The Joint Commission
Thursday 5:40 CST, March 30, 2017

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Topic Library Resources

Most Recent

Laboratory

Heather Hurley

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Executive Director, Laboratory Business Development

 
Heather Hurley is the executive director of Laboratory Business Development.

Related Topics: Staff Biographies, Behavioral Health Care, Laboratory Accreditation Program

03/21/2017

Behavioral Health Care

Webinar Replay and Slides: Mar 14 - Roadmap to Behavioral Health Accreditation

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Learn more about how to plan for your behavioral health accreditation

Related Topics: Mental Health, Behavioral Health Care, Previous Webinar

03/17/2017

Behavioral Health Care

R3 Report Issue 10 - Housing support services standards for Behavioral Health Care

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In January 2016, The Joint Commission released a set of new Behavioral Health Care (BHC) standards for housing support services programs. These standards are applicable to any Joint Commission-accredited behavioral health care organization that is providing such services.

Related Topics: R3 Report (Newsletter), CAUTI, Behavioral Health Care

03/14/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care, Advanced Disease-Specific Care Certification , Disease-Specific Care, Health Care Staffing Services, Bureau of Primary Health Care

CLARIFICATION: Sentinel Event Measures of Success Still in Effect

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Joint Commission Requirement

Related Topics: 2017 Joint Commission Requirement, Hospital, Home Care, Disease-Specific Care, Critical Access Hospital, Behavioral Health Care, Ambulatory Health Care, Laboratory Accreditation Program, Nursing Care Center

03/07/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care, Disease-Specific Care, Health Care Staffing Services, Palliative Care, Primary Care Medical Home, Integrated Care , Perinatal Care, Patient Blood Management Certification, Comprehensive Cardiac Center, Medication Compounding Certification

Changes Announced for the Survey/Review Notification Policy

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Joint Commission Requirement

Related Topics: Patient Blood Management Certification, 2017 Joint Commission Requirement, Integrated Care Certification, Comprehensive Cardiac Center Certification , Palliative Care, Ambulatory Health Care, Behavioral Health Care, Hospital, Home Care, Health Care Staffing, Critical Access Hospital, Disease-Specific Care, Nursing Care Center, Laboratory Accreditation Program

03/07/2017

Behavioral Health Care

Julia S. Finken, RN, BSN, MBA, CSSBB, CPHQ

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Executive Director, Behavioral Health Care Accreditation

 
Julia S. Finken, RN, BSN, MBA, CSSBB, CPHQ is Executive Director, Behavioral Health Care and Psychiatric Hospital Accreditation

Related Topics: Behavioral Health Care

03/07/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care

Sentinel Event Data Summary

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Summary Data of Sentinel Events reviewed by The Joint Commission (as of 1/13//2017)

Related Topics: Critical Access Hospital, Hospital, Home Care, Behavioral Health Care, Ambulatory Health Care, Sentinel Event Statistics, Laboratory Accreditation Program, Nursing Care Center

03/03/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care

Webinar Replay and Slides: SAFER Matrix

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February 7, 2017

 
February 7, 2017 webinar replay and slides: The SAFER™ Matrix

Related Topics: Previous Webinar, Laboratory Accreditation Program, Nursing Care Center, Behavioral Health Care, Ambulatory Health Care, Home Care, Hospital, Critical Access Hospital, SAFER Matrix

03/02/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care, Advanced Disease-Specific Care Certification , Disease-Specific Care, Health Care Staffing Services, Bureau of Primary Health Care, Palliative Care, Primary Care Medical Home, Integrated Care , Perinatal Care, Patient Blood Management Certification

Sentinel Event Alert 57: The essential role of leadership in developing a safety culture

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In any health care organization, leadership’s first priority is to be accountable for effective care while protecting the safety of patients, employees, and visitors. Competent and thoughtful leaders contribute to improvements in safety and organizational culture.

Related Topics: Patient Blood Management Certification, Integrated Care Certification, Suicide, Palliative Care, Webinar, Hospital, Health Care Staffing, Home Care, Disease-Specific Care, Critical Access Hospital, Ambulatory Health Care, Behavioral Health Care, Sentinel Event Alert, Sentinel Event, Nursing Care Center, Laboratory Accreditation Program

03/01/2017

Behavioral Health Care

Webinar Replay and Slides: Feb 14 - Accreditation Basics for Behavioral Health Providers

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Considering accreditation or just started the process? This webinar will cover everything you need to know.

Related Topics: Previous Webinar, Behavioral Health Care, Mental Health

02/17/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care

Facts about the unannounced survey process

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The Joint Commission generally conducts unannounced surveys unless it is not feasible or logical to do so. All hospital and Centers for Medicare & Medicaid Services deeming or recognition surveys are unannounced. This fact sheet includes a table listing exceptions to unannounced surveys.

