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Tuesday 12:49 CST, January 17, 2017

Daily Update



























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Standards FAQ

Antimicrobial Stewardship – Education Requirements for Patients - Standard MM.09.01.01 EP 3

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Do all patients (and families when needed) who are prescribed antimicrobials require education?

01/13/2017
Standards FAQ

Antimicrobial Stewardship – Accountability Document - Standard MM.09.01.01 EP 1

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What is an accountability document, which is used as an example of leadership commitment?

01/13/2017
Standards FAQ

Antimicrobial Stewardship – Organizational Priority - Standard MM.09.01.01 EP 1

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How will surveyors evaluate that an organization’s leaders have established antimicrobial stewardship as an organizational priority?

01/13/2017
Standards FAQ

Antimicrobial Stewardship – Education Requirements for Staff and Licensed Independent Practitioners - Standard MM.09.01.01 EP 2

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Will Joint Commission surveyors review human resource records and medical staff credentialing and privileging records to determine if antimicrobial resistance and antimicrobial stewardship education was provided by the organization?

01/13/2017
Standards FAQ

Antimicrobial Stewardship – Core Element Documentation - Standard MM.09.01.01 - EP 5

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What type of documentation is needed for MM.09.01.01 EP 5, the required core elements of the antimicrobial stewardship program?

01/13/2017
Standards FAQ

Antimicrobial Stewardship – Education Requirements for Residents and Patients - Standard MM.09.01.01 EP 3

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Do all residents and patients (and families when needed) who are prescribed antimicrobials require education?

01/13/2017
Standards FAQ

Antimicrobial Stewardship - Examples - Standard MM.09.01.01 EPs 1, 3, 5, 6, and 7

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When examples are provided within an EP, are these example considered to be part of the requirement?

01/13/2017
Standards FAQ

Antimicrobial Stewardship – Data Collection, Analysis, and Reporting - Standard MM.09.01.01 EP 7

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What type of antimicrobial stewardship data should organizations collect, analyze, and report?

01/13/2017
Standards FAQ

Antimicrobial Stewardship – Multidisciplinary Team Requirements - Standard MM.09.01.01, EP 4

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If an organization does not have an infectious disease physician on the antimicrobial stewardship multidisciplinary team will it receive a Requirement for Improvement (RFI)?

01/13/2017
Standards FAQ

Antimicrobial Stewardship – Improvement Opportunities - Standard MM.09.01.01 EP 8

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Are there any specific improvement opportunities that surveyors will look for regarding the organization’s antimicrobial stewardship program?

01/13/2017
Standards FAQ

Education Requirements for Staff and Licensed Independent Practitioners - Standard MM.09.01.01 EP 2

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Will Joint Commission surveyors review human resource records and medical staff credentialing and privileging records to determine if antimicrobial resistance and antimicrobial stewardship education was provided by the organization?

01/13/2017
Standards FAQ

Antimicrobial Stewardship – Multidisciplinary Protocol Requirements - Standard

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Do organizations need to have multidisciplinary protocols for each example in MM.09.01.01, EP 6?

01/13/2017
Topics Library

Map - HRSA/BPHC Supported Accredited Health Centers

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Bureau of Primary Health Care - Map of Health HRSA/BPHC Supported Accredited Health Centers.

Related Items: BPHC-supported , Community Health Center , Federally Qualified Health Center , FQHC , Health Center , BPHC Accredited Centers

01/11/2017
01/11/2017
Topics Library

Ambulatory Care Accredited BPHC-Supported Centers by State

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Ambulatory Care Accredited BPHC-Supported Centers by HRSA Regionall Division (Formerly Field Offices)

Related Items: BPHC-supported , Community Health Center , Federally Qualified Health Center , FQHC , Health Center , BPHC Accredited Centers

01/11/2017
Blog

New Cardiac Certification Addresses Business, Compliance Challenges

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The Joint Commission’s new Comprehensive Cardiac Center Certification began accepting applications Jan. 1. Comprehensive Cardiac Center Certification is a voluntary, independent evaluation of standards compliance, clinical performance on targeted metrics, and achievement (or even maintenance) of the requirements.

Related Items: Accreditation , Certification

01/11/2017
Topics Library

Health Equity - Organization and Staff Transformation

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Health Equity - Organization and Staff Transformation

Related Items: Health Equity , Health Equity Portal Resource

01/11/2017
Topics Library

eCQM Vendor List

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View the eCQM Vendor List which includes all vendors that have embedded at least one hospital eCQM measure set.

Related Items: Performance Measurement , Performance Measurement Systems , eCQM

01/11/2017
Topics Library

Hospital Respiratory Protection: Resources and Projects

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The Joint Commission developed and promoted resources related to respiratory protection. We are now engaged in a new project, funded by CDC/NIOSH/NPPTL, which will be gathering examples of clinical situations where additional clarification regarding use of respiratory protection might be needed.

Related Items: Critical Access Hospital , Hospital , Infection Control , Monograph , Infection Prevention and HAIs , Infection Prevention , Research Resources , Respiratory protection programs , Respirators , Respiratory hazards , Airborne transmissible diseases

01/11/2017
Topics Library

Workplace Violence Prevention - Joint Commission Blog Posts

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Read blog posts from Joint Commission leaders.

Related Items: Ambulatory Health Care , Critical Access Hospital , Hospital

01/11/2017
News

The Joint Commission Launches Comprehensive Cardiac Center Certification

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To recognize hospitals that demonstrate excellence in cardiac care, The Joint Commission is now offering Comprehensive Cardiac Center (CCC) Certification, available as of January 1, 2017.

Related Items: News Releases , Comprehensive Cardiac Center Certification

01/10/2017
Blog

Five Things You Need to Know About 2017 Survey Changes for Medicare Deemed ASCs

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Effective January 1, 2017, approximately two-thirds of ambulatory surgical centers (ASCs) electing to use the Medicare-deemed option may receive adjustments to the survey complements (length and/or number of surveyors).

Related Items: Ambulatory , AMBUZZ , Ambulatory Surgery Centers , Ambulatory Surgical Center , Ambulatory Health Care

01/10/2017
Topics Library

PCMH - Ambulatory Question & Answer Guide

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Question & Answer Guide for PCMH Certification for Accredited Ambulatory Health Care Organizations

Related Items: Ambulatory Health Care Accreditation , Primary Care Medical Home Certification Option

01/10/2017
Blog

New Edition of Infection Prevention and Control Workbook Includes Ambulatory and CMS Requirements

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In an effort to help reduce infections in all health care settings, Joint Commission Resources (JCR) and the Association for Professionals in Infection Control and Epidemiology (APIC) will publish the third edition of the Infection Prevention and Control Workbook on Feb. 15.

Related Items: Infection Control , Infection Prevention , Ambulatory Health Care , Critical Access Hospital , Hospital , Blog

01/09/2017
Content Page

BHC Requirements

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Joint Commission Requirements is a free listing of all policy revisions to standards published in Joint Commission Perspectives that have gone into effect since the accreditation/certification manual was last issued.

Related Items: Joint Commission Requirement

01/09/2017
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