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.

New York, New York

Good start to Executive Briefings here in New York this morning. Interesting choice by The Joint Commission to move over the Bridge to Brooklyn this year–as a regular attendee myself the past few years, it’s not a bad way to shake things up.

The morning session kicked off with a great bird’s eye view discussion by Ann Scott Blouin, who discussed also her lateral move into her customer relations role earlier this year. Pat Adamski gave us an excellent look at CMS changes for 2013 as well and looked at the one new National Patient Safety Goal for 2013 (CAUTI). The crowd of 300 applauded at the announcement that CAUTI will be the only new NPSG for the year.

We’ll keep you posted as the day progresses!

Networking call information and follow up

Hello, everyone. I just wanted to follow up with our members about last week’s successful networking call on the changes to the so-called 30 minute rule. Our guest presenters were helpful and inspired a lively discussion.

Several items were discussed during the call that I wanted to share with attendees. Please find both attached—a Briefings on The Joint Commission article discussing the topic and a policy our guests offered to share with AHAP members following the call.

CO Standard Medication Administration Times


If you missed the call, we have uploaded the audio file online here:

It is free to listen for all members (though you will need to be logged into the site using your username and password before the file will open).

As always, thanks for attending, and we hope to speak with you again during our next call!

New York Hospital Executive Briefings?

Hello, AHAP members and blog readers. Will any of you be headed to Brooklyn for Executive Briefings on September 5th? AHAP will be represented in the audience there (I’ll be in attendance to listen in on what The Joint Commission has to say about the accreditation world this year personally) and I’d love to be able to say hello to any of our local members who might be there as well.

If you plan on being at the New York Hospital Executive Briefings, please let me know! You can reach me directly at

Will you be at NAHQ?

Are you going to NAHQ on September 20 – 23?

If so, join HCPro for an exclusive focus group meeting while at NAHQ.

Be the first to preview an exciting new web-based resource, HCPro Comply Accreditation & Quality, for hospitals.

Through this live demonstration, you will gain insight on how this all-in-one web-based resource can help you monitor, plan, analyze, and act on critical issues relating to hospital accreditation and quality standards and regulations.

Request to participate now. If selected, you will receive a $50 American Express gift card and a FREE breakfast, for your time and valuable feedback – hurry, seating is limited.

Date: Friday, September 21

Time: 7:00 a.m. – 8:00 a.m.

Location: Embassy Suites Tampa – Convention Center

513 S. Florida Avenue

Tampa, FL

*If selected to participate, meeting room details will be provided.

No time for Breakfast?

Visit us in Booth #418 and check out a demo of our new product for hospitals: HCPro Comply, for Accreditation & Quality. You’ll also qualify for the drawing for an Apple iPad 3.


Joint Commission issues FAQ on lab report requirements in the medical record

The Joint Commission has released a ne FAQ this week for hospitals for requirements for laboratory reports in the medical record. The FAQ addresses the question of whether captured data in different formats (such as the physician portal, flash reports, remote web access, an others)need to conform to the standards surveyed during The Joint Commission’s lab surveys.

The Joint Commission’s detailed response to this very important question can be found online here.

Joint Commission issues Sentinel Event Alert on use of opioids

The Joint Commission this week released its latest Sentinel Event Alert, this time targeting the safe use of opioids in the hospital setting. Opioids such as morphine, methadone, and oxycodone, the alert states, are among the drugs most often associated with adverse drug events, including incidents related to dizziness, nausea, and falls.

The report offers recommendations for safe practice, education and training for practitioners in the administration and use of opioids, and tools for screening for risks. The Sentinel Event Alert includes input from institutions across the country, including the Cancer Pain Program at Northwestern University’s Feinberg School of Medicine, the University of Wisconsin Hospital and Clinics, the Hackensack (N.J.) University Medical Center and the University Medical Center in Tucson, Arizona.

To access the complete alert for hospital and critical access hospital settings, visit The Joint Commission’s website.

World’s largest hospital ship seeks nurses

One of our advisors passed along this tip today that I thought our members might be interested in:

The world’s largest hospital ship, Africa Mercy, is urgently seeking volunteer Ward Nurses for its upcoming service to Guinea, West Africa.

Mercy Ships, an international charity with a Canadian base in Victoria, BC, spends roughly 10 months at a time in varying countries along Africa’s West Coast, delivering free surgeries and life-saving health care to some of the world’s most impoverished people. 450 international volunteers, with a wide range of both medical and non-medical skill sets, keep the ship in operation as she carries out her mission.

More information can be found online at the organization’s home page.

Please note: AHAP has no relationship with Mercy Ships. We just wanted to pass along this story for informational purposes.

Joint Commission addresses CoP changes, effect on standards

The Joint Commission released an article earlier this week detailing the May CMS changes to the Conditions of Participation witha  point by point explanation of which changes will impact various Joint Commission standards.

The piece can be found on The Joint Commission’s website here.

The commentary also explains which of the changes in the May 16 CMS announcement will not impact Joint Commission standards during on-site surveys.

NAPH issues statement against termination of AHRQ

Earlier this week, Bruce Siegelman, MD, MPH, president and CEO of the National Association of Public Hospitals and Health Systems (NAPH) took a stand against proposed changes which could potentially lead to the termination of the Agency for Healthcare Quality and Research (AHRQ).

“Terminating the Agency for Healthcare Research and Quality (AHRQ), as House appropriators propose, would badly undermine important research on health care quality, disparities in care and patient safety – research that benefits our nation’s most vulnerable people,” Siegelman wrote in an official statement from NAPH. “We must not let this misguided move against AHRQ set back efforts to improve the safety, quality, and effectiveness of care. Safety net providers’ innovative work to end health care disparities and ensure access to care for all people, regardless of ability to pay, demands robust federal support and a strong national commitment to the safety net.”

More information on Siegelman’s statement can be found on the NAPH website.

What are your thoughts on the proposed changes? Do you agree with NAPH about the importance of the continued work of AHRQ?

Hospital worker accused of being “serial infector”

A former medical technician was arrested yesterday in connection to an Exeter, NH hepatitis C outbreak.

The tech is accused of infecting at least 30 people while working at the Exeter Hospital cardiac catheterization lab. He is also suspected with stealing the anesthetic Fentanyl.

The suspect, David Matthew Kwiatowski, was previously a traveling medical technician and had worked in at least six other states.

“The evidence gathered to date points irrefutably to Kwiatkowski as the source of the hepatitis C outbreak at Exeter Hospital. With his arrest, we have eliminated the menace this ‘serial infector’ posed to public health and safety,” said United States Attorney John P. Kacavas.

More information on the case can be found online here.