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Enter to win a free registration to the 2010 AHAP Conference

Each month, we will give away one free registration to the upcoming AHAP Conference in Las Vegas on May 6-7, 2010. We will give away three free seats—one in February, one in March, and one in April.

To enter, submit a sample tool or policy to share with your fellow AHAP members.  (Please send all entries directly to The tools can be any examples that have helped you do your job better. These sample documents will be posted to the AHAP Blog throughout the month. At the end of the contest, we will gather up all eligible entries and post a “Best of AHAP” report to the association Web site for members to download.

We will draw a winner at random from among eligible entries at the end of each month and notify the winner by email, as well as announce the winner on the AHAP Blog. Once you enter the contest, your entry remains valid for the remainder of the contest, although multiple entries are allowed. Winners will be responsible for paying for airfare and hotel, but not the registration fee. Those who have already registered for the conference are not eligible to win.

Please note: you must either be the owner of the submitted document or have the right to grant permission to reprint the document. By entering this contest, contestants hereby represent and warrant that they have the right to grant the permission to republish the submitted tool or policy and hereby grant to HCPro, Inc., its licensees and assigns, the right to republish such selection as outlined above in any works, derivative or otherwise, published by HCPro, Inc., or its affiliates in any media now known or hereafter devised throughout the world.

Here are the rest of the contest rules:

  • There is no responsibility or liability for an entrant’s inability to access
  • Potential winners will be notified by e-mail.
  • Decisions made by the judges are final.
  • By entering the contest, the entrant allows his/her name to be reprinted on the Web site and/or AHAP Staff Challenge or Accreditation Connection e-newsletters without compensation.
  • The prize is not redeemable in cash and must be accepted as awarded.
  • Employees (or immediate family members of employees) of HCPro, Inc., are not eligible to win.
  • HCPro, Inc. reserves the right to amend and change these rules as it deems necessary. Varying contests will have various rules.
  • By entering this contest, you agree to accept and abide by these rules.

AHAP conference 2009 leadership session

For those of you who did not get a chance to attend the 3rd Annual AHAP Conference that took place in Las Vegas two week ago, and for those of you who did attend and would like a chance to listen to the leadership session, here is your chance. The session touched on how best to engage your hospital’s leaders in both creating a culture of safety and demonstrating involvement in patient safety to comply with Joint Commission standards.

The presentation, given by Ken Rohde, consultant for The Greeley Company, opened the 2009 conference.

To find a copy of the slides that accompanied the presentation titled “The 2009 Leadership Standards: A Toolbox Approach,” click here.

To listen to the audio recorded at the session, click the link below. You will first hear Jodi Eisenberg, Chair of AHAP, introduce Ken.

Get the Flash Player to see the wordTube Media Player.

For those who attended the conference, we hope you enjoyed it and would love any additional feedback you’d like to offer for how we can improve the conference in the coming years.

AHAP giveaway announcement–our final winner

And the final winner in our AHAP Conference registration giveaway: Marina Isaac of  Mount Sinai Hospital & Schwab Rehabilitation Hospital in Chicago, IL!

We’re looking forward to seeing all of our winners at this year’s conference! Thanks to all of the members who participated in this fantastic contest–we were incredibly impressed with the turnout and with the quality of information being shared week to week.

Contest entry: Physician progress note

Our latest AHAP conference giveaway entry comes from Edward Chilcote, LVN, CPHQ, HACP, QA/PI coordinator at Tri-City Regional Medical Center. Edward writes:

Through interdisciplinary collaboration we devised a “Core Measures” physician progress note that combines the documentation requirements for CHF, and the documentation requirements for CC’s and MCC’s.

This improved communication between Physicians, Medical Records, Case Managers, Nurses and Coders.

This assisted us to achieve an even higher standard of care, and improve the documentation necessary to abstract CC’s and any MCC’s as it relates to CHF.

The revision provided our facility with both; Clinical and Financial outcomes.

Only two days left to enter! Our final drawing will take place this Friday, April 24th.

This week’s winner!

This week’s free registration for the 2009 AHAP Conference goes to:

Sandra J. Anaya RN of Tri-City Regional Medical Center!

Congratulations, Sandra. And remember, there’s still one more chance to win–we’ll draw a final winner at random on Friday, April 24th. We’ll accept entries to the contest up until 12 noon EST on Friday.

