Joint Commission Online - Nov. 24, 2021
Joint Commission Online is The Joint Commission's weekly newsletter and is posted every Wednesday.
November 24, 2021
In October, The Joint Commission updated its Influenza Immunization Measure (IMM-2) for hospitals and critical access hospitals to align with the U.S. Centers for Disease Control and Prevention’s (CDC) updated guidance for patients hospitalized with COVID-19. IMM-2 captures screening and vaccination of acute care hospitalized inpatients who are six months or older and discharged between October through March.
According to the CDC’s Advisory Committee on Immunization Practices (ACIP), “For patients with suspected or confirmed COVID-19 who are symptomatic, healthcare personnel should consider deferring (postponing) influenza vaccination for at least the isolation period AND until COVID-19 symptoms are improving AND the patient is no longer moderately to severely ill. Consider further deferring vaccination until the patient has fully recovered from the acute illness.”
The measure data element Influenza Vaccination Status allowable value 4 has been updated to align with the CDC recommendations to defer influenza vaccination for hospitalized, symptomatic COVID-19 patients. The bold text in the following content highlights this update:
- “Patients who have an allergy/sensitivity to the influenza vaccine, anaphylactic latex allergy or anaphylactic allergy to eggs, or for whom the vaccine is not likely to be effective because of bone marrow transplant within the past 6 months, or history of Guillian-Barré syndrome within 6 weeks after a previous influenza vaccination, or symptomatic suspected or confirmed COVID-19.”
The updated content has been added to the Specifications Manual. Performance measure questions may be submitted on the same page.
November 24, 2021
In August, the U.S. Senate unanimously passed the Dr. Lorna Breen Health Care Provider Protection Act, a bipartisan legislation supported by The Joint Commission to reduce and prevent suicide, burnout, and mental and behavioral health conditions among health care professionals. The act includes a provision for the U.S. Department of Health and Human Services to review and submit a report to Congress related to improving health care personnel mental health and resiliency, including barriers to seeking mental health care such as licensing and credentialing questions.
During the COVID-19 pandemic, The Joint Commission published several items showing support for health care workers’ well-being:
- A statement to clarify the misconception regarding questions pertaining to a clinician’s mental health.
- A joint statement with the American College of Emergency Physicians on supporting clinician health.
- Quick Safety, Issue 54: Promoting psychosocial well-being of health care staff during crisis.
- Sentinel Event Alert 62: Health care workers in the midst of crisis
The Joint Commission continues to monitor federal activities related to health care staff well-being and will share valuable resources on this important topic as they become available. Additionally, The Joint Commission plans to conduct a national survey in partnership with the American Medical Association to learn what Joint Commission-accredited hospitals and community health centers are doing to:
- Assess and address clinician well-being.
- Learn what actions are being taken to ease the burden of burnout.
November 24, 2021
There are updates available to a resource from The Joint Commission for clinical respiratory services (CRS). The resource was originally published in the September 2020 issue of Perspectives.
CRS eligibility and services are identified in “The Accreditation Process” (ACC) chapter of the E-dition® and Comprehensive Accreditation Manual for Home Care. Organizations are eligible to be surveyed under The Joint Commission’s standards for durable medical equipment (DME) and CRS if they comply with all the following conditions:
- The organization meets the DME eligibility criteria.
- Services are provided by respiratory care practitioners or other licensed health care professionals.
- Services are associated with the provision of DME services by the same organization.
- The organization provides CRS to patients.
View the updated resource.
November 24, 2021
- Dateline @ TJC — UMass Team Improves Pediatric Well Care Visits for Black and Latino Patients by More Than 12%: UMass Memorial Health saw an opportunity and spearheaded the initiative Prioritizing Child Health: Promoting Adherence to Well-Child Visits to address disparities in adherence to well-child visits in Worcester, Massachusetts. These efforts resulted in a 16% improvement in adherence to well-child visits among Black patients and a 12% improvement among Latino patients, writes Ana Pujols McKee, MD, Executive Vice President, Chief Medical Officer, and Chief Diversity, Equity and Inclusion Officer.
- Leading Hospital Improvement — Creating a Human Firewall Against Hackers: Today’s always-online health care industry represents a prime target for criminals. This climate requires an all-hands-on-deck approach to cybersecurity. The responsibility is too big to belong only to the IT department. The Joint Commission released a new advisory Quick Safety providing safety recommendations to repel a cybersecurity event, writes Patrick Ross, Associate Director of Federal Relations, and Mike DeGraff, Director of Enterprise Information Security.
- Ambulatory Buzz — The Human Side of Error Vulnerability: While there is no way to ever eradicate human error, it is possible to lessen its impact by using strategies such as checklists. Nowhere is this better illustrated than in an ambulatory surgery center (ASC). The environment is hectic, and staff must manage patient needs in a complex (and often loud) environment, writes Laura Gayton, RN, Associate Director, Standards Interpretation.