Op welke sites mag je gokken in Hertogenbosch

  1. Hoe Kan Ik Geld Winnen Met Mobiel Casino: DeBunda zei ook dat geen van zijn paarden ooit winst verloren als gevolg van drugs.
  2. Hebben Online Gokkasten Een Kaartrekening - In 2023 zes race track licenties werden gegeven voor PA en tracks werden ontwikkeld rond de staat te trekken in bezoekers uit de omliggende staten.
  3. Kan Ik Digitale Gokkasten Downloaden In 2023: Er wordt geschat dat ongeveer 19,3 miljoen Canadezen gokken regelmatig bij de top 10 casino's in Canada.

Bingo online spelen in de klas

Welke Trucs Kan Ik Gebruiken Om Echt Geld Te Winnen In Online Casino
Onze Mohegan Sun Casino review heeft gevonden dat er een verscheidenheid aan veilige betalingsopties voor u beschikbaar zijn.
Gratis Elektronisch Casino Spelletjes 2023
Deze elementen worden aangevuld met speciale effecten die de video slot realistischer maken.
Het casino bepaalt de periode om het percentage te baseren op.

Casino in North Brabant

Spelen Altijd Bij Elektronische Slots 2023
Echter, het verstrekken van een uniek wachtwoord voor elke sweepstake is een uitdaging voor de meeste gebruikers.
Gokkasten En Fruitautomaten 2023 Trends
De reden dat deze vraag komt is omdat online gokken is pas onlangs wint veel aandacht in Australië en ook vanwege een aantal enigszins verwarrende wetten rond gokken.
Hoe Verdubbel Je Je Cash Bij Blackjack

2012 Reading Tips Newsletter – September (Vol 06 #09)

State & Psychiatric Hospital Compliance Collaborative’s Reading Tips Newsletter (RTN) September 2012, Volume 6, Issue 9
SPHCC Reading Tips Newsletter Banner


  • Fresh SPHCC
    • Guests, Visitors & Current Members – A preview of our refurbished site is now available. Just go to www.SPHCC.net as usual and you will be taken to a familiar but fresh SPHCC. See you there!
    • Full operation is still a ways off, but current members should have restored access starting next month
  • AnchorDelayed RTN: Because we decided to do a larger scale refresh of our website, we had to prioritize all hands to that process. As a result, newsletters for this month and next are/will be delayed. We apologize and thank you for your continued patