March 23, 2009 | | Comments 1
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AHAP Conference giveaway: Today’s entry

Our latest entry in the 2009 AHAP Conference free registration givewaway comes from Tricia Elliott, coordinator of accreditation and licensure in the Quality/Patient Safety Department at St. Alexius Medical Center. She shares this anecdote:

When we had to implement our Universal Protocol form to the units (for bedside procedures), we wanted to effectively communicate to all staff members. A PowerPoint presentation was developed that was communicated to staff via our HealthStream online education tool. To encourage people to complete the HealthStream, we sent information out to the nursing leadership to use in their staff huddles, unit meetings and department meetings. We also followed up with email reminders. By using all the communication tools available, we are able to get the word out to staff on following Universal Protocol. 

More entries are on the way. We’ll be drawing our next winner this coming Friday. Questions? Email me at

Entry Information

Filed Under: Annual Conference

About the Author: Matt Phillion is the director of the Association for Healthcare Accreditation Professionals and a Senior Managing Editor at HCPro, Inc., where he is the editor of the monthly publication Briefings on The Joint Commission.

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  1. When it is time to conduct the annual PPR assessment tool for TJC standards, we have also added a review of the CMS Conditions of Participation standards at the same time. This will assist our facility to conduct a more thorough review of the standards that we are expected to be in compliance with at all times.

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