Judy Courtemanche

Addressing Workplace Violence

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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)

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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

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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?

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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!

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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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Preventing Maternal Harm

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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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Part VI – CMS Immediate Jeopardy Series

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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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