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Patton Healthcare Consulting, Inc.

by David Pillatsch David Pillatsch No Comments

Joint Commission Modifies Process for Preliminary Denial of Accreditation Decisions

The May 2016 issue of The Joint Commission Perspectives describes an important change in how they are handling preliminary denial of accreditation decisions, or PDA02. This is a particularly good news story, because TJC has found a way to not drive organizations all the way to a review hearing panel, providing they can quickly correct the issues found on survey. In the past a hospital that had a PDA02 decision had to submit their ESC, had to go through an ESC implementation verification survey, and had to then convince the Accreditation Committee not to uphold the PDA decision, and if not successful next go to a review hearing panel in Chicago to plead their case. This has become much simpler and less threatening.

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by David Pillatsch David Pillatsch No Comments

Announced: New Joint Commission Scoring Methodology and Report Format

This May 2017 edition of Joint Commission Perspectives is full of important information about changes coming in 2017. The lead article is about an entirely new scoring methodology that will eliminate the A and C elements of performance as well as the direct and indirect categorization of elements of performance. Consultants and some quality staff may shed a tear at the loss of the C elements of performance. If you really understood how to conduct audits, these made for good clarification opportunities and elimination of findings. But farewell to the C elements, it was a good decade. In addition to eliminating the C elements, this also means the Opportunities for Improvement section, or OFI’s will also be gone. Next year any one observation against what used to be a C element of performance will now result in a finding that must be addressed in the ESC.

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by David Pillatsch David Pillatsch No Comments

Top Scored Joint Commission Standards in 2015: Some Thorny New Issues

The lead article in the April issue of The Joint Commission Perspectives lists the top 10 most frequently scored standards by program for all of calendar year 2015. The list is 90% familiar to our readers and as we have mentioned repeatedly in the past, the key to using this data is to assess your own compliance with these thorny issues, and make corrections as necessary. One familiar problematic standard fell off the top 10 listing and that is EC.02.03.05. While TJC does not indicate how far down it fell, we would assume it has not gone far, as it remains a frequently scored standard that we see in client reports due to the many elements of performance and the need to have well organized testing data about fire suppression systems.

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by David Pillatsch David Pillatsch No Comments

TJC Sentinel Event Alert 56: Detecting and Treating Suicide Ideation

On February 24th TJC published Sentinel Event Alert 56 on Detecting and treating suicide ideation in all settings. Like all the Sentinel Event Alerts you will want to assign a team to review and analyze the information in the alert and to implement those recommendations that will help improve care in your organization. As with all alerts, there is no mandate to implement all the advice, but there is an expectation that the advice be considered, so be sure to document your team’s analysis and conclusions.

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by David Pillatsch David Pillatsch No Comments

Do EKG Electrode Patches Expire?

Often we see an opened package of self-adhesive electrode patches on top of code or EKG carts, or patches stored loosely in drawers in procedural areas. Various vendors manufacture these patches and many offer no explicit instruction on the package on how long they remain safe to use once the package is opened. Some go to the other extreme by instructing “do not use if the package is opened,” an instruction that many ignore thinking about the waste of throwing away seemingly good unused patches, rationalizing, why worry; if they stick well enough they most certainly are still good to use.

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