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Latest networking call posted to AHAP site

Hello, everyone. I just wanted to let you know that if you missed last week’s networking call you can now listen to the recording on the AHAP website.

The recording can be found here, or by pasting the URL below into your browser:

http://www.accreditationprofessional.org/quarterly_networking_calls.cfm

During the call, our guest speakers outlined a hospital that lost CMS certification and how they survived this hospital near death experience. It was a great call that we hope will be of interest to all of you.

The guest speakers have also put their materials online, which can be found here:

compass-clinical.com/ahap

As always, if you have any suggestions for future networking call topics, let me know!

Latest benchmarking report posted

Thanks to all who participated in our latest benchmarking survey, which looked at The Joint Commission’s most cited standards for the first half of 2012 and asked members for their personal feedback on those standards during their most recent surveys.

Members can download a copy of the summary report, along with a series of charts and graphs detailing the results, at the AHAP benchmarking report landing page here.

If that hyperlink does not work for you, you can also copy and past the URL below into your browser. Thanks again for your continued participation!

http://www.accreditationprofessional.org/benchmarking_survey.cfm?topic=WS_AHP_QBS

Leadership oversight of emergency management proposed standards

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 area of leadership oversight for emergency management.

The proposed changed focus on Elements of Performance in standards EM.01.01.01, EM.03.01.03, and LD.04.04.04. The field review can be accessed on The Joint Commission’s website.

If the link above does not work, cop y and paste the following URL into your browser:

http://www.jointcommission.org/standards_information/field_reviews.aspx?StandardsFieldReviewId=jT6GXRcgQTPZFwBRB2WUfcOjRnMvulCk6P1hbU8dCAo%3d

Will you be participating in the field review? What are your thoughts on the changes? Are they needed to improve leadership oversight for emergency management?

Benchmarking survey still open

I just wanted to remind everyone that our latest benchmarking survey is still open should you want to participate. In this latest survey we look at the most-cited Joint Commission standards (or equivalents, for non-Joint Commission accredited facilities) and how they impact our members’ organizations and survey results. You can participate in the survey by clicking here. 

If the hotlink above does not work for you, you can also copy and paste the URL below into your web browser:

https://www.research.net/s/28NVJJD

As always, participation in the AHAP benchmarking survey is anonymous. We will share statistical results with members shortly after the close of the survey. We hope you’ll take the time to participate in this latest survey!

 

Joint Commission releases latest “Speak Up” campaign addition

The Joint Commission has published its latest brochure in its ongoing Speak Up ™ campaign, entitled “Speak Up: What you need to know about your serious illness and palliative care.” The Speak Up program is intended to help raise patient awareness about their health and to help them take ownership of their own care.

This latest brochure, created in conjunction with the American Academy of Hospice and Palliative Medicine, Association of Professional Chaplains, Center to Advance Palliative Care, Hospice and Palliative Nurses Association, Lance Armstrong Foundation, National Association of Social Workers, and National Hospice and Palliative Care Organization, is intended to help patients better understand what to expect from their illness and how they and their family members can help lessen the burden of common side effects of palliative care.

For more on this and other Speak Up campaigns, check out The Joint Commission’s website.

Latest AHAP benchmarking survey launched

Hello, AHAP members. We have just launched our latest members-only benchmarking survey, and would like to invite you to participate. In this latest survey we look at the most-cited Joint Commission standards (or equivalents, for non-Joint Commission accredited facilities) and how they have impacted our members’ organizations and survey results. You can participate in the survey by clicking here.

If the hotlink above does not work for you, you can also copy and paste the URL below into your web browser:

https://www.research.net/s/28NVJJD

As always, participation in the AHAP benchmarking survey is anonymous. We will share statistical results with members shortly after the close of the survey. We hope you’ll take the time to participate in this latest survey!

 

Job Opportunity – Charlottesville

Hello, AHAP members. Every so often the association is approached by an organization seeking an accreditation professional and asks us to share a job posting. We’re happy to provide this service for our members whenever we can. Below is the complete listing for an opportunity we were informed of just today:

Accreditation and Regulatory Coordinator

University of Virginia Health System

The University of Virginia Health System in Charlottesville is seeking an Accreditation and Regulatory Coordinator. This position will guide the development of policy and guidelines as they relate to the hospital and compliance with regulatory and accreditation guidelines and assist in the interpretation of these policies.