Last minute contest entry

The latest contest entry snuck in just under the wire–11:57 a.m. arrival time! This great tip is accompanied by two sample documents linked below, and comes to us from
Marina Isaac, MHA, manager of continual survey readiness at Mount Sinai Hospital & Schwab Rehabilitation Hospital, Chicago. Marina writes:

As part of our Continual Survey Readiness program, we place an emphasis on the National Patient Safety Goals from the moment any caregiver starts working with our organization and throughout the duration of employment. During new employee orientation, caregivers are introduced and informed about the significance of NPSGs. That is also when employees receive a Survey Readiness Handbook, which includes the NPSGs and outlines general information that they are encouraged to refer to and keep on them at all times. 2009 NPSG posters are located throughout the hospital. Departmental quality dashboards and mock tracers collect data related to our current compliance levels related to these standards. These dashboards then roll up to form the Hospital Quality Dashboard which is consistently presented to the Board. Currently, we are in the process of creating an organizational NSPG dashboard.

Occasionally, task forces and committees are formed to address particular NPSGs. For example, one task recently worked together on updating our policies for Universal Protocol. The hospitals’ Invasive Procedure Site Marking and Time Out Policy was amended, a Pre-procedural and Surgery Checklist was modified to model after the WHO Surgical Safety Checklist, and the time out sticker was revised. See attached. Similarly, we take action for other NPSGs, as appropriate. Thus, a continual emphasis is placed on the National Patient Safety Goals, which enforces that they are a priority for our organization.



Thanks for the entry. Marina. We’ll be announcing this week’s winner in just a few hours. And remember, only one more week left to win–we’ll draw our last winning contestant next Friday, April 24th!

Contest entry: Safety preparedness

Our latest contest entry in our AHAP 2009 conference registration giveaway comes from  Sandra J. Anaya RN, of Tri-City Regional Medical Center. Sandra writes:

As a part of our safety preparedness program we have placed “quick reference” guides on all units in the form of a wall-mounted flip chart that staff can use to remind them of key safety procedures that need to be carried out for different types of disaster.

We have updated them to include information about emergency management planning, the Incident Command Center, and how the Command Center is activated. We have found that during any type of survey, when staff may be nervous, they can walk over to the flip chart and share the information with surveyors. The charts are also beneficial when orienting temporary agency personnel.

Contest entry: Mini-handbook

The latest tip comes from Michael Neiman, senior director of accreditation with Thomas Jefferson University Hospitals in Philadelphia, PA. Michael writes:

We create a mini-handbook every year called Q and A for staff which fits in pocket for a reference guide. It includes HR, IC, Patient Safety, PI, Patient Rights, Privacy and Safety. These are given out to all new employees and staff every year. Staff find these education and valuable.

Contest entry: Survey experience

Our latest entry into our free AHAP giveaway comes from Karen A. Beck, CPHQ, quality manager at Sacred Heart Visiting Nurses & Hospice. She writes:

We were surprised the first week of February when TJC surveyors showed up at our hospital. We are a hospital based agency that provides home health and hospice services. We were not totally unprepared, though. I had been working from the Survey Activity Guide using the Preliminary Information sheet provided in this document. I compiled all of our information and had it housed in a binder ready on my bookshelf.

I also had the most current measure of success data I informed our management team and quality nurse of it’s location in the event I was not available. Our plan included assigning specific personnel to be responsible for running current patient lists and serving as “gophers” for any requests. As soon as the call arrived from the hospital accreditation coordinator we put our plan into action.

All the information we needed to get our surveyor started was readily available. This was not always the case in the past where we were scrambling to pull information together.

Contest entry: Patient Safety Handbook

Our latest entry comes from  Leslie Whitaker, accreditation manager with NWTHS. She passed along the attached Patient Safety Handbook .pdf. Leslie writes: The following standards are addressed through the use of a Patient Safety Handbook recently implemented at NWTHS in Amarillo, Texas:

  • NPSG.01.01.01 EP1 (patient ID)
  • NPSG.07.05.01 EP6 (patient education)
  • NPSG.08.01.01 (Medication reconciliation – home medication list)
  • NPSG.09.02.01 EP5 (patient/family education on the fall reduction program)
  • NPSG.13.01.01 EP1,2.3,and 4 (patients/families involvement in care)
  • NPSG.15.01.01 EP3 (suicide risk)
  • NPSG.16.01.01 EP4: (The hospital encourages patient/family to seek assistance when the patient’s condition worsens)
  • UP.01.01.01/UP.01.02.01 & UP.01.03.01 (patient expectations from hospital staff regarding surgery procedures)
  • Patient Rights and Responsibilities standards

The book will be given and explained to all patients when they are admitted to the acute care hospital. This book is an effort to get patient’s involved in their care, as well as to provide valuable information about their hospital stay. This has information from Joint Commission’s speak up campaign, as well as IHI’s infection prevention program. Staff have received this well because prior to the handbook, we had developed numerous brochures to address education, and now we are using this all-inclusive document.