How would you prove that the medical staff has the opportunity to participate in meetings of the governing board? ...

Hospital and critical access hospitals, here’s something to watch out for: The Joint Commission has posted their field review of proposed new and revised requirements for both programs in the ...

The hospital’s governing board is responsible for identifying what positions are responsible for planning, marketing, and operations. Where will you find this information documented? ...

In 2009, The Joint Commission added Leadership standard LD.03.01.01, "Leaders create and maintain a culture of safety and quality throughout the hospital," to recognize that behavior that in...

True or False: A Utilization Review Plan is required for all hospitals that use The Joint Commission Accreditation to meet Deemed Status. ...

Editor's note: Guest columnist Kate Smith, RN, is director of quality improvement at ­Newton Medical Center in ­Covington, Ga. ...

Senior leadership should ensure that decisions regarding quality are: ...

In the quest to meet Joint Commission standards, it is very helpful to have a highly engaged medical staff. While usually not employed by the ­hospital, the medical staff is key to the hospital's ...

True or False: All hospitals should have a “conflict of interest” policy. ...

In 2009, The Joint Commission added Leadership standard LD.03.01.01, ”Leaders create and maintain a culture of safety and quality throughout the hospital,” to recognize that behavior that ...