Serious Reportable Events – Physical Environmental Compliance
As healthcare leadership looks toward 2027, the landscape of Serious Reportable Events (SREs) is shifting. While many associate SREs with clinical …
Survey Readiness
Navigating Hospital CPR Requirements
Determining the appropriate level of life support training for various hospital roles is like piecing together a complex puzzle. With varying guidance …
Maintaining Eye Wash Station Compliance
Maintaining eyewash station compliance seems straightforward, yet it remains one of the most frequently scored noncompliant items by the Joint …
Most Frequently Scored Standards
For years, healthcare leaders have looked at Most Frequently Scored Standards as a roadmap for compliance. But instead of focusing solely on volume, …
Joint Commission Fire Drill Requirements – Update
Managing the intricate details of Life Safety compliance just got a little easier. Joint Commission fire drill requirements were updated, eliminating …
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 …
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 …