Transition to Accreditation 360
We’ve all experienced the frustration of a “moving target.” Whether it’s evolving clinical protocols or the increased workloads caused by …
Survey Readiness
Preparing for the Joint Commission’s New Deemed Manuals and Survey Changes
The Joint Commission (TJC) recently announced significant updates to their manuals for hospitals and critical access hospitals, effective January 1, …
Clarification of Joint Commission Requirement – Include Patient Impact in Evidence of Standards Compliance
Upon completion of a Joint Commission survey, organizations receive a final report of findings approximately 10 business days after the survey’s …
Rules for Removing Restraints in Hospitals
What are the rules for removing restraints in hospitals? For example, let’s say a patient is on restraints and requires an MRI. Can you remove …
Medical Executive Committee Reporting Requirements
What are the Medical Executive Committee reporting requirements? Which committees or teams are required to report to them? What Are The Medical …
The Importance of a Preparatory Survey
Kurt Patton, MS, RPh, President Emeritus at Patton Healthcare Consulting, recently shared his insights on the importance of a preparatory survey. Read …
Healthcare Construction Risk Assessment
For licensing purposes, health care facilities are required to have pre construction risk assessment (PCRA) and infection control risk assessment …
New CMS Memo Impacts Joint Commission Procedures
In a recent email, The Centers for Medicare and Medicaid (CMS) released an important memo that outlines updates and guidelines for all Accrediting …
Why Do You Need A Mock Survey?
In 2022, nearly half of the nation’s hospitals ended the year in the red. With budgets under pressure, healthcare organizations have been forced to …
Revised EM Standards for Home Care
The Joint Commission recently announced new and revised emergency management standards for home care programs. These revised standards become …