RSSAuthor Archive for Matt Phillion

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.

Joint Commission to release update to manual in April

The Joint Commission announced this week that its annual “Update 1” to its accreditation manuals will be released in April. This announcement effects the following programs: ambulatory care, behavioral health care, critical access hospital, home care, hospital, laboratory, long term care and office-based surgery. There are no updates expected for disease-specific care or healthcare staffing services programs.

This update will also be included in the E-dition®.

The changes will reflect the following:

  • Unannounced survey time frames. This will change from 18-39 months to 18-36 months (this effects all programs except laboratories).
  • The Public Information Policy has been revised for all programs.
  • The term “rape” has been refined to encompass “sexual abuse/assault (including rape)” for all programs.
  • For acute, psychiatric, and surgical specialty services in the hospital programs, this update will include a new Standards Applicability Grid (SAG) chapter with blue tab.
  • The glossary has been updated.

The official announcement can be found on The Joint Commission’s website.

Joint Commission posts new FAQs

The Joint Commission has posted a significant number of new FAQs on the following topics:

  • For the Transplant Safety chapter–Tissue: Standards Applicability for the ambulatory care, critical access hospital, hospital, laboratory services, office-based surgery programs
  • For the Document and Process Control chapter of the laboratory services program: Laboratory Reports: Date and Time of Reporting
  • For the Waived Testing chapter, applicable to ambulatory care, behavioral health care, home care, hospital, laboratory services, office-based surgery
  • programs–Rapid Group Strep A Strep Testing and Culture Follow-up
  • Also for the Waived Testing Chapter–Director of Record, appropriate for the ambulatory care, behavioral health care, critical access hospital, home care, hospital, laboratory services, long term care, office-based surgery programs

For more information, visit The Joint Commission’s website.

National Healthcare Decisions Day is April 16, 2011

National Healthcare Decisions Day, an event intended to encourage patients to express their wishes about their own healthcare and to urge organizations and facilities to respect those wishes, will take place on April 16, 2011.

This event, a collaborative effort between organizations on the national,  state, and local level, targets the ongoing issue of raising public awareness for advance care planning so tha that the wishes of patients who become unable to speak for themselves can be carried out. The goals of the event are:

  • Increase awareness of the benefits of advance care planning so that Americans will be familiar with how to obtain and complete a healthcare power of attorney and/or living will, and talk to others about their decisions
  • Rally a national media campaign so that Americans will know how to access information and resources to help them make future healthcare decisions
  • Mobilize national, state and community organizations, healthcare providers and other key stakeholders to initiate outreach and educational activities for people to learn about advance care planning and complete advance directives and to honor those wishes when they become clinically relevant

More information can be found about the event at its official web site.

National Strategy for Quality Improvement announced

The Department of Health and Human Services announced this week its National Strategy for Quality Improvement in Health Care. The strategy falls under the Affordable Care Act.

The goal of the project is to establish priorities and plan toward better quality, lower cost care and healthier communities.

The priorities revealed in the plan include:

  • Reducing harm caused in the delivery of care
  • Engaging patients and families in care
  • Promoting effective communication and coordination of care
  • Preventing the leading causes of mortality, starting with cardiovascular disease
  • Promoting healthful best practices in communities
  • Providing more affordable care by developing new healthcare delivery models

For more information on the National Strategy for Quality Improvement, click here.

AHAP Conference announces 2011 agenda

The formal agenda for this year’s Association for Healthcare Accreditation Professionals (AHAP) 2011 Conference has been announced.