Responsibilities:

  • Serve as expert and resource on regulatory/accreditation and licensure standards and expectations for compliance
  • Design and implement a systematic approach to ensure a high level of awareness of regulatory and accrediting agency requirements throughout the Medical Center including ramifications of failures in compliance

Qualifications:

  • Bachelor’s degree required, master’s preferred
  • 5 years experience

The University of Virginia Health System invites you to explore career opportunities at our nationally recognized academic medical center, located in the charming, active city of Charlottesville overlooking the Blue Ridge Mountains. Charlottesville consistently ranks among the best places to live in the U.S. based on its natural beauty, strong economy, quality schools and vibrant arts, music and dining scenes.

Along with our commitment to academic research and our advanced technology, it is the attributes of our people that make UVA one of the top-rated medical centers in the country. If you want more, UVA wants you.

Apply online at www.uvajobsbeyondmeasure.com or contact Scott Dudley at (434) 924-0200 or scottdudley@virginia.edu.

EOE/AA M/F/D/V

It only takes a minute (OK, maybe a minute and a half…)

As we continue to peel back the layers of the (green) onion that is fire alarm and suppression system testing documentation, I bring you this from the survey front: I can’t say that I find this consistently documented, which makes me think this is worth sharing with the group. By the way, for those of you who have not yet bitten the bullet, it may be time to extend your NFPA library beyond the Life Safety Code®. There are way too many pieces of the puzzle that live in the “other” codes for us to refrain for much longer (not that I am in any way endorsing any particular organization or product, but sometimes the way forward becomes impossibly clear…).

And so, turning to the testing of the emergency services notification transmission equipment (the equipment that comes into play when one must summon assistance from local/regional emergency responders), for this particular sequence of events, there is a requirement under NFPA 72, 1999 edition, 7-2.2 that indicates the receipt of the signal at the supervising station within 90 seconds shall be verified.

Now, for those of you who utilize a central monitoring service (and who, hopefully, are documenting each leg of that signal process – fire alarm system to central monitoring service; central monitoring service to the emergency responders) and, I suppose, those of you who ring directly through to the emergency responders – are you counting those precious seconds when you do your quarterly testing? If not, you would have to consider yourself a little bit vulnerable. Word to the wise.

Editor’s note: This blog post was written by Steve MacArthur, consultant for The Greeley Company, Danvers, MA, and taken from one of our sister blogs, Mac’s Safety Space. You can read the original post here.

Call for case studies, and a name change

We’re gearing up for the next issue of the AHAP Insider, and we’re looking for AHAP members who have a success story they’d like to share in an upcoming newsletter article. If you are interested in sharing your successes and initiatives, or just have a topic suggestion you’d like to hear about, please contact AHAP associate director Jackie Beck at jbeck@hcpro.com.

*I would also like to let members know that thanks to my recent nuptials, you’ll start to see my name change in the blog, ezines, newsletters, and emails over the next few weeks to Jaclyn Zagami (pronounced “zuh-gah-me”).  It’s a big switch, so I wanted to give you the heads up in case you didn’t recognize me. I can be reached at both jbeck@hcpro.com and jzagami@hcpro.com for the time being just to make life easier.

Intracycle Monitoring

One of the more interesting segments of this year’s New York Hospital Executive Briefings was an update on its Intracycle Monitoring program, under which the Focused Standards Assessment–the process that will replace the Periodic Performance Review–is found.

Presenters gave the audience a first look at the website where this will take place and walked through the various options they will have.

Perhaps most notable is that, unlike the PPR, it appears the FSA will not require hospitals to review every single standard and Element of Performance–there will be standards and EPs that are flagged as required, including those the organization previously received RFIs on, but it is up to the organization itself whether they want to do a complete, top to bottom standard review. This allows hospitals more flexibility in how to handle their annual review.

What do you think of the FSA and intracycle monitoring? Will this be an improvement over the PPR?