Joint Commission Online - April 13, 2022
Joint Commission Online is The Joint Commission's weekly newsletter and is posted every Wednesday.
April 13, 2022
A Continuous Customer Engagement (CCE) webinar focused on the exclusive breast milk feeding quality measure is scheduled for May 4 from 9-10 a.m. PT / 10-11 a.m. MT / 11 a.m. to noon CT / noon to 1 p.m. ET.
In January 2020, The Joint Commission launched new performance measure dashboards for hospitals. The dashboards are refreshed with the most recent data from the Centers for Medicare and Medicaid Services (CMS) and chart-abstracted and electronic clinical quality measure (eCQM) data reported by hospitals to The Joint Commission under the ORYX® program, as it becomes available. These dashboards help to identify important quality targets and assist organizations in identifying where their performance lags and leads. The Perinatal Care (PC) standard for exclusive breast milk feeding — PC-05 — is a quality measure identified as an area that can be improved.
The aim of this webinar series is to provide an opportunity for all hospitals to learn from peers that have exceled at this topic. Bartlett Regional Hospital and Legacy Good Samaritan Hospital and Medical Center will share their best practices and lessons learned in achieving and sustaining impressive outcomes.
At the end of the session, participants should be able to:
- Apply concepts learned about evidence-based best practices regarding exclusive breast milk feeding for patients in hospitals.
- Identify common performance and outcome challenges in exclusive breast milk feeding for patients in hospitals.
- Prepare to implement at least one new best practice related to exclusive breast milk feeding in the learner’s facility.
The webinar also offers 1.0 Continuing Education (CE) credit for those who:
- Individually register for the webinar.
- Listen to the live webinar in its entirety. Only those listening live during the session will be eligible to receive credit.
- Complete a post-program evaluation/attestation. The program evaluation/attestation link will be sent to your registered email after the webinar.
The webinar recording and slides will be available approximately two hours after the session concludes.
April 13, 2022
The Joint Commission is collaborating with the Georgia Department of Public Health (DPH) to help reduce maternal mortality and morbidity.
The U.S. has a higher maternal mortality rate than other developed countries. In 2020, 861 women died of maternal causes in the U.S. with a rate of 23.8 deaths per 100,000 live births.
DPH’s Maternal Center Designation program is recognizing The Joint Commission’s Maternal Levels of Care (MLC) Verification program. The MLC Verification program, offered with the American College of Obstetricians and Gynecologists (ACOG), is a verification process that involves an on-site comprehensive review of a hospital’s maternal capabilities and policies, as well as a level of maternal care determination. The levels include:
- Level I (basic care)
- Level II (specialty care)
- Level III (subspecialty care)
In Georgia, Level I hospitals may seek the optional Maternal Center Designation with either DPH or The Joint Commission. Level II and Level III hospitals may seek the designation only with The Joint Commission. Within 90 days of the on-site review, hospitals must submit an application to DPH, including the final survey report, for DPH to issue a final determination. DPH is providing financial assistance by covering a portion of costs to hospitals for The Joint Commission review.
“We commend the Georgia Department of Public Health for its efforts to strengthen regionalized maternal health care for mothers and babies,” said Patrick Phelan, MBA, Executive Director, Hospital Certification Business Development, The Joint Commission. “With an increase in maternal mortality, it is critical to verify that hospitals have the expertise, equipment and resources in place to care for a mother’s specific needs and risk level. The Maternal Levels of Care Verification program helps support effective patient transfer to a higher-level facility with the appropriate capabilities when needed.”
The MLC Verification program was developed using ACOG’s Levels of Maternal Care Obstetric Care Consensus (OCC) clinical guidance, which includes comprehensive uniform definitions, standardized description of maternity facility capabilities and personnel, and framework for integrated systems that address maternal health needs.
For Georgia hospitals interested in achieving DPH Maternal Center Designation through The Joint Commission’s MLC Verification program, visit The Joint Commission website or email firstname.lastname@example.org.
April 13, 2022
The nursing shortage in the U.S. has reached a crisis point.
While COVID-19 also continues to pose challenges, David W. Baker, MD, MPH, FACP, Executive Vice President for Health Care Quality Evaluation at The Joint Commission and Editor-in-Chief for The Joint Commission Journal on Quality and Patient Safety, reached out to an expert, Dr. Peter Buerhaus, for perspective on what is happening in the workforce and how it can be improved.
Dr. Buerhaus is a professor in the College of Nursing at Montana State University and director of the Center for Interdisciplinary Health Workforce Studies. He is a one of the leading authorities in the country on the nursing and physician workforce.
During the interview, Dr. Buerhaus noted that he believes the pandemic played a role in the decreasing numbers of nurses nationally — noting that for the first time in 1o years, there was an overall drop in employment among registered nurses (RNs), licensed practical nurses (LPNs) and nursing assistants.
But Dr. Buerhaus also said there is good news, as his team — using data from just before the pandemic started — found that the RN workforce would grow by about 1 million in 2030.
“Now, that’s the good news,” he said. “But what concerns me are factors that affect entry into the workforce and exit out of the workforce. We don't know this, but the pandemic could speed up and condense the time for RNs who were planning to retire over the decade and maybe move that up closer. So, we could have an accelerated rate of retirement in the next couple of years.”
To help stabilize the workforce, Dr. Buerhaus suggested two strategies: focusing on the positives rather than feeding into negative narratives about the current state; and becoming more aware of the implications of older generations of nurses withdrawing from the workforce.
“We've retired about half of the 1.2 million RNs born in the baby boom generation, and over this next decade were going to see the remainder of that generation leave the workforce,” he said. “And when they do leave, these nurses take with them decades’ worth of knowledge, experience, leadership, and mentorship of younger nurses.
“I think our hospitals and other institutions really need to ascertain how many RNs are expected to retire and identify the nursing units, the departments, the patient populations that could be most affected by this retirement. Share that information with hospital leaders, with physicians and other clinicians who could be affected, and seek their involvement in helping to mitigate some of the potential harmful consequences with this.”
And while more long-term answers are worked on to address the nursing shortage, Dr. Buerhaus said staff needs to work together to get through the day-to-day challenges that COVID-19 and other issues continue to present in healthcare.
“We've just got to come to work each day, and we need to help one another, support each other, understand each other, and be kind to ourselves and to others,” he said. “We're all in it together, and we just have to persevere. But I also think that it would be helpful to anticipate that there will be a time when COVID becomes more in our rearview mirror, we can get back on our feet, and we can take some deep breaths.
“And at that time, I would hope that hospitals and other care delivery organizations and nurses could come together in a very meaningful way and reflect on what's happened over the past couple of years, discuss what things really worked well, what was the process that led to good decisions, what didn't work, what have we learned about ourselves clinically and personally and organizationally, what are our strengths and weaknesses -- overall, taking an honest assessment. I believe that nurses and hospital leaders all want to get back to some sort of normal. But I don't think we want to go back to a normal that also included things that weren't working. We want to go forward forging a new normal.”
April 13, 2022
Dateline @ TJC — Three Patient Safety Advancements Shaping Our Time: With so much change in the world and our industry, it is interesting to look back and reflect on how far we have come. Like many of you, I’ve been privy to several interesting conversations lately about our profession and wanted to focus on the patient safety advances that have already shaped our times, writes Suzanne Gavigan MSN, CRNP, Acting Director, Office of Quality and Patient Safety.