Author: Patricia Cook, BS, R.Ph, HACP-CMS, Head of Consulting

Top 2022 TJC Deficiencies and Potential Solutions in the Hospital Environment

Last month, The Joint Commission published the Top TJC Deficiencies for 2022. Learn strategies for conquering these issues.

Readily Retrievable Documents

One of the easiest deficiencies a regulatory or accrediting organization can render against an organization is a finding that the organization was not able to provide expected documents.

CMS Setting the Bar Higher for Hospital Quality Assurance and Performance Improvement Programs

CMS released QSO-23-09-Hospital in early March to provide greater emphasize of organization’s efforts to deliver safe, quality patient care.

The Joint Commission Proposed Environmental Sustainment Requirements

The Joint Commission published their initial Environmental Sustainment standard. Learn more how to send a comment.

Heads Up !  TJC provides Equity Standards Evaluation Tool

The Joint Commission released an updated 2023 Survey Activity Guide for Hospitals. Learn about the included Standards Evaluation Tool.

Double Check your Glucometer Cleaning Processes

Following Instructions for Use when cleaning glucometers helps eliminate risks & keep organizations out of the Red Zones of SAFER Matrix used by the Joint Commission

Covid-19 Data Reporting Update: Frequency Change?

Covid-19 data reporting system will continue to be required by the CMS Conditions of Participation. Learn more.

Exiting the Public Health Emergency- What you need to know

Many federal declarations for the Covid-19 public health emergency will expire on May 11, 2023. To understand the impact these changes will have on your organization

ISMP Isoflurane Alert

The Centers for Medicare and Medicaid Services (CMS) has outlined expectations of healthcare organizations in addressing the issues of workplace violence

Environment of Care, Life Safety Findings – Observations from the Field

Learn about Environment of Care and Life Safety Findings commonly found during survey which often lead to condition level findings.

USP 797 Finalized?

Revisions to both USP Chapter 795 and USP Chapter 797 will be released on November 1, 2022. Learn more about the release of these documents.

How to Break the Chain of Infection

There are a number of things you can do to break the chain of infections including proper hand hygiene and simple covering of our coughs. Learn more!