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

Inside Accreditation & Quality

- Volume

Issue

Environment of care: TJC Executive Briefing overview looks at common problems

October 25, 2022

Accreditation & Survey Preparation, Physical environment

The Joint Commission is training a lot of new Life Safety surveyors as it tries to catch up with the backlog and limit split surveys in which clinical surveyors may show up weeks before their LS colle...

Inside Accreditation & Quality

- Volume

Issue

Bylaws and other governing documents: The Medical Executive Committee's role

November 29, 2022

Accreditation & Survey Preparation, Policies and Procedures

Medical staffs have various documents that address how they self-govern themselves. All medical staffs are required to have medical staff bylaws. Frequently, the medical staff may also have rules and ...

Inside Accreditation & Quality

- Volume

Issue

TJC: Tackling healthcare equity is newest patient safety concern for leadership

November 01, 2022

Accreditation & Survey Preparation, Patient Safety, Policies and Procedures

The Joint Commission (TJC) will be focusing on healthcare equity as a patient safety priority when new Leadership requirements come into effect in January. ...

Inside Accreditation & Quality

- Volume

Issue

Ask the experts: Answers from TJC’s 2022 Executive Briefing

November 08, 2022

Accreditation & Survey Preparation

Presentations at the annual Executive Briefing held by The Joint Commission (TJC) are designed to provide key information for hospital leaders, but sometimes there are as many questions as answers aft...

Inside Accreditation & Quality

- Volume

Issue

Managing your primary source verification process

November 15, 2022

Accreditation & Survey Preparation, Policies and Procedures

Primary source verification (PSV) is required for confirming a practitioner’s identity before they join your organization. This can include checking with the practitioner’s listed training program to ...

Inside Accreditation & Quality

- Volume

Issue

Burnout: Tackling nursing's trifecta of challenges

November 22, 2022

Healthcare Staff

The healthcare system must find a way to provide the access to training for tens of thousands of would-be nurses. ...

Inside Accreditation & Quality

- Volume

Issue

Clean those glucometers and trash the household spoons in surgery

December 06, 2022

Accreditation & Survey Preparation, Infection Control

In the last few months, surveyors have been repeatedly tagging the failure to properly clean glucometers, and the use of common household items as surgical instruments. Both of these citations could p...

Inside Accreditation & Quality

- Volume

Issue

CMS offers some flexibilities, challenges for facility conversion to REH provider

December 13, 2022

Accreditation & Survey Preparation

Acute care hospitals in rural areas with 50 beds or less or facilities that qualify as critical access hospitals might want to consider converting to CMS’ newly outlined Rural Emergency Hospital provi...

Inside Accreditation & Quality

- Volume

Issue

Survey preparation: Areas to examine before surveyors arrive

December 20, 2022

Accreditation & Survey Preparation

Review your policies and procedures about spiking IV bags and block charting during rapid titration because the two largest accrediting organizations, The Joint Commission (TJC) and DNV Healthcare, ha...

Inside Accreditation & Quality

- Volume

Issue

TJC surveys continuing full steam ahead into the new year

December 27, 2022

Accreditation & Survey Preparation

While the COVID-19 public health emergency isn’t quite over, it’s becoming clear that surveys by The Joint Commission (TJC) have largely ramped back up to pre-pandemic levels. ...

Environment of care: TJC Executive Briefing overview looks at common problems

Bylaws and other governing documents: The Medical Executive Committee's role

TJC: Tackling healthcare equity is newest patient safety concern for leadership

Ask the experts: Answers from TJC’s 2022 Executive Briefing

Managing your primary source verification process

Burnout: Tackling nursing's trifecta of challenges

Clean those glucometers and trash the household spoons in surgery

CMS offers some flexibilities, challenges for facility conversion to REH provider

Survey preparation: Areas to examine before surveyors arrive

TJC surveys continuing full steam ahead into the new year

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