Significant Changes to NPSG Requirements
Date: September 16th 2009
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Infection Prevention and Control
Date: September 8th 2009
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Preparing for the Influenza Season Complying with TJC Standards
Date: August 27th 2009
The novel H1N1 virus, along with regular seasonal influenza viruses, is anticipated to cause significant illness, hospitalizations and deaths during the next U.S. influenza season.
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Staff Competence
Date: August 11th 2009
In our last tip, we discussed the importance of prioritization when it comes to assessing and improving compliance with Joint Commission standards. We suggested using the Joint Commission’s criticality model for scoring standards which focus on more critical or “Direct Impact” requirements.
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TJC Requirements: Prioritize by Situation and Impact
Date: July 22nd 2009
In 2009, the Joint Commission established a process of standards compliance scoring and accreditation. “Based on the premise that some requirements are more ‘critical’ or more directly impact the patient, than others.”
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Culture of Safety and Quality Self Assessment: Medical Office Tool
Date: April 23rd 2009
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TJC Scoring Changes: Reading the Fine Print
Date: March 31st 2009
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Medication Reconciliation: What Now?
Date: February 12th 2009
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New CMS Interpretative Guidelines End Stage Renal Disease Programs
Date: February 3rd 2009
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Discharge Planning More New Joint Commission Requirements for Hospitals Part Two
Date: January 28th 2009
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Discharge Planning: Part One
Date: January 21st 2009
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More New Joint Commission Requirements for Hospital
Date: January 12th 2009
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New Joint Commission Requirements for Hospitals
Date: January 8th 2009
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Just Put Your Head Down
Date: December 22nd 2008
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Stress: Choose Differently
Date: December 11th 2008
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Joint Commission’s 2009 Accreditation Decision Methodology
Date: December 4th 2008
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What’s New? Joint Commission’s 2009 FAQs
Date: November 25th 2008
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More on Disruptive Behavior
Date: November 20th 2008
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Addressing Disruptive Behavior
Date: November 13th 2008
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Revised CMS Interpretive Guidelines Use of Written Protocols and Standing Orders
Date: November 4th 2008
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Joint Commission Requirement Change Frequency of FMEA Projects
Date: October 29th 2008
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Partnering with Patients to Prevent Hospital Acquired Infections
Date: October 21st 2008
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Strategies to Prevent Healthcare-Associated Infections
Date: October 16th 2008
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Culture of Safety and Quality Self Assessment
Date: October 9th 2008
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Physician Orders
Date: October 2nd 2008
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Use of Protocols and Standing Orders
Date: September 19th 2008
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NPSGs 2009: Addressing Culture and Language Issues
Date: September 12th 2008
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Universal Protocol: NPSG 2009: Part Ten
Date: September 3rd 2008
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Universal Protocol: NPSG 2009: Part Nine
Date: August 19th 2008
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Universal Protocol: NPSG 2009: Part Eight
Date: August 12th 2008
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Goal 16: Improve Recognition and Response to Changes in a Patient’s Condition: New NPSGs - 2009 Part Seven
Date: August 6th 2008
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Goal 13: Encourage Patients’ Active Involvement: New NPSGs - 2009 Part Six
Date: July 31st 2008
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Goal 8: Medication Reconciliation: New NPSGs - 2009 Part Five
Date: July 25th 2008
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Reduce the Risk of Health Care Associated infections: New NPSGs - 2009 Part Four
Date: July 16th 2008
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Reduce the Risk of Health Care Associated infections: New NPSGs - 2009 Part Three
Date: July 7th 2008
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Effective Communication and Safe Medication Use: New NPSGs - 2009 Part Two
Date: July 2nd 2008
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Summary of New National Patient Safety Goals for 2009 - Part One
Date: June 25th 2008
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Accomplish Something!
Date: June 18th 2008
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What’s the Joint Commission Up to Now? Part Two: Changes in Accreditation Scoring and Decision Processes
Date: June 10th 2008
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What’s the Joint Commission Up to Now?
Date: June 4th 2008
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Peer Review: Part Four
Date: May 29th 2008
Avoiding Conflicts of Interest.
