Updates To TJC Emergency Management Standards
On September 1, 2021, The Joint Commission posted the long-awaited Proposed Changes to the Emergency Management Chapter.
On The Radar
New & Revised Requirements Addressing Antibiotic Stewardship
On August 4, 2021, The Joint Commission posted new elements of performance related to MM 09.01.01 Antibiotic Stewardship.
Heads Up! Medication or Not?
Many organizations may be leaving these opportunities for improvement on the table. Did you know that any toothpaste that contains sodium fluoride contains a National Drug Code and is classified as a medication? We recently verified this with The Joint Commission Standards Interpretation Group. Their team advised this would be determined by how they are …
Covid-19 Resources for Environmental Services
Recently the American Hospital Association, Health Research and Educational Trust and the Center for Disease Control updated their COVID-19 training and education resource for those persons responsible for maintaining the cleanliness of our organizations. While the tool addresses COVID-19, the training is founded in the basic principles of disinfection and contains great infographics that could …
If Talent Management is the Biggest Challenge in Healthcare- What Can You Do?
The July 13, 2021, electronic issue of Becker’s CEO Report shares with us the results of a recent Fortune/Deloitte poll which identified that attracting, hiring, retaining, developing, growing and engaging talent and succession planning is one of their biggest challenges. Modifying work schedules and staffing ratios may provide relief as an interim measure while recruitment …
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2021 Top 5 deficient areas identified by Courtemanche & Associates
1. Competency: With advances in technology and more complex responsibilities amongst staff, the area of competency assessment and reassessment holds a lot of opportunity for improvement. Many organizations struggle with differentiating orientation and competency at the point of hire along with determining which competency assessment should occur on an annual basis. 2. Suicide Risk Identification …
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The Joint Commission Resuscitation Requirements For Healthcare
The Joint Commission has shared that proposed Resuscitation Standards will be finalized in July 2021 with an effective date of January 1, 2022. Stay Tuned for more information from C&A in July on the new expectations set by these standards.
Exercise Exemption/Emergency Operations Plan
On June 21, 2021, CMS issued QSO 20-41 outlining and clarifying the Emergency Operations Plan Exercise Requirements in light of the ongoing Public Health Emergency. To learn more about the testing requirements and exemptions that are in place, go to QSO-20-41-All-CMS-Exercise-Exemption-Emergency-Operations-Plan. Need help interpreting this for your organization? Contact us at info@courtemanche-assocs.com.
OSHA Releases New Safety Rule
On June 10, 2021, OSHA released their newest Covid-19 safety rules for healthcare workers. To learn more click here. For assistance in interpreting or designing processes that will comply, contact C&A
Medical History & Physical Requirements for Ambulatory Healthcare
The Joint Commission has revised their Medical History and Physical requirements for Office-Based Surgery and Ambulatory Health Care Accredited Organizations effective July 1, 2021. The new standards now indicate a Medical History and Physical Exam is performed as needed. The organization develops written policy on the criteria for which patients a medical H&P must be …
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