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Friday 9:32 CST, May 22, 2015

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Topics Library

Stroke Certification Programs – Program Concept Comparison

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Stroke Certification Programs – Program Concept Comparison

Related Items: Primary Stroke , Comprehensive Stroke Center , Comparisons , Acute Stroke Ready Hospital

04/08/2015
Topics Library

Revised Certification Eligibility Criteria for Comprehensive Stroke Centers (CSC)

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The Joint Commission's Disease-Specific Care Advanced Certification Program for Comprehensive Stroke Centers (CSC) was developed in collaboration with the American Heart Association and the American Stroke Association.

Related Items: Eligibility , Comprehensive Stroke Center

04/08/2015
Content Page

Patient Safety

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Patient Safety Awareness Week: March 8-14, 2015

04/07/2015
News

Joint Commission Announces New Executive Director of Certification Programs

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The Joint Commission today announced the appointment of Wendi J. Roberts, RN, BA, MS, CLNC, TNS, as executive director of its certification programs.

Related Items: Disease-Specific Care , News Releases

04/06/2015
Topics Library

Physician Leader Monthly March 2015

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Monthly e-newsletter for physician leaders.

Related Items: Physician , Physician Leader Monthly , Chief Medical Officer

04/03/2015
Blog

Five Tips for a Successful Discharge

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Dr. Mary Anne McCaffree explained how over the course of the years she has developed some standard practices during the discharge-planning process that contribute to a successful discharge. She enthusiastically agreed to let me share these tips with you.

Related Items: Home Care , Home Care Accreditation

04/02/2015
Topics Library

Webinar Replay: Preparation Essentials for New Acute Stroke Ready Hospital Certification

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Webinar replay covers new Acute Stroke Ready Hospital (ASRH) certification program! This certification was developed by the Joint Commission in collaboration with the American Heart Association/American Stroke Association for Joint Commission accredited hospitals and critical access hospitals.

Related Items: Critical Access Hospital , Disease-Specific Care , Hospital , Previous Webinar , Advanced Certification for Acute Stroke Ready Hospital

04/02/2015
Topics Library

Facts about the Nursing Advisory Council

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The Nursing Advisory Council advises The Joint Commission on nursing and patient care issues and shares perspectives on Joint Commission initiatives that may impact the nursing profession or effect patient safety.

Related Items: Fact Sheets , Nurse , Advisory Group Fact Sheets

04/02/2015
Standards FAQ

Waived Testing & Proficiency Testing

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Q. Is proficiency testing required for waived tests?

04/01/2015
Standards FAQ

Undersink Storage

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Q: Do the Joint Commission standards prohibit use of under sink cabinets for storage?  

04/01/2015
Standards FAQ

Standpipe Fire Hose Testing

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Q. Do fire hoses for standpipes or fire hose cabinets have to be tested with any particular frequency?  

04/01/2015
Standards FAQ

Smoke-free Campus

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Q. There is some concern about having a smoke free campus and putting that policy in writing.  What are your requirements regarding this?  

04/01/2015
Standards FAQ

Reagents Stored With Medications Or Specimens

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Q: Can laboratory reagents be stored in a refrigerator that also contains medications or laboratory specimens?  

04/01/2015
Topics Library

Sources for Accreditaton-Related Technical Assistance for BPHC-Supported Health Centers

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This list has been compiled solely for the purpose of assisting organizations in identifying and accessing possible technical assistance resources.

Related Items: Survey Preparation

04/01/2015
Standards FAQ

Providing Financial Incentives to Staff

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Q:  What are some examples of how an organization can ensure that when it provides financial incentives to its staff, it has a process to ensure that the integrity of clinical decision making is not compromised?  

04/01/2015
Standards FAQ

Placement of Alcohol Based Hand Rub (ABHR) Dispensers

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Q. What is the requirement regarding placement of alcohol based hand rub dispensers in hallways and in some waiting areas. Although the criteria on horizontal spacing are so specific (4 feet apart), the installation over or directly adjacent to ignition sources is not so clear. Can you provide some direction and explanation for approach to placement?  

04/01/2015
Standards FAQ

"Penny in a Cup"

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Q. My organization uses the “penny in a cup” method for monitoring refrigerator/freezer temperature.  Does this meet Joint Commission standards?  

04/01/2015
Standards FAQ

One-Time Extension Based on Unforeseen Conditions

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Q. When the Joint Commission grants an organization an extension for one or more PFI items, does the organization receive a new six-month window beyond the newly approved completion date?  

04/01/2015
Standards FAQ

Non-licensed, Non-employee Individuals

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What are The Joint Commission’s expectations regarding non-licensed, non-employee individuals in health care organizations, including health care industry representatives (HCIRs)?

Related Items: Non-Employees , Non-licensed , vendors , HCIR

04/01/2015
Standards FAQ

Mounting Sharps Boxes/Containers

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Q. Is there a requirement that sharps/needle boxes or containers be mounted on the wall in patient rooms? If so, what is the required height?  

04/01/2015
Standards FAQ

Management Plans in Business Occupancies

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Q. Are we expected to have as detailed a management plan for each area in the environment of care for our business occupancies as we do for our hospital?  

04/01/2015
Standards FAQ

Locking of Electrical Panels

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Q. Are electrical panels in patient areas required to be locked?  

04/01/2015
Standards FAQ

Laboratory Report Requirements In The Medical Record

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Q.  Our hospital information system captures data from our laboratory system and provides the results in several other hardcopy and electronic formats accessed by our physicians, such as the physician portal, flash reports, remote web access, etc.  Do all these different reports need to conform to the standards surveyed during the biennial laboratory survey?

04/01/2015
Standards FAQ

Labeling Oxygen and other Compressed Gas Cylinders

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Q. If a cylinder of oxygen is in use in a patient area or in transportation does that cylinder have to be marked as to the level of product in the cylinder? I have found in the NFPA 99 that all.

04/01/2015
Standards FAQ

Infection Control Applicability to Offsite Interpretive Reading Providers

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Q. How do the IC standards apply to interpretive reading providers? We have no contact with patients or specimens-what do we need to do?

04/01/2015