Patton Healthcare Consulting, Inc.

In previous posts we have discussed activities at a TJC Consultant Forum. This same group combined with several other advisory groups for a teleconference in October. And medical staff tracer tools, developed for conducting the system tracer, was one of the key topics.

The November EC News contains a refresher article on the requirements for fire drills in various types of care settings. 

It is well known that USP Chapter 797 is still under review with no identified approval date. But, a less well-known section on radiopharmaceuticals, USP chapter 825, will become official on December 1, 2020. Although most of our clients do not compound or dispense radiopharmaceuticals, they do administer them. So take these steps to remain compliant. 

In September, CMS issued a 198-page Federal Register announcement. In addition to new rules for nursing homes and laboratories, it includes a new Condition Of Participation (COP) for hospitals.

What’s the status of USP chapters 797 and 800? A recent TJC blog and Joint Commission Online post provided new insights. This overview details where USP 800 stands today and how it may evolve in the future.