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ARTICLES IN Inside Accreditation & Quality - VOLUME 6 ISSUE 4 - PRINT FULL ISSUE

Inside Accreditation & Quality

- Volume

Issue

TJC seeing progress meeting maternal health standards, but work remains

June 14, 2022

Accreditation & Survey Preparation, Patient Safety

Even if your facility does not regularly handle labor and delivery, be sure to include the emergency department (ED) in planning and education to address problems such as maternal hemorrhage and sever...

Inside Accreditation & Quality

- Volume

Issue

Using AI can empower more comprehensive maternal care

June 21, 2022

Patient Safety

Artificial intelligence (AI) could be poised to change how healthcare makes use of ultrasound early in a pregnancy. ...

Inside Accreditation & Quality

- Volume

Issue

Use updated ICRA tool now to assess infection control on construction projects

June 28, 2022

Environment and Facilities, Physical environment, Infection Control

The updated infection control risk assessment (ICRA) tool for construction, renovation, and operations might be longer, but it is more user-friendly and eliminates some of the guesswork from the old v...

Inside Accreditation & Quality

- Volume

Issue

CMS approves TJC as an AO for three years

June 30, 2022

Accreditation & Survey Preparation

CMS approved The Joint Commission’s (TJC) hospital accreditation program for just another three years. If not for the pandemic, that time span might have been longer. ...

Inside Accreditation & Quality

- Volume

Issue

Surveyors highlighting improper storage of medical supplies

July 05, 2022

Accreditation & Survey Preparation, Infection Control

Review your hospital’s practices for storing sterile devices and supplies now that three of the four hospital accrediting organizations (AO) have recently cited concerns about improper storage. ...

Inside Accreditation & Quality

- Volume

Issue

ACHC annual report offers tips for avoiding common hospital deficiencies

July 12, 2022

Accreditation & Survey Preparation, Infection Control

Standardize how your hospital manages its medical supplies to ensure that they are safely stored, updated, and available when needed. Also be sure to approve policies, procedures, plans, and related d...

Inside Accreditation & Quality

- Volume

Issue

ICYMI: CMS issues flurry of QSO updates in late May, June

July 19, 2022

Accreditation & Survey Preparation

CMS issued several Quality, Safety & Oversight Group (QSO) memos in late May and early June, including two updating COVID-19 survey requirements and another updating the State Operations Manual Ap...

Inside Accreditation & Quality

- Volume

Issue

Use CMS memo on emergency abortions to educate staff on EMTALA obligations

July 26, 2022

Accreditation & Survey Preparation, Patient Safety

Use the July 11 CMS memo reminding hospitals of their obligations under the federal EMTALA law as a good opportunity to review policies and to educate doctors, nurses, and other personnel on requireme...

Inside Accreditation & Quality

- Volume

Issue

Use COVID-19 lessons to inform monkeypox action plan

August 02, 2022

Natural & Manmade Disasters, Infection Control

With monkeypox cases climbing in each state, sometimes dramatically, hospitals should be creating and implementing a plan that includes education of both staff and patients, say experts. ...

Inside Accreditation & Quality

- Volume

Issue

New CMS antibiotic stewardship survey tags focus on leadership

August 09, 2022

Accreditation & Survey Preparation, Infection Control

Find a pharmacist, provider, or infection preventionist (IP) with a good grounding in antibiotic stewardship to tackle the responsibilities and requirements set out in six new hospital survey tags rec...

TJC seeing progress meeting maternal health standards, but work remains

Using AI can empower more comprehensive maternal care

Use updated ICRA tool now to assess infection control on construction projects

CMS approves TJC as an AO for three years

Surveyors highlighting improper storage of medical supplies

ACHC annual report offers tips for avoiding common hospital deficiencies

ICYMI: CMS issues flurry of QSO updates in late May, June

Use CMS memo on emergency abortions to educate staff on EMTALA obligations

Use COVID-19 lessons to inform monkeypox action plan

New CMS antibiotic stewardship survey tags focus on leadership

Resource/w tools selected

STET CMS & tools

OSHA Dental Facilities Update - November 2023

OSHA Medical Facilities Update - November 2023

Tab 2, Medical Facilities OSHA Manual- August 2023

Tab 2, Dental Facility OSHA Manual- August 2023

Chapter 2: Chapter Format and Tracer Planning