Judy Courtemanche

Addressing Workplace Violence

July 27, 2021 / By

The Joint Commission is currently seeking input on new and proposed requirements for workplace violence. Go to https://www.jointcommission.org/standards/standards-field-reviews/proposed-new-and-revised-requirements-for-workplace-violence-prevention-in-hap-and-cah-field-review/ for an opportunity to review and prepare. One of the new expectations is that organizations would conduct an annual Work Site Analysis related to its Workplace Violence Program, which would include the following: a proactive analysis of …

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Effective Suicide Screening & Assessment in the Emergency Department Act (H.R. 4861)

July 27, 2021 / By

Breaking news from Capitol Hill! The ENA-priority Effective Suicide Screening and Assessment in the Emergency Department Act (H.R. 4861) was passed by the House of Representatives with overwhelming bipartisan support. The bill would improve the identification and treatment of at-risk patients. The passage of this bill is especially timely given the detrimental effect of the …

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SUBJECT: CMS Enforcement Cases Held during the Prioritization Period and Revised Survey Prioritization for Long Term Care, Non-Long Term Care and Laboratories

July 27, 2021 / By

CMS  is committed to taking critical steps to ensure America’s health care facilities continue to be prepared in response to COVID-19.   QSO-20-35-ALL released August 17, 2020 outlines changes that are taking place with survey prioritization.  Key changes Include: •CMS is revising guidance on the expansion of survey activities to authorize onsite revisits and other survey …

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Respiratory Therapy – Are You Ready?

July 27, 2021 / By

The Joint Commission Pre-Publication Standards that were scheduled to take effect July 1, 2020 have been extended to September 13, 2020 per a TJC Representative. Please note they contain a significant change within HR 01.01.01 EP 1 for Respiratory Therapy. It specifically states: “For hospitals that use Joint Commission accreditation for deemed status purposes: Staff …

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Everyone is Going Virtual!

December 7, 2021 / By

Everyone is Going Virtual! The Centers for Medicare and Medicaid (CMS) and The Joint Commission (TJC) as well as some other accrediting organizations are going VIRTUAL. So, what does that mean for healthcare organizations? CMS distributed information through QSO-20-20-ALL, released March 20, 2020, to inform all healthcare facilities, including acute care and continuing care settings …

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Why is There a Focus on Maternal Hemorrhage?

July 27, 2021 / By

Hemorrhage is the most frequent cause of severe maternal morbidity and preventable maternal mortality, accounting for an estimated 3 percent of deliveries in the United States, or more than 100,000 births a year. A recent study from the CDC Foundation postulated that up to 70% of hemorrhage-related obstetric deaths are preventable. That means that we …

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Preventing Maternal Harm

July 27, 2021 / By

The Joint Commission released information in Quick Safety 51 on October 29, 2019, about the increasing concerns with maternal hemorrhage. Their data indicates that approximately 700 women die annually from pregnancy related complications, with the most frequent cause obstetric hemorrhage. In addition, there are significant racial and ethnic differences, with black women having a pregnancy-related …

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New Important Message from Medicare and the Detailed Notice of Discharge

December 29, 2021 / By

January 7, 2020: The Office of Management and Budget (OMB) has renewed the IM (CMS-10065) and DND (CMS-10066). Please note the IM has been revised and has a new CMS Form number (CMS-10065), it was formerly the CMS-R-193. Hospitals are required to use the new IM and DND beginning April 1, 2020. Both the previous …

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Part VI – CMS Immediate Jeopardy Series

January 17, 2022 / By

How to Address an Immediate Jeopardy Decision?   The survey team leader wants to address an Immediate Jeopardy situation with your leadership.  The surveyor verbally presents the circumstances of the situation, the investigation performed and the decision process.  The specific details, including the individuals at risk is provided before leaving the entity.  What should you do?  …

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