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Ligature Risk Extension Requests

CMS issued a new QSO memo this past month. QSO 19-12, published April 19, 2019, addresses ligature hazards. In fact, they use the term “ligature risk …

Read moreLigature Risk Extension Requests
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Joint Commission Scoring Patterns

This month’s edition of Perspectives summarizes Joint Commission scoring patterns. It includes the accreditation and certification programs for the …

Read moreJoint Commission Scoring Patterns
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Immediate Jeopardy Determination

CMS issued a new QSO memo this past month, QSO 19-09. It details the dreaded subject of immediate jeopardy determination. Appendix Q of the State …

Read moreImmediate Jeopardy Determination
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Day One Document Advice

Our TJC discussion this month centers around two topics. One, The Joint Commission released two new TJC FAQs covering suicide prevention and exit …

Read moreDay One Document Advice
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Infection Prevention Frequently Scored Standards

Is infection prevention a frequently scored standard? In fact, it ranks among the top few in our database. But, there are steps you can take to ensure …

Read moreInfection Prevention Frequently Scored Standards
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Joint Commission 9 New Performance Elements

Recently, the Joint Commission announced the anticipated publication dates for their 2019 manuals and shipments to subscribers of the print editions. …

Read moreJoint Commission 9 New Performance Elements
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CMS Complaint Survey Process

The CMS complaint survey process changed. And, they introduced a new validation survey pilot. Here’s how it will impact your organization.

Read moreCMS Complaint Survey Process
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Means of Egress in Ambulatory Healthcare

The means of egress in ambulatory healthcare occupancies is an important topic. In fact, it’s the lead article in the July EC News.

Read moreMeans of Egress in Ambulatory Healthcare
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New Fluoroscopy Requirements

For organizations providing fluoroscopy services, there are revised standards. Although an article details the new fluoroscopy requirements, they are …

Read moreNew Fluoroscopy Requirements
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Naming Newborns

Naming newborns. A new standard that you must implement by January 1, 2019.   NPSG.01.01.01, EP 3 standardizes the process of naming newborns for …

Read moreNaming Newborns
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Recent Posts

  • Emergency Operations Plan vs. Continuity of Operations Plan
  • Requirements for Anesthetic Gas Storage in the Pharmacy
  • Suicide Screening – Meeting NPSG 15 Requirements
  • Beyond the Operating Room: Are Brief Op Notes Required for Procedures in IR and the Cath Lab?
  • Preparing for the Joint Commission’s New Deemed Manuals and Survey Changes

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