Source: pg03-Going Offline, Staying on Course: What You Can Do When the PPR Is Down [**ALERT: JCSC**] After 1/1/09, you will need to repopulate the Open PPR. TJC will provide a link to data tables that can be printed out for this purpose. Other key dates to keep in mind are provided in the attached RTP.
TJC News Release (11/4/08) - Joint Commission Accreditation: Lab Decisions Will No Longer Affect Hospital Decisions [**ALERT: JCSC**] TJC has announced that an adverse accreditation decision rendered by it or one of its cooperative partners (CAP or COLA), will continue to be linked to, but no longer have immediate impact on hospital accreditation decisions. Instead, an adverse laboratory accreditation decision will help establish the hospital’s priority for their next unannounced survey.
November Reference Articles
Source: Pg01-Ensuring Accurate Verbal Orders [**REF**] This is a presentation of 9 basic suggestions for full compliance with RC.02.03.07. The 9 suggestions are summarized in the attached RTP. RN, MD and StEd should review this article
Source: Pg06-Storing Medications Properly: Complying with Standard MM.03.01.01 [**REF**] Medication storage, MM.2.20 (now MM.03.01.01) was also a Top 10 non-compliant standard. Phrm, RN and P&T should review this article in which TJC lays out the expectations for compliance and provides additional considerations. More details available in the attached RTP
Pt Safety: Pg05-Addressing Substance Abuse Among Health Care Professionals [**REF**] The article defines substance abuse as "misuse or overuse of a substance…by persons unable or unwilling to stop using". While any healthcare worker may be affected there are estimates that 8-12% of physicians and perhaps 32% if nurses may have a problem of this nature. The article reminds us of some of the common signs of the problem (More details available in the attached RTP). A more detailed list of signs and behaviors of impairment from the AANA (see below) is included. There are also recommendations for the content of a comprehensive policy. MD may find this particularly useful in evaluating compliance with MS.11.01.01 (MS.4.80). RN may find a useful resource in the American Association of Nurse Anesthetists (AANA) that created "a peer assistance program to provide resources to individuals concerned about their own or a colleague’s substance abuse problem". See also: Signs and Behaviors of Impaired Colleagues
DB: HFAP Accreditation - JCSC: Is anyone aware of psychiatric hospitals in your State, either public or private that is HFAP accredited (Healthcare Facilities Accreditation Program)?
PSQ: Assistance with Post Survey Questionnaires: State-hospital specific feedback on recent survey experiences is a unique and valuable part of the SHCC databases. We really need all the outstanding PSQ's now so that we can analyze them and identify trends in time for January '09. We know this is a bad time of the year for extra work, so we would like to offer a hand. If you have not yet submitted your PSQ, just attach and e-mail or fax (770.389.3700) us a copy of your survey report and our staff will draft a PSQ for you. Please do it soon.Alabama: THSMF (1/19/2007) – Illinois: EMHC (8/22/2008) – Nebraska: LRC (1/18/2008) – NewYork: CPC (4/11/2008), GBHC (8/17/2007), KFPC (7/16/2008), MHPC (4/3/2008), PPC (July 20, 2007), QCPC (6/13/2008), SBPC (5/9/2008), SCPC (8/20/2008)