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Peer Review: Part Three
Date: May 21st 2008
Establishing a Peer Review Committee.
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Peer Review: Part 2
Date: May 14th 2008
Staying Objective.
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Joint Commission Requirements for the Peer Review Process: Part 1
Date: May 7th 2008
Focused professional practice evaluation and ongoing professional practice evaluation.
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First Impressions
Date: April 29th 2008
Putting your best foot forward when the survey team arrives.
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Pain Assessment
Date: April 22nd 2008
Hospitals continue to receive RFIs.
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Helping Your Patients to Understand
Date: April 16th 2008
Joint Commission is focusing on Health Literacy.
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Do You Have Complete and Accurate Medical Records?
Date: April 9th 2008
24% of hospitals received a Requirement for Improvement.
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TEST NEW TEMPLATE
Date: April 7th 2008
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Eight Steps to Policy and Procedure Development
Date: April 2nd 2008
Follow a sequence of compilation, review, and organization.
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Medication Orders: Surveyors Look Closely
Date: March 25th 2008
Challenging elements of performance.
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Universal Protocol
Date: March 19th 2008
Critical issues!
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Challenging Joint Commission Standards and Patient Safety Goals
Date: March 12th 2008
Most frequently non-compliant.
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Managing Environmental Safety Risks
Date: March 5th 2008
What to consider when conducting a proactive risk assessment.
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Patient Flow Tracer - Changes to the Joint Commission Survey Process-Part Two
Date: February 26th 2008
How to prepare!
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Changes to the Joint Commission Survey Process-Part One
Date: February 20th 2008
Surveyor Document Review: Are you ready?
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Medical Staff Bylaws and Rules and Regulations TJC Medical Staff Standard 1.20 - Part Three
Date: February 12th 2008
Major issues with implementation!
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Medical Staff Bylaws and Rules and Regulations TJC Medical Staff Standard 1.20-Part Two
Date: February 5th 2008
Bylaws versus Rules and Regulations?
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TJC Medical Staff Standard 1.20
Date: January 30th 2008
Get started with new requirements.
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The Great Coastal Gale: A Home Health Challenge
Date: January 22nd 2008
Lessons learned about emergency management!
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Tornado in the Northwest
Date: January 16th 2008
Surveyor questions about managing a disaster.
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Violence in Hospitals
Date: January 9th 2008
How to minimize the incidence…
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2008 RFI Thresholds
Date: January 2nd 2008
What’s changed?
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Restraint Use Training
Date: December 18th 2007
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Vaccine Storage
Date: December 12th 2007
Thousands of doses of vaccines are thrown out each year!
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Information Overload
Date: December 4th 2007
We all have more than we can handle. And it just keeps coming.
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Care Conferences
Date: November 27th 2007
Are they a valuable use of time and resources?
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Giving Thanks
Date: November 20th 2007
Are you thankful for your job?
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Step Back!
Date: November 13th 2007
Sometimes in order to move forward, we need to step back.
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The Beauty of Brevity
Date: November 7th 2007
Saying less is wiser!
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Joint Commission’s New Leadership Standards for 2009–Part Four
Date: October 31st 2007
Operations: What do you need to do?
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Joint Commission’s New Leadership Standards for 2009–Part Three
Date: October 24th 2007
Culture and System Performance:
What do you need to do?
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Joint Commission’s New Leadership Standards for 2009–Part Two
Date: October 17th 2007
Relationships: What do you need to do?
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Joint Commission’s New Leadership Standards for 2009–Part One
Date: October 9th 2007
Structure: What do you need to do?
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Joint Commission’s New Leadership Standards for 2009–Part One
Date: October 9th 2007
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Emergency Management Planning
Date: October 1st 2007
Sustaining services for 96 hours!
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Demonstrating Your Commitment to Patient Safety
Date: September 25th 2007
Structure for Patient Safety Rounds!
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Talking with the Surveyors
Date: September 17th 2007
Ease your staffs concerns!
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Building Good Habits: Part Two
Date: September 5th 2007
Staying compliant with common issues in your work environment.
