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Sunday 11:43 CST, December 17, 2017

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Topics Library

Do You Really Understand Your Hand-off Communication Processes?

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In September 2017, The Joint Commission released Sentinel Event Alert 58: Inadequate hand-off communication. As a webinar complement to this publication, a panel of Joint Commission patient safety professionals dove deep into a case study to examine what really causes hand-off communication errors.

Related Items: Sentinel Event Alert , Webinar

10/27/2017
Standards FAQ

Restraint and Seclusion - Enclosure Beds, Side Rails and Mitts

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Is an enclosure bed, side rails, or hand mitts a restraint?

10/23/2017
Standards FAQ

Restraint and Seclusion - Telemedicine

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Is the use of a telemedicine link allowed for use by the LIP who conducts the in-person evaluations of an individual in restraint or seclusion?  

10/23/2017
Topics Library

Prepublication Standards – Revisions to Patient Blood Management Certification Standards

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To maintain alignment with the AABB Standards, The Joint Commission updated the following areas of its Patient Blood Management certification program

Related Items: Prepublication Standards

10/23/2017
Content Page

Resources for Achieving Behavioral Health Accreditation

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Resources for Achieving Behavioral Health Accreditation - Come Visit Us! List of conferences we will be attending in the next few months has been posted.

10/23/2017
Topics Library

Webinar Replay and Slides for Oct 10 webinar: High Reliability in Behavioral Health Care

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The concept of High Reliability is new to the behavioral health field, but it has been used for years to improve performance and safety in airline travel, nuclear power plants and other critical fields.

Related Items: Previous Webinar , Teleconferences , Webinar

10/23/2017
Blog

Using Unit-Level Safety Culture Survey Results to Make Quality Improvements

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This is the seventh in a series of posts examining the 11 tenets of safety culture discussed in our Sentinel Event Alert and accompanying infographic.

Related Items: Blog , Leadership

10/20/2017
Topics Library

PCMH Self-Assessment Tool for Hospitals

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PCMH Self-Assessment Tool for Hospitals

Related Items: Toolkit , PCMH Self-Assessment

10/20/2017
Topics Library

Webinar Replay for Managing the Measures: A Serious Look at Key Abstraction Concepts for the Comprehensive Stroke (CSTK) Measure Set - Session 2

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Audio/Visual files from the webinar: Managing the Measures: A Serious Look at Key Abstraction Concepts for the Comprehensive Stroke (CSTK) Measure Set.

Related Items: Disease-Specific Care , Previous Webinar , Teleconferences , Performance Measures , Webinar , Comprehensive Stroke Center

10/20/2017
Topics Library

Webinar Replay for Managing the Measures: A Serious Look at Key Abstraction Concepts for the Comprehensive Stroke (CSTK) Measure Set

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Audio/Visual files from the webinar: Managing the Measures: A Serious Look at Key Abstraction Concepts for the Comprehensive Stroke (CSTK) Measure Set

Related Items: Disease-Specific Care , Previous Webinar , Teleconferences , Performance Measures , Webinar , Comprehensive Stroke Center

10/20/2017
Topics Library

Pioneers in Quality™ Proven Practices: Ensuring eCQM Accuracy

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Pioneers in Quality™ is a program launched last year to assist hospitals on their journey toward electronic clinical quality measure (eCQM) adoption, which includes a series of educational programs.

Related Items: Webinar , Pioneers in Quality

10/20/2017
Topics Library

Webinar Replay: Overview of the New Thrombectomy-Capable Stroke Certification

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Thrombectomy-Capable Stroke Certification (TSC) is a new level of recognition coming in January 2018.

Related Items: Disease-Specific Care , Previous Webinar , Webinar

10/20/2017
Content Page

Critical Access Hospital Accreditation

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New AHA Physician Leadership Education Report.

10/20/2017
News

Health Care Provider Perspectives on How to Improve Care Transitions Between Hospitals and Skilled Nursing Facilities

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Care transitions are often marked by disruptions in care and poor communication. A new study in the November issue of The Joint Commission Journal on Quality and Patient Safety examines hospital and SNF perspectives on patient care transitions.

Related Items: News Releases

10/19/2017
Blog

You’re Invited: Join National Project to Reduce Harm from Antibiotics

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We’ve all heard the importance of the “right drug at the right dose for the right duration”.

10/19/2017
Blog

First Integrated Care Certified Organization Shares Tips for Streamlining Processes

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The term “integrated care” is thrown around a lot in health care, but the recent emphasis on population health has made integration absolutely essential in providing safe care.

Related Items: Ambulatory , AMBUZZ , Ambulatory Health Care

10/18/2017
Standards FAQ

Pain Management - Leadership Responsibilities for Monitoring and Perfomance Improvement Acitivities - LD.04.03.13 EP 1

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The new requirement states that leadership is responsible for developing, implementing and monitoring performance improvement activities specific to pain management. Does having a policy meet the intent of this requirement?

10/18/2017
Standards FAQ

Pain Management - Screening versus Assessment - PC.01.02.07 EP 1

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What is the difference between “screening” vs “assessing” pain and what is the expectation?

10/18/2017
Standards FAQ

Pain Management - Leadership Responsibilities for Providing Non-pharmacologic Modalities for Managing Pain - LD.04.03.13 EP 2

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One of the new pain management elements of performance requires that organizations provide non-pharmacologic pain treatment modalities. To what specifically does this refer and is there evidence-based literature to support the efficacy of these non-pharmacologic modalities?

10/18/2017
Standards FAQ

Pain Management - Patient and Family Education - PC.01.02.07 EP 8

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Who is responsible for educating the patient and family on discharge plans related to pain management?

10/18/2017
Standards FAQ

Pain Management - Performance Improvement: Data Collection, Analysis and Implementing Change - PI.01.01.01 EP 18

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One of the new pain management standards requires organizations to analyze data collected on pain assessment and pain management to identify areas that need change to increase safety and quality for patients. Would the results of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) used by CMS be sufficient to meet this requirement?

10/18/2017
Standards FAQ

Pain Management - Leadership Responsibilties for Identifying Available Opioid Treatment Programs for Referral - LD.04.03.13 EP 5

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How do organizations demonstrate compliance with the requirement that states "The hospital identifies opioid treatment programs that can be used for patient referrals" ?

10/18/2017
Standards FAQ

Pain Management - Leadership Responsibilities for Educating Staff and Practitioners - LD.04.03.13 EP 3

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The revised pain management standards require organizations to provide staff and licensed independent practitioners (LIP) with educational programs and resources regarding pain management and safe use of opioid medication. Are there specific resources that must be available and what options may be considered for delivering this information?

10/18/2017
Standards FAQ

Pain Management - Leadership Responsibility for Providing Access to Prescription Drug Monitoring Program (PDMP) databases - LD.04.03.13 EP 6

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Please explain what is meant by the requirement that "The hospital facilitates practitioner and pharmacist access to the Prescription Drug Monitoring Program (PDMP) databases". Does this mean that the organization is required to access the PDMP for every patient receiving opioids?

10/18/2017