State & Psychiatric Hospital Compliance Collaborative’s Reading Tips Newsletter (RTN) October 2016, Volume 11, Issue 10 |
** PSYCHIATRIC HOSPITAL HIGHLIGHTS FOR OCTOBER 2016 ** Article of the Month
**RECOMMENDED READING:
**USEFUL UPDATES, LINKS & DOWNLOADS:
**SupporTips |
** Key: Ftxt=Full Text Link PR=Perspectives (JcE), TS=The Source (JcS), EC=EC News (JcE), CM=CMS, JO=JC Online, TP=JC Topics **[More Abbreviations] ** |
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** Members Only Material Begins Here**
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Recommended Readings, Tips & Pearls |
*PR: The SAFER™ Matrix and Changes to the Post-Survey Process As announced in the May 2016 Perspectives, The Joint Commission is conducting (PDF)[REF: SC] Perspectives, October 2016, Vol 36, #10, Pg 1 JCp1610_B1
This article provides an overview of SAFER. It summarizes points of change: |
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*TS: The Road Ahead Understanding Infection Prevention and Control Standards Update for 2017 (PDF)[REF: IC, SC] The Source, October 2016, Vol 14, #10, Pg 1 JCs1610_B2 5 of the 131 EPs deleted as a part of Project Refresh came from the IC Chapter. This article provides a table listing those EP and the reason they were eliminated. Since most of deletions were because of redundancy, there is no significant impact om what is required. The exception is IC.01.05.01, EP3 that removes the requirement for having a written description of the process for evaluating your IC Plan. The balance of the article provides a review of SAFER and an example of IC standard placement in a SAFER Matrix. |
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* EC: Clarifications and Expectations: Clarifying Changes in the Life Safety Survey Process by George Mills (PDF)[REF: AOM, EC] EC News, October 2016, Vol 19, #10, Pg 5 JCe1610_B3 In light of Project Refresh, a number of changes in the Life Safety Survey Process will also be occurring. |
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* EC: Performance Improvement and the Environment of Care (PDF)[REF: EC, Tool] EC News, October 2016, Vol 19, #10, Pg 8 JCe1610_B4 The key example of EOC-related PI is the fire drill. This article describes a 30 question checklisted Fire Drill Summary Report used by Carilion Franklin Memorial Hospital (CFMH) in Rocky Mount, Virginia. x
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Act: Activity/Occ Therapy, Rehab, CHP: Chaplain, C&P: Credentialing & Privileging, EOC: Environment of Care/Engineering & Maint, FB: Finance/Business, FdDt: Food services/Dietary, GB: Gov Body, HR: Human Resources/Personnel, HST: Human Service Tech/Aid, IC: Infection Control, IM: Info Mgt/Med Records, IT: Info Technology, JCSC: Jt Com Survey Coordinator, LDR: Leadership/Mgt, MD: Medical Director/Medical Staff, PI: Performance/Quality Improvement com/dept, P&T: Pharmacy/Pharmacy & Therapeutics Com, PSY: Psychology, PtAd: Patient Advocate, PtEd: Patient Education, RN: DON/Nursing, SFT: Safety, StEd: Staff Ed & Training, SW: Social Work, TxTm: Treatment Team, UrUm: Utilization Review/Management, X: Exec, Dir or Chief (e.g., MDx = Medical Director), Ftxt:Full Text Article |
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