This year’s conference will include a Day 1 roundtable session to promote networking opportunities and a number of nationally renowned speakers on all of the year’s hot accreditation topics, including:

  • Regulatory Changes in 2011: Stay ahead of The Joint Commission and CMS, with Lisa Eddy, RN, CPHQ, and Jodi Eisenberg, MHA, CPHQ, CPMSM, CSHA
  • Improve compliance with core measures, with Sharon Prudhomme, RN, MBA, CPHQ, CPHRM
  • Maximizing your risk assessment, with Jean Clark, RHIA, CSHA
  • Medical staff presentation: Everything you wanted to know about OPPE and FPPE, with Jon Borroughs, MD, MBA, FACPE, CMSL
  • What do accreditation professionals need to know about Life Safety?, with Brad Keyes, CHSP
  • A Look at the Top 25 RFIs for 2010, a three person panel with Lisa Eddy, RN, CPHQ, Brad Keyes, CHSP, and Jean Clark, RHIA, CSHA
  • Ten tips and tricks for effective data management, with Ken Rohde
  • Teacher-mentor-coach: Tools and techniques for continual survey readiness, with Jodi Eisenberg, MHA, CPHQ, CPMSM, CSHA
  • Meaningful use of EHRs: Making it work for your organization, with Sharon Prudhomme, RN, MBA, CPHQ, CPHRM

Two MS.01.01.01 FAQs posted

The Joint Commission has posted two new Frequently Asked Questions (FAQ) on the ever-challenging standard MS.01.01.01, addressing medical staff bylaws.

The FAQs address two key topics in the standard, specifically:

  • Whether it is required for medical staff representation to participate in all governing board discussions related to hospital business, operations, and management and,
  • Whether a formal medical staff meeting is required to obtain adoption or approval of the medical staff bylaws and revisions of amendments

The answers to these questions can be located on The Joint Commission’s FAQ page.

Joint Commission releases new BoosterPak

The Joint Commission has posted the latest in a series of BoosterPaks ™ to assist hospitals with implementation and compliance of Focused Professional Practice Evaluations (FPPE) and Ongoing Professional Practice Evaluations (OPPE), standards MS.08.01.01 and MS.08.01.03 respectively.

The intent of these challenging standards has always been to move hospitals to a more objective, evidence-based credentialing and privileging process and to ensure ongoing quality care for patients. The BoosterPak works towards these goals by tying CMS Conditions of Participation to these standards, as well as provide implementation tips, Frequently Asked Questions, and advice for survey preparation.

This is the second in what is expected to be an ongoing series of Boosterpaks. For more information, visit The Joint Commission’s website.

CDC report targets CLABSI

The Centers for Disease Control and Prevention (CDC) have issued a media advisory stating that hospitals and dialysis centers should do more to prevent central line bloodstream-associated infections (CLABSI). The CDC explores the topic in its current issue of Vital Signs.

According to the CDC’s official statement, thre was a 58% decrease in CLABSIs in 2009 compared to 2001 proves that such infections are preventable. It estimated this decrease saved some 27,000 lives and $1.8 billion in excess healthcare costs.

The CDC has issued numerous guidelines and recommendations for the prevention of CLABSIs.

Joint Commission launches latest “Speak Up” program

The Joint Commission has launched the latest in its ongoing Speak Up™  campaign, this time focusing on kidney dialysis. The educational program, titled “Dialysis: Five ways to be active in your care at the hospital,” was launched on World Kidney Day, March 10, 2011.

This campaign, based around a downloadable educational brochure, provides patients with tips and guidance on managing their dialysis during a hospital stay, avoiding infections, avoiding negative medication interactions, and more.

The educational program has teh support of the American Association of Kidney Patients, the National Kidney Foundation and the Renal Physicians Association.

For more information, click here.

Patient Safety Awareness week

Patient Safety Awareness Week is coming up and the National Patient Safety Foundation (NPSF) is extending its toolkits, aimed at cultural competency and reducing readmission rates, to all healthcare organizations. In years past, the NPSF–which is the founding sponsor of Patient Safety Awareness Week–has provided the kits only to members of its hospital program.

This year’s campaign is called “Are You In? Commit to Safe Health Care.” More information can be found at the NPSF website.

Patient Safety Awareness Week runs from March 6-12, 2011.