walls?

Related Items: ls.02.01.30 , wall sides maintained

04/11/2016
Standards FAQ

Corridor Door - Gaps

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What is the minimum gap requirement for smoke resistive corridor doors?

Related Items: ls.02.01.30

04/11/2016
Standards FAQ

Alcohol based hand rub dispensers - Placement In Waiting Areas

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What is the requirement regarding placement of alcohol-based hand rub dispensers in health care occupancies?

Related Items: ls.02.01.30

04/11/2016
Standards FAQ

Smoke Barrier Door - Latching Hardware

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What are the requirements for latching hardware on smoke barrier doors?

Related Items: ls.03.01.30 , ls.02.01.30

04/11/2016
Standards FAQ

Privileging Process - Core or Bundle - Definition and Implementation

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Are they any specific issues with using the core/bundle privileging format?

04/11/2016
Standards FAQ

Alcohol-based Hand Wipes - Requirements

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What is the criteria regarding alcohol-based hand wipes?

Related Items: ls.02.01.30

04/11/2016
Standards FAQ

Continuing Medical Education - Documentation

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Are copies of the certificates of attendance at continuing education programs (CME) required to be obtained and placed in the credentialing file as proof of attendance

04/11/2016
Standards FAQ

Privileging Process - Core or Bundle - CMS Position

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Is the Joint Commission aware of any issue that CMS might have with the use of core/bundle privileging?

04/11/2016
Standards FAQ

Ongoing Professional Practice Evaluation (OPPE) - Medical/Cognitive Specialties

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Medical and Cognitive specialties (internal medicine, family practice, psychiatry, med specialties ...) are very tough to identify meaningful data that can be evaluated. Is there any guidance that The Joint Commission can offer to assist organized medical staffs?

04/11/2016
Standards FAQ

Focused Professional Practice Evaluation (FPPE) - Intent

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 What is the intent of the Focused Professional Practice Evaluation requirement?

04/11/2016
Standards FAQ

Medical Staff Involvement -'Medical Staff Bylaw and Amendment Approval Meeting

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Is a formal meeting of the organized medical staff required to obtain adoption/approval of the medical staff bylaws and revisions of amendments?

04/11/2016
Standards FAQ

Security - ID Badges

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What are the requirements for ID badges?

Related Items: ec.02.01.01

04/11/2016