Key CMS Survey Topics for 2022
New and revised survey topics from the Centers for Medicare and Medicaid Services (CMS) took effect in January 2022. You should expect survey teams to include these topics during the review of your facility.
TJC
Mock Surveys: Determining Your Regulatory Alignment
Have you considered the benefits a mock survey can provide to help your team identify risk areas and opportunities for improvement? A mock survey is an excellent way to check your alignment with regulatory requirements and ensure your survey readiness.
Survey Readiness – Top 12 Survey Readiness Tips for 2022
Our team’s Top 12 Survey Readiness Tips for 2022. This list is based upon common, problematic findings from our accreditation and regulatory consulting travels across the country in 2021.
Data Rich . . . Information Poor
Throughout our travels across the country, we encounter organizations that struggle with the management of their data. We believe that CMS and the accrediting agency, The Joint Commission, may also be seeing the same thing.
Updates To TJC Emergency Management Standards
On September 1, 2021, The Joint Commission posted the long-awaited Proposed Changes to the Emergency Management Chapter.
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.
Treatment Planning
Titrating medications is the process of adjusting medication dosage for maximum benefit without adverse side effects. It can be a fine line to walk
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 …
Titration Orders: Are you set for safe practice?
Titrating intravenous medications is the process of adjusting medication dosage for maximum benefit without inducing adverse side effects. It can be a fine line to walk, but when staff follow clearly defined parameters through well-crafted titration orders, it can be performed with a high degree of safety and ensure that your practice is aligned with …
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Prepare Your Healthcare Laundry Department For Inspection
How often do we go to the linen closet and say to ourselves, “is this linen safe to put on my patient’s bed?” As a nurse for over 40 years, I do not think that I have ever asked myself that question. I was happy that the linen was there and that I could use …
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