Joint Commission Online - Nov. 10, 2021
Joint Commission Online is The Joint Commission's weekly newsletter and is posted every Wednesday.
November 10, 2021
A webinar on new and revised workplace violence prevention requirements has posted to The Joint Commission’s website.
The incidence of violence-related health care worker injuries has steadily increased for at least a decade, according to data from the U.S. Bureau of Labor Statistics. Incidence data reveal that in 2018, health care and social service workers were five times more likely to experience workplace violence than all other workers — comprising 73% of all nonfatal workplace injuries and illnesses requiring days away from work.
Effective Jan. 1, 2022, new and revised workplace violence prevention standards will apply to all Joint Commission-accredited hospitals and critical access hospitals. The new and revised standards provide a framework to guide hospitals in developing effective workplace violence prevention systems, including leadership oversight, policies and procedures, reporting systems, data collection and analysis, post-incident strategies, training, and education to decrease workplace violence.
View the webinar.
November 10, 2021
The Joint Commission recently conducted a comprehensive review of its Nursing Care Center Accreditation standards.
While being cognizant of the impact the coronavirus pandemic has had on the industry, The Joint Commission has reviewed best practices in infection prevention and control, laws and regulations, national health authorities’ recommendations, and expert feedback. Another resource for this review was a report commissioned by the U.S. Centers for Medicare and Medicaid Services (CMS) that evaluated lessons learned from the pandemic.
The standards updates — currently in final review — will align with best practices and further support organizations in the event of another infectious outbreak. The recommendations come from several sources, including:
- Palliative care from the National Coalition for Hospice and Palliative Care.
- Dementia care from the Alzheimer’s Association.
- Pressure injury prevention and treatment from the National Pressure Injury Advisory Panel.
More information about this review will be published in a future issue of Perspectives. (Contact: Debbie Holzer, firstname.lastname@example.org)
November 10, 2021
Attention: Acute Heart Attack Ready (AHAR) and Primary Heart Attack Center (PHAC) certification programs!
The American Heart Association (AHA) provides submission of its Get with the Guidelines® – Coronary Artery Disease measure results, required for AHAR and PHAC certifications, to The Joint Commission's Certification Measure Information Process (CMIP) application upon request.
In order to request this, organizations should contact their AHA quality improvement (QI) manager.
November 10, 2021
The COVID-19 pandemic has resulted in an unprecedented surge in health care resource utilization. To accommodate the influx of patients, health care systems have needed to alter their workflows, staffing allocation, and use of space and equipment, while simultaneously managing significant concurrent logistical and financial challenges. As a result, COVID-19 may have affected the preventability of 30-day hospital revisits, including readmissions and emergency department (ED) visits without admission.
A new study in the November 2021 issue of The Joint Commission Journal on Quality and Patient Safety, “Preventability of 30-Day Hospital Revisits Following Admission with COVID-19 at an Academic Medical Center,” identified common contributing factors and recommended interventions to decrease future revisits among patients with COVID-19. The study identified patients with a 30-day revisit following hospital discharge at an academic medical center.
Findings showed 13.2% of COVID-19 hospitalizations resulted in a 30-day revisit. Of these, more than a quarter were potentially preventable. The Top 5 contributing factors included:
- Patient/caregiver misunderstanding of the discharge medication (25% of revisits).
- Inappropriate choice of discharge location (25% of revisits).
- Inadequate treatment of medical conditions (15% of revisits).
- Discharge without needed procedure (15% of revisits).
- Patient discharged too soon (15% of revisits).
The study authors also provided recommended interventions to reduce hospital revisits among patients with COVID-19, including improved self-management at discharge to ensure the patient and caregiver(s) understand and can follow through with the discharge plan, as well as improved clarity, timeliness and availability of information provided at discharge. Another recommended intervention was to provide more complete communication of information such as high-quality, comprehensive discharge documentation. The study authors believe the interventions could be applied to reduce revisits in the future, in both pandemic and non-pandemic conditions.
Also featured in the November issue:
- Severe Maternal Morbidity in California Hospitals: Performance Based on a Validated Multivariable Prediction Model (data from 225 California hospitals)
- Look Before Leaping: The Value of Understanding a Quality Measure Before Adoption to Public Reporting (editorial)
- A Retrospective Analysis of Malpractice-Related Procedure Rates for Internal Medicine Specialists at an Academic Medical Center (Hospital of the University of Pennsylvania, Philadelphia)
- Utility of the AHRQ Learning Collaboratives Taxonomy for Analyzing Innovations from an Australian Collaborative (interviews with 35 stakeholders)
- Contributors to Gender Differences in Burnout and Professional Fulfillment: A Survey of Physician Faculty (Brigham and Women’s Hospital, Boston)
- Reporting of Unsafe Conditions at an Academic Women and Children’s Hospital (Columbia University Irving Medical Center, New York)
- Implementation and Impact of the Pulmonary Specialist Health Coach Consultation Model to Improve Care for Patients with COPD (University of California, San Francisco)
- Context Matters—But What Aspects? The Need for Evidence on Essential Aspects of Context to Better Inform Implementation of Quality Improvement Initiatives (commentary)
Access the Journal.
November 10, 2021
- Dateline @ TJC — Engineered to Make a Difference: National Health Care Facilities and Engineering Week was celebrated recently, recognizing the individuals that ensure our facilities are safe, comfortable and support the healing environment. The theme of this year’s week was “Engineered to Make a Difference,” and it couldn’t be more applicable to the health care engineers and facilities staff I know, writes Hermann McKenzie, MBA, CHSP, Director of Engineering, Standards Interpretation Group.
- Dateline @ TJC — Staff-Led Facilitation Work Yields IMEC Silver Award for Joint Commission and CTH: In recent weeks, the news was official: The Joint Commission and the Joint Commission Center for Transforming Healthcare have received the Illinois Manufacturing Excellence Center (IMEC) Silver Award for Excellence. The IMEC Recognition Program is the Baldridge-based program serving Illinois. The Baldridge Excellence Framework has empowered organizations to accomplish their missions, improve results and become more competitive for more than 30 years. Since 1995, IMEC has awarded 14 Gold Awards, 58 Silver Awards and 120 Bronze Awards. We’re honored to be among such distinguished company. This couldn’t have been accomplished without the dedication of our staff as the application process was a year in the making, writes Mark Pelletier, MS, RN, Chief Operating Officer, Chief Nursing Officer.
- Ambulatory Buzz — Best Practices in Reprocessing Surface Ultrasound Transducers in Ambulatory Care Settings: Our accredited ambulatory organizations are always asking how to reprocess medical devices, especially ultrasound transducers, writes Diane Cullen, MSN, MBA, RN, CIC, Associate Director, Infection Prevention and Control.