All Entries Tagged With: "elements of performance"
Digging into why LS.02.01.20 tops the most cited standards list
I was talking to one of the writers for our Briefings on Hospital Safety newsletter and the question came up about The Joint Commission’s recently released top cited standards.
The frequently cited standards are pretty much a numbers game and a continuation of [more]
It’s up to you to determine when to conduct medical equipment safety checks
As far as Joint Commission standards that address the frequency of electrical safety checks for medical devices, you will have difficulty finding any — because there are none.
The Joint Commission, under environment of care standard [more]
Relaying patient information to third parties during an emergency
The possibility exists during community emergencies (or potential swine flu outbreaks, hmmmm) that your organization will need to pass along sensitive data about patients to outside entities.
EPs 11 and 12 under Joint Commission standard EM.02.02.01 require that [more]
What The Joint Commission says about housekeeping activities
I fielded a question recently about what housekeeping regulations are out there.
With the Joint Commission (which pretty much reflects the CMS Conditions of Participation concerns in this area), the applicable standards would be: [more]
Why and when to communicate patient information with other sites
Someone asked me about my thoughts relative to Joint Commission emergency management standard EM.02.02.01, EP 11.
EP 11 establishes the expectation that in the event of a fairly widespread event (in terms of casualties and fatalities) that your emergency operations plan will have a process to communicate the names of patients to other healthcare organizations in the area. [more]
I think the new couch looks best over by the wall… on second thought, maybe in front of that window…
Well, the never-ending drama of now-you-see-it, now-you-don’t in the world of strategic compliance marches on. Fortunately, my brothers and sisters in safety, the announcement of revised Joint Commission standards is virtually without impact for you (unless of course, you were otherwise occupied when these “changes” first graced our world — if you were, good on you, they’re just as meaningless as they were then).
I’ll default to my CMS logic in noting that none of the changes should have been a surprise to anyone being accredited for the purposes of bellying up to the Medicare/Medicaid bar. These were existing requirements, and, oddly enough, very much in keeping with an appropriately managed, comprehensive safety program, which I know you have because you tune into this blog on a regular basis (I certainly hope it helps, at any rate). [more]
Hold on. Joint Commission revises… revised standards
Remember those new elements of performance (EP) The Joint Commission announced back in January? Well, for many of them, you can just ‘forget about it.’
The Joint Commission has, after discussion with the Centers for Medicare & Medicare Services (CMS), reduced the number of changes from its January 5, 2009, announced standards revisions. According to the official announcement, the changes [more]
A closer look at The Joint Commission’s 96-hour FAQ
As you may have seen, The Joint Commission released some more FAQs earlier this month. One of them deals with the 96-hour provision under EM.02.01.01, EP 3 by reiterating that The Joint Commission doesn’t expect organizations to have 96-hour capabilities for emergency response efforts.
Rather, The Joint Commission wants each organization [more]
Leadership standard cited in fire protection inspection snafu
Hi folks, it’s Scott Wallask logging in. You may not know this, but The Joint Commission’s life safety specialists can cite leadership standards for fire protection deficiencies under certain circumstances.
Take this situation that I just heard about: [more]
Identifying individuals to oversee safety under EC.01.01.01
A little while back I was chatting with someone about EC.01.01.01’s provisions for identifying an individual or individuals to manage safety activities within the environment.
This is kind of an interesting process to set up from a Joint Commission compliance standpoint, as neither [more]