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Building Good Habits and Skills: Part One
Date: August 28th 2007
Repetition is the Mother of Skill
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Policies and Procedures - Medical Staff and Nursing
Date: August 21st 2007
Joint Commission required policies and procedures!
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Policies and Procedures - Environment of Care and Human Resources
Date: August 21st 2007
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Joint Commission’s Required Policies and Procedures ~ Get Them In Writing!
Date: August 14th 2007
Joint Commission required policies and procedures!
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Medication Management Policies and Procedures Get Them In Writing!
Date: August 8th 2007
Joint Commission required policies and procedures!
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Get It In Writing #2: Provision of Care. Treatment and Services
Date: July 31st 2007
Joint Commission required policies and procedures!
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Get It In Writing!
Date: July 24th 2007
Joint Commission required policies and procedures!
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Debriefing During Your Survey
Date: July 17th 2007
How do you do it during your survey?
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Good Grief, Debrief!
Date: July 10th 2007
What do you do after the survey?
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Improve Recognition and Response to Changes in a Patient's Condition
Date: July 3rd 2007
New Patient Safety Goal!
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Along Comes Another…
Date: June 26th 2007
New National Patient Safety Goals!
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Annual Risk Analysis
Date: June 19th 2007
Transmission and acquisition of infectious agents
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URGENT UPDATE ON STANDARD MM.4.10
Date: June 12th 2007
Exceptions apply to EDs only!
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What's the Worst That Could Happen?
Date: June 5th 2007
The surveyors have arrived!
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Tissue Storage and Issuance
Date: May 29th 2007
Do you have the right processes in place?
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Timeframes for the Electronic SOC Submission
Date: May 22nd 2007
When should you submit your SOC to Joint Commission?
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It’s a Croc!
Date: May 16th 2007
Risk of body fluid exposure?
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And the Beat Goes On….
Date: May 8th 2007
Pharmacist review of non-urgent medications
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Create Your Network!
Date: May 1st 2007
Don’t be a victim, plan ahead!
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Medication Use in the Emergency Department
Date: April 24th 2007
New expectations for Medication Reconciliation!
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Medication Reconciliation: Who Else Needs to Comply?
Date: April 17th 2007
New expectations for Medication Reconciliation!
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Medication Reconciliation in Ambulatory Care
Date: April 10th 2007
New expectations for Medication Reconciliation!
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Accidental Biting
Date: April 3rd 2007
A list of potential surveyor bites…
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Update your Team!
Date: March 27th 2007
New changes happen all the time!
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Oops!
Date: March 20th 2007
Administering medications without a physicians order?
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How Much is Too Much?
Date: March 13th 2007
If it takes this many pages to explain Joint Commission requirements….
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Control: It’s a Beautiful Thing!
Date: March 6th 2007
What can you control about Joint Commission surveys?
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Competency Assessments for Physicians
Date: February 27th 2007
Competency of physicians to perform waived tests.
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Have You Become Desensitized to Standards Compliance Failures?
Date: February 15th 2007
Get a new perspective!
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Professional Practice Evaluation
Date: February 6th 2007
Monitor practitioner performance!
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Deaths Related to Use of Restraint or Seclusion-New CMS Requirements!
Date: January 30th 2007
Reports to CMS!
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When the Pharmacy is Closed
Date: January 23rd 2007
Limited, approved set of medications that are stored outside the pharmacy!
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Emergency Management Drills
Date: January 16th 2007
Monitoring your performance!
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Organ Donation
Date: January 9th 2007
Revised Requirements!
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Unannounced Surveys
Date: January 2nd 2007
Are you ready?
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Contracted Services
Date: December 26th 2006
Monitor each contactor’s performance!
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Emergency Management
Date: December 19th 2006
Tracer for evaluating compliance with Emergency Management standards!
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Medication Management
Date: December 12th 2006
New written policies and procedures!
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Hand Offs
Date: December 5th 2006
Evaluate methods of handoff communication!
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Orientation
Date: November 28th 2006
Determine the key elements of orientation for new staff members!
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Influenza Vaccinations
Date: November 14th 2006
Evaluate your vaccination rates annually!
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