Related Topics: Unannounced Survey Process, Nursing Care Center, Laboratory Accreditation Program, Behavioral Health Care, Ambulatory Health Care, Fact Sheets, Home Care, Hospital, Critical Access Hospital

02/17/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care, Disease-Specific Care, Health Care Staffing Services

Sentinel Event Policy and Procedures

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Sentinel Event Policy and Procedures

Related Topics: Root Cause, Sentinel Event, Patient Safety, Laboratory Accreditation Program, Home Care, Health Care Staffing, Hospital, Disease-Specific Care, Critical Access Hospital, Ambulatory Health Care, Behavioral Health Care, Root Cause Analysis Matrix

02/17/2017

Behavioral Health Care

Webinar Replay and Slides: Jan 24 - SAFER Matrix in Behavioral Health Care

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Learn about the recent changes to the Joint Commission survey process called the “SAFER Matrix.” SAFER stands for Survey Analysis for Evaluating Risk.

Related Topics: SAFER Matrix, Mental Health, Behavioral Health Care, Previous Webinar

02/16/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care

Facts about the Tracer Methodology

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A key part of The Joint Commission’s on-site survey process is the tracer methodology. The tracer methodology uses information from the organization to follow the experience of care, treatment or services for a number of patients through the organization’s entire health care delivery process.

Related Topics: Tracer Methodology, Nursing Care Center, Laboratory Accreditation Program, Critical Access Hospital, Hospital, Home Care, Fact Sheets, Ambulatory Health Care, Behavioral Health Care

02/10/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Home Care

2017 Survey Activity Guide

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This revision to the Organization Survey Activity Guide contains additional corrections to the Life Safety and Environment of Care Document List and Review Tool to more closely align with the standards changes issued in January, 2017.

Related Topics: Critical Access Hospital, Home Care, Hospital, Behavioral Health Care, Laboratory Accreditation Program, Nursing Care Center, Survey Activity Guide

02/06/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care, Advanced Disease-Specific Care Certification , Disease-Specific Care, Health Care Staffing Services, Palliative Care, Integrated Care , Perinatal Care, Patient Blood Management Certification, Comprehensive Cardiac Center

Clarification Made to “Observers” Standard

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Joint Commission requirement.

Related Topics: Nursing Care Center, Laboratory Accreditation Program, Ambulatory Health Care, Behavioral Health Care, Disease-Specific Care, Critical Access Hospital, Health Care Staffing, Home Care, Hospital, Palliative Care, Integrated Care Certification, 2017 Joint Commission Requirement, Patient Blood Management Certification, Comprehensive Cardiac Center Certification

02/01/2017

Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Home Care

Facts about the on-site survey process

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The Joint Commission survey process is data-driven, patient-centered and focused on evaluating actual care processes.

Related Topics: Fact Sheets, Behavioral Health Care, Accreditation, Survey Process

01/19/2017
01/09/2017

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care, Disease-Specific Care, Health Care Staffing Services, Palliative Care, Primary Care Medical Home, Integrated Care , Perinatal Care, Patient Blood Management Certification, Comprehensive Cardiac Center

Approved: Changes to Clarification Process

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Joint Commission Requirement

Related Topics: Palliative Care, Comprehensive Cardiac Center Certification , Integrated Care Certification, 2017 Joint Commission Requirement, Patient Blood Management Certification, Laboratory Accreditation Program, Nursing Care Center, Behavioral Health Care, Ambulatory Health Care, Health Care Staffing, Home Care, Hospital, Disease-Specific Care, Critical Access Hospital

12/22/2016

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Laboratory , Nursing Care Center, Office-Based Surgery, Home Care, Disease-Specific Care, Health Care Staffing Services, Palliative Care, Primary Care Medical Home, Integrated Care , Perinatal Care, Patient Blood Management Certification, Comprehensive Cardiac Center

Clarification: Use of Secure Text Messaging for Patient Care Orders Is Not Acceptable

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Joint Commission Requirement

Related Topics: Critical Access Hospital, Disease-Specific Care, Hospital, Home Care, Health Care Staffing, Ambulatory Health Care, Behavioral Health Care, Nursing Care Center, Laboratory Accreditation Program, 2017 Joint Commission Requirement, Patient Blood Management Certification, Integrated Care Certification, Comprehensive Cardiac Center Certification , Palliative Care

12/22/2016

Ambulatory Health Care, Hospitals, Critical Access Hospitals, Behavioral Health Care, Nursing Care Center, Home Care

Survey Process Change: Evaluating ILSMs

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Joint Commission Requirement

Related Topics: 2017 Joint Commission Requirement, Home Care, Hospital, Critical Access Hospital, Behavioral Health Care, Ambulatory Health Care, Nursing Care Center

12/22/2016

Behavioral Health Care

Prepublication Standards – Phase 1 Revisions for Behavioral Health Care Manual Maintenance

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The Joint Commission is reviewing the Behavioral Health Care (BHC) accreditation manual and identifying any standards that require maintenance, such as clarifications to existing language, new elements of performance (EPs), and revisions to notes. The project's first of two phases is complete.

Related Topics: Prepublication Standards, Behavioral Health Care

12/13/2016

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