Joint Commission Online - Dec. 7, 2022
Joint Commission Online is The Joint Commission's weekly newsletter and is posted every Wednesday.
December 07, 2022
Dr. Jonathan B. Perlin, MD, PhD, MSHA, MACP, FACMI, President and Chief Executive Officer of The Joint Commission, has been named to Modern Healthcare’s 100 Most Influential People in Healthcare of 2022. He was No. 16 on this year’s list.
This prestigious recognition program acknowledges and honors individuals who are deemed by their peers and the senior editors of Modern Healthcare to be the most influential figures in healthcare. Profiles of the 100 Most Influential People in Healthcare are available online and are featured in the Dec. 5 issue of the magazine.
View the list.
December 07, 2022
Approximately 50,000 cases of severe maternal morbidity (SSM) and 700 pregnancy-related deaths occur annually in the United States. Hypertensive disorders of pregnancy are a leading cause of SSM, leading to approximately 7% of pregnancy-related deaths. Additionally, pregnancy-related mortality ratios (PRMRs) are more than three times higher for Black women than for white women, and this disparity appears to be worsening.
A new study in the December 2022 issue of The Joint Commission Journal on Quality and Patient Safety, “Lack of Association Between Race and Ethnicity and Timely Treatment of Severe Peripartum Hypertension,” evaluated whether there is an association between race and ethnicity and the timely treatment of severe peripartum hypertension at Cedars-Sinai Medical Center, Los Angeles.
The researchers created an automated report to identify women who experienced severe hypertension during the delivery admission. The record for each case was reviewed to determine if treatment was timely (within 30 minutes). Additionally, rates of timely vs. not timely treatment were compared by race/ethnicity.
From April 1, 2019, through March 31, 2021, there were 12,069 deliveries. A total of 684 (5.7%) women had at least one episode of severe hypertension. Of those women, 441 women met criteria for and received treatment, with 417 (94.6%) treated in a timely manner. Black, Asian and Hispanic women were all more likely to experience severe hypertension requiring treatment than white women. However, there was no difference in the rates of timely treatment between groups.
“These data highlight two very important points – with a collaborative effort between physicians and nurses we were able to systematize rapid treatment of patients with confirmed severe hypertension, and this systemization and expectation of successful timely treatment resulted in no disparities in who was treated,” said Sarah J. Kilpatrick, MD, PhD, senior study author, professor and chair, Department of Obstetrics and Gynecology, Cedars-Sinai Medical Center.
The findings suggest that Cedars-Sinai Medical Center’s current strategies of provider education and standardized guidelines for the treatment of severe hypertension and the monthly reporting of results are effective and may be beneficial at similar institutions.
Also featured in the December issue:
- Providing Palliative Care to Patients Throughout the State of Indiana from a Centralized Virtual Palliative Care Hub (Indiana University Health, Indianapolis)
- Telehealth: An Avenue for Expanding Access to Specialist Palliative Care (editorial)
- Intraoperative Code Blue: Improving Teamwork and Code Response Through Interprofessional, In Situ Simulation (Holy Name Medical Center, Teaneck, New Jersey)
- Interprofessional In Situ Simulation in a Complex Setting. What Does the Future Hold? (editorial)
- The Effect of a System-Level Tiered Huddle System on Reporting Patient Safety Events: An Interrupted Time Series Analysis (University of North Carolina School of Medicine, Chapel Hill, North Carolina)
- A Stepped-Wedge Cluster-Randomized Trial to Improve Adherence to Evidence-Based Practices for Acute Stroke Management (data from nine hospitals in Australia)
- Reduction of the No-Show Rate for New Patients in a Pediatric Neurology Clinic (Dayton Children’s Hospital, Dayton, Ohio)
- Hospital Ethics Practices: Recommendations for Improving Joint Commission Standards (commentary)
Access the Journal.
December 07, 2022
In November, The Joint Commission was recognized by the U.S. Department of Health and Human Services (HHS) at the 2022 United Nations Climate Change Conference (COP27) for its ongoing action to decarbonize the healthcare sector and make healthcare facilities more resilient to the effects of climate change.
The Joint Commission formally pledged to achieve the White House’s climate goal to reduce emissions by 50% by 2030 and achieve net zero admissions by 2050.
Joint Commission President and Chief Executive Officer Jonathan B. Perlin, MD, PhD, MSHA, MACP, FACMI, has targeted climate change among his top strategic priorities. The Joint Commission is currently conducting a Technical Advisory Panel with nationally recognized experts to evaluate the inclusion of climate-related standards. The Joint Commission also is reviewing its current standards and survey methods to ensure they do not inadvertently contribute to excess consumption of materials and energy.
December 07, 2022
- Ambulatory Buzz — The Joint Commission’s New Health Care Equity Resource Center Provides Support for Ambulatory Organizations: Addressing healthcare equity’s importance, The Joint Commission recently launched its Health Care Equity Resource Center to support healthcare organizations on their healthcare equity journey, Kathryn Petrovic, MSN, RN, Director, Department of Standards and Survey Methods.
- Improvement Insights — Impact of Code Team Composition and Time of Day on Hospital Cardiac Arrests: A study in the November 2022 issue of The Joint Commission Journal on Quality and Patient Safety evaluated variations of personnel attending to codes based on day/night/weekend conditions within U.S. Veterans Affairs' (VA) hospitals, as well as variations of personnel responsible for intubations during codes, writes Geoffrey Lighthall, MD, PhD.