Christopher Pratt, MS, BSN, HACP-CMS, Senior Consultant & Accredited Provider Program Director

New Definition for Fall Events Under TJC’s Sentinel Event Policy

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The Joint Commission will be defining fall events in their Sentinel Event Policy starting January 1, 2021 to help address the need for more preventive fall measures. This new definition will be more closely aligned with established guidelines from the National Database of Nursing Quality Indicators™ and the National Quality Forum. The new definition will […]

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History & Physical Requirement Changes – Ambulatory Surgery Centers

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CMS’s recently announced adoption of the final rule that will make changes to several regulatory requirements that affect hospitals, critical access hospitals and/or Ambulatory Surgery Centers. These changes will be phased in over the next two years. The first change removes the current requirements found at 416.52(a) for a H&P within 30 days of the

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Celebrating Nursing Week

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It is timely that in the midst of a worldwide pandemic that has gripped our nation, we celebrate our nation’s nursing professionals during Nursing Week (May 6-12). The normal accolades provided to our nursing professionals for their delivery of safe and effective patient care seem to fall short in the face of the current healthcare

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Revisions to the Palliative Care Certification Requirements

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The Joint Commission has just release two new elements of performance (EPs) and one revised EP that will go into effect July 1, 2020 for hospital-based palliative care programs in the Advanced Certification for Palliative Care program. These updates are as follows: Provision of Care (PCPC) standard PCPC.1, EPs 6 and 7, which require programs

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Monsters Under the Bed – The Hidden Danger of Mold

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As children, many of us were keenly aware of the dangers of monsters lurking under our beds and in our closets at night. Age and wisdom (and sometimes a flashlight wielding parent) soon dismissed these creatures as figments of our own imagination. However, as leaders in healthcare, we should realize that there are indeed monsters

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Value Based Purchasing and Immediate Jeopardy

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The relationship between quality in healthcare and money (CMS reimbursement specifically) couldn’t be more relevant than when you consider the ramifications of finding your organization in an immediate jeopardy status and your ability to receive funds through the Centers for Medicare and Medicaid Services (CMS) Value Based Purchasing programs. “Hospital Value-Based Purchasing (VBP) is part

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