Month: July 2016

by David Pillatsch David Pillatsch No Comments

OBSERVATIONS FROM TJC SURVEYS THIS YEAR: IC.02.02.01 EP 1 and EP 4

Recently, we wrote to discuss some EC and IC findings we are seeing in 2016 with a high degree of consistency during TJC surveys. These two chapters of the accreditation manual are causing havoc on survey and we wanted to share these common findings with you, while still protecting the confidentiality of the hospitals hit by these issues.  In the previous blog entry we discussed two standards and two EP’s, EC.02.05.01, EP 15 and IC.02.02.01, EP 2. Here today, we will discuss two additional elements of performance at IC.02.02.01 that are causing an array of issues on survey. Read more

by David Pillatsch David Pillatsch No Comments

Joint Commission Announces New Antimicrobial Stewardship Standard

This July 2016 issue of The Joint Commission Perspectives announces the 1/1/17 implementation date for the new antimicrobial stewardship standard, MM.09.01.01. There are 8 elements of performance, the first of which requires that leadership establish antimicrobial stewardship as a priority. Requirements like this are sometimes confusing on exactly how you go about doing this. The good news is TJC supplies a note with this EP stating 6 examples of how leadership can provide evidence of doing this. They include as examples:

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by David Pillatsch David Pillatsch No Comments

OBSERVATIONS FROM TJC SURVEYS THIS YEAR: EC.02.05.01, EP 15 and IC.02.02.01, EP 2

We are seeing a high degree of consistency occurring on hospital surveys this year in terms of frequently scored IC and EC standards. These two chapters of the accreditation manual are causing havoc on survey and we wanted to share these common findings with you, while still protecting the confidentiality of the hospitals hit by these issues.  Today I am going to discuss just two standards and two EP’s, EC.02.05.01, EP 15 and IC.02.02.01, EP 2. Both of these issues will score out at a COP level, thus inviting TJC back for a revisit in 45 days or less. The issues we are going to discuss next are appearing on more surveys we review than not, so preparing to prevent these same hits is important. Read more