CMS released QSO 22-07-All – Urgent Reminder
CMS released QSO 22-07-All, and surveyors will begin surveying to these requirements on January 27, 2022.
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On The Radar
Safety Alert – Double Check your Respirators
NIOSH, in agreement with the manufacturer, ALG Healthcare, have agreed to rescind the NIOSH approval for specific respirators manufactured by ALG Healthcare.
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Ambulatory Care’s Most Challenging Findings
A list of Ambulatory Care’s most challenging findings for 2021 was recently published by The Joint Commission (TJC).
Ambulatory Care’s Most Challenging Findings Read More »
CMS Conditions of Participation FAQs
CMS published several FAQs on the changes made to the Conditions of Participation for Hospitals.
CMS Conditions of Participation FAQs Read More »
Rights and Responsibilities (RI) Chapter Update- Just Released
The Rights and Responsibilities of the Individual (RI) chapter updates were just released by the Joint Commission. These updates go into effect on July 1, 2022.
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FDA Issues Warning Against Certain Imported Medical Gloves
In 2021, The Joint Commission refocused their resources and set forth revisions to the Emergency Management Chapter. There are few items we wish to draw your attention to that are now present in the chapter, and a few areas that we believe are missing from the chapter.
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Updates To TJC Emergency Management Standards
On September 1, 2021, The Joint Commission posted the long-awaited Proposed Changes to the Emergency Management Chapter.
Updates To TJC Emergency Management Standards Read More »
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.
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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
Heads Up! Medication or Not? Read More »
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
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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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