June  Full Reading Tips Page (RTP) With Active Links Attached   2009

Online Version is available on the SHCC website. Click on "Current Pearls" in sidebar or goto: www.shccPearls.com •• ALERTS:  Fld Rvw: NPSG, MD Definition, More Revised Scoring, R&S Stnd Input, Fld Rvw: Com/Cult, Fld Rvw: Staff Effectiveness, PSQ Analysis Note: Due to the large number of significant alerts, REFS and Downloads are not included in this issue, but can be obtained from the attached RTP Pearl Quick Jump ••Top••Special••Alerts••Ref Art••Bottom Alerts Perpectives Pg05- Release of Revised 2010 National Patient Safety Goals Delayed FYI: JCSC.  Because of the special review currently in progress, 2010 NPSG will not be published in Perspectives until October (instead of the usual July).  [ALERT: JCSC]  Potential revisions to the National Patient Safety Goals and the Universal Protocol are only available for field review through June 23, 2009 Perpectives Pg06- Revision: Hospital Definition of Physician  [ALERT: MDx, MD]  TJC standards now include a broader CMS definition of physician (to include doctors of dentistry, podiatry optometry and Chiropractor) but for some requirements will still utilize its more narrow designation of doctor of medicine or osteopathy.  As a consequence, 14 EP (2 MM, 5 MS, 6 PC and 1 RI as listed in a provided table] are being revised and become effective July 1 of this year. Perpectives Pg08- Update: Additional Scoring Changes for All 2009 Accreditation Manuals [ALERT: JCSC, EOC, SFT, P&T, PPR]  Last month and now again this month, TJC has found the 'need for additional' scoring changes.  Effective 7/1/09 most of the latest changes (14 EP in EC, 17 In LS, 6 MM, 2 PC, 3 PI, 1 RI  and 1 in LD) will be  applicable to hospitals. The Joint Commission (TJC) 6/8/09 - Field Review: Effective Communication, Cultural Competence, and Patient-Centered Care - [Alert: JCSC, LD, HR, MDx, StEd, PtAd]  Although implementation would not be expected before January 2011, "The Joint Commission is (developing and) proposing accreditation requirements to help hospitals better address effective communication, cultural competence, and patient-centered care." Although this will require setting aside some time, within the next six weeks when the field review ends (7/20/09),  JCSC and LD really should: read the Project Overview (1/2 page - 2 min), read the Proposed Requirements to Advance Effective Communication, Cultural Competence, and Patient-Centered Care for the Hospital Accreditation Program  (6 pages, 10 min or at least page 1 that includes a Quick Reference guide of the 16 key proposed change areas involving 6 chapters of standards - HR, MS, LD, PC, RC, RI.  The remaining 5 pages provide the detail.) complete the questionnaire (25-30 minutes) online or via e-mail 6/10/09 - Field Review: Staffing Effectiveness -   [Alert: JCSC, HR, RNx]  TJC has acknowledged the field's concern about the value of current staffing effectiveness requirements.  They have proposed two new EP as part of a transition to a more useful approach and are requesting feedback by 7/10/09 if possible, but no later than 7/22/09 (when the field review officially closes).  State and public psychiatric hospitals are strongly encouraged to review the proposed staffing effectiveness requirements (5 min) and then complete the questionnaire (10 questions, 5 min) online or via email to ensure more appropriate requirements for our specialty. Post Survey Questionnaire Analysis  (Jan-June, 2009) SHCC has determined that in the first six months of 2009, ten of our state hospital members experienced full unannounced Joint Commission surveys (see below).  A preliminary analysis of 2009 survey dates in comparison to the previous full survey revealed the following: Average time since last survey: 1055.6 days or approximately 35.2 months Percent of 10 hospitals having 2009 surveys earlier than 36 months:   70% Members who have not submitted PSQ feedback are implored to do so as soon as possible .  Pearl Quick Jump ••Top••Special••Alerts••Ref Art••Bottom•• Reference Articles - Refer to the full RTP Misc. (Downloads, Courses, Etc.) Pearl Quick Jump ••Top••Special••Alerts••Ref Art••Bottom•• For additional information or to leave comments/suggestions, please contact us at www.fieldsinc.com/support.html Thank you. © 2009 Fields & Associates, Inc. All Rights Reserved.

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