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Tuesday 3:38 CST, June 27, 2017

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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?

04/26/2017
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?

04/26/2017
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?

04/26/2017
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?

04/26/2017
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

04/25/2017
Topics Library

2016 Health Centers Most Challenging PCMH Standards

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Joint Commission Ambulatory Care Standards Generating Findings in 20%+ CHCs Surveyed.

Related Items: BPHC Challenging Standards

04/25/2017
Blog

Workplace Violence Prevention Plan: Practical Approaches

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Every hospital needs a workplace violence prevention plan. Learn the necessary components in this blog by Ann Scott Blouin.

Related Items: Hospital , Workplace Violence Prevention , Blog , Critical Access Hospital

04/25/2017
Blog

Devising Objective Measures for Medication Reconciliation

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Medication errors happen every day—at the doctor’s office, hospital, nursing home or surgery center. As health care professionals, medication reconciliation is one vitally important care process we use to help prevent medication errors.

Related Items: Accreditation , Certification

04/25/2017
Topics Library

Prepublication Standards – Standards Deletions Related to EP Review Phase III

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The Joint Commission recently completed the third phase of its EP Review Project. The project involved applying relevant EP deletions from the hospital program to the other accreditation programs with some exceptions.

Related Items: Prepublication Standards , Ambulatory Health Care , Behavioral Health Care , Critical Access Hospital , Home Care , Laboratory Accreditation Program , Nursing Care Center , Office-Based Surgery

04/25/2017
Standards FAQ

History and Physical - Update Requirements

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When is an update to a history and physical required?

04/24/2017
Standards FAQ

Medication Administration - Incorporating Patient Preference Into Medication Administration Practices

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Are there circumstances when a provider may write PRN medication orders that allow variation in administration based on patient preference such as in the following examples ? Example 1: Orders are written to administer ‘acetaminophen for mild pain’ and ‘hydromorphone for moderate pain’. However, due to the side effects of hydromorphone, the patient requests to take the acetaminophen even though pain was reported as ‘moderate’. Example 2: A post-partum patient has PRN pain medications written as follows: morphine for severe pain, hydromorphone written for moderate pain and acetaminophen written for mild pain. New moms who report moderate or severe pain may request to take the acetaminophen as they do not want to take the other medications as they are breastfeeding.

04/24/2017
Standards FAQ

Refrigerator Temperature - Refrigerators Provided in Patient Rooms

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When organizations provide refrigerators in patient rooms for personal use, is temperature monitoring and log maintenance required for these refrigerators?

04/24/2017
Content Page

Seeking Ambulatory Health Care Accreditation

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Seeking Ambulatory Health Care Accreditation

04/24/2017
Topics Library

Facts about Joint Commission stroke certification

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The Joint Commission offers three advanced levels of certification for stroke programs in Joint Commission-accredited hospitals: Acute Stroke Ready Hospital (ASRH), Primary Stroke Center (PSC), and Comprehensive Stroke Center (CSC).

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

04/21/2017
Topics Library

Facts about the Advanced Certification Program for Palliative Care

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The Joint Commission’s Advanced Certification Program for Palliative Care launched in 2011. The program recognizes hospital inpatient programs that demonstrate exceptional patient and family-centered care and optimize the quality of life for adult and pediatric patients with serious illnesses.

Related Items: Advanced Certification , Palliative Care , Certification Fact Sheets , Certification Program

04/21/2017
Topics Library

Facts about The SAFER™ Matrix scoring process

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The Survey Analysis for Evaluating Risk™ (SAFER™) is a transformative approach for identifying and communicating risk levels associated with deficiencies cited during surveys. The additional information related to risk provided by the SAFER Matrix™ helps organizations prioritize and focus.

04/20/2017
Topics Library

Facts about the SAFER™ Matrix

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The Survey Analysis for Evaluating Risk™ (SAFER™) is a transformative approach for identifying and communicating risk levels associated with deficiencies cited during surveys. The additional information related to risk provided by the SAFER™ Matrix helps organizations prioritize and focus.

04/20/2017
Topics Library

Emergency Management Resources - General References

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Emergency Management Resources - General References - Updated November 2016.

Related Items: Environment of Care , Hospital , Emergency Management

04/20/2017
News

Simulation Training Helps Parents of Children with Cancer Improve Central-Line Care in Home

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Infections from a central line in children with cancer can be life-threatening. Today, with most cancer care taking place in the home, it is critical for parents to learn to care for central lines and prevent central line-associated bloodstream infections (CLABSIs).

04/20/2017
News

The Joint Commission Journal on Quality and Patient Safety Appoints Three Associate Editors

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Three associate editors have been appointed to The Joint Commission Journal on Quality and Patient Safety: Jonathan Benn, PhD, MEd; Kevin J. O’Leary, MD, MS; and Patricia W. Stone, PhD, RN, FAAN.

Related Items: In The News

04/20/2017
News

Anthem Blue Cross and Blue Shield in Ohio, Joint Commission Align Quality Recognition Criteria for Antibiotic Stewardship, Palliative Care Programs

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The Joint Commission, the nation’s oldest and largest standards-setting and accrediting body in health care, announced today that Anthem Blue Cross and Blue Shield in Ohio (Anthem) now recognizes two new Joint Commission programs as eligible for incentives from the health plan’s Quality-In-Sights®: Hospital Incentive Program (Q-HIP®).

04/19/2017
Content Page

John M. Eisenberg Patient Safety and Quality Award

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Apply for the 2016 John M. Eisenberg Patient Safety and Quality Awards.

Related Items: Patient Safety , Eisenberg Award

04/18/2017
Topics Library

2017 Pioneers in Quality Proven Practices Collection

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Via the “Pioneers in Quality: Proven Practices Collection,” The Joint Commission will recognize organizations that leverage eCQMs and health IT to drive quality improvement, and share success stories with accredited organizations on the journey to measuring and improving care through health IT.

Related Items: Hospital , Pioneers in Quality

04/18/2017
Content Page

Pioneers in Quality

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Pioneers in Quality (PIQ) is a Joint Commission program to assist hospitals on their journey towards electronic clinical quality measure adoption that includes educational programs (e.g., webinars for CEUs), a resource portal, recognition categories, an advisory council, a modified annual report, speaker’s bureau outreach, a peer – to – peer solution exchange, as well as having a strong focus on partnering with hospitals to provide the highest level of quality care for patients and their families.

Related Items: Pioneers in Quality , Electronic Clinical Quality Measures , eCQM

04/17/2017
Topics Library

Physician Leader Monthly April 2017

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Monthly e-newsletter for physician leaders.

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

04/14/2017