Patricia Cook, BS, R.Ph, HACP

New Performance Improvement Requirements for Critical Access Hospitals

In September of 2019, CMS issued the Burden Reduction Final Rule that reset some of the requirements and expectations related to Performance Improvement within Critical Access Hospitals. Several of the required changes have taken effect within The Joint Commission Critical Access Hospital Accreditation Program but several additional changes that reside within the Leadership Chapter took …

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New Requirements on the Horizon: Resuscitative Services

On December 21, 2020, The Joint Commission published a new, updated version of their proposed Resuscitation Standards. Redesign of these standards began in early 2020 with the first opportunity to submit comments being concluded mid-year. While some of the revisions appear to be simple word-smithing opportunities, there are several changes, if adopted as written, that …

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PROPOSED REVISIONS FOR RESUSCITATION STANDARDS

The Joint Commission has proposed changes to the Resuscitation Standards for Hospital and Critical Access Hospitals. These changes were most recently released December 21, 2020. Since then TJC has opened the opportunity to provide feedback on these proposed standard changes. The window to submit your feedback will close on February 22, 2021. To provide feedback, …

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Time Sensitive New Survey Guidance from CMS- Survey Suspensions

On January 20, 2021 CMS issued QSO 20-13 announcing new limitations to the conduct of allegation, accreditation and certification surveys. Accrediting Organizations are being advised to suspend their accreditation/certification activities for the next 30 days at which point CMS will reevaluate and could extend the suspension for an additional 30-day period. Click here to access …

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