Kimothy M. Sparks, J.D., RN

Revised Prepublication Standards For Workplace Violence Prevention

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The Joint Commission has approved the prepublication standards for the Prevention of Workplace Violence, that take effect January 1, 2022. These prepublication revised standards address Environment of Care, Human Resources, and Leadership. The Environment of Care standard requires an annual proactive worksite analysis, the investigation and review of how the organization’s policies, education, training, and …

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Improving Maternal Health- New TJC Standards: Severe Hypertension/Preeclampsia

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The United States ranks 65th among industrialized nations in terms of maternal death.¹ In December 2020, Alex Azar, Secretary of Health and Human Services along with Jerome Adams, Surgeon General issued the Call to Action to Improve Maternal Health. This coupled with the release of The Joint Commission’s six new elements of performance (EP’s) under …

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The Joint Commission Releases New Life Safety Code Business Occupancy Requirements

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The Joint Commission has released new expectations related to the Life Safety Code for Business Occupancy. These new requirements take effect July 1, 2021, for organizations accredited through their Hospital, Critical Access Hospital and Behavioral Health and Human Services programs. These standards address fire safety and means of egress during fire emergencies. This marks the …

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1:1 Observation for Suicidal Patients: Does Your Policy Place Staff at Risk?

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Protecting patients who are prone to self-harm is an issue that is paramount in healthcare today, especially in extremely busy Emergency Departments. Much research and investigation has gone into the best way to protect individuals who are expressing intent on self-harm, but, are some of these policy inclusions encroaching on the safety of the healthcare …

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CLIA Remote Surveys 2021

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On November 6, 2020 CMS released QSO 21-04-CLIA_0 entitled CLIA CMS Locations & State Agency Remote Survey Guidance- Optional Process. This document provided two notices: 1) The Extension of the expiration date of all CLIA Certifications to 12/31/2020 2) Provided criteria for when remote CLIA surveys can be performed including eligibility criteria along with a …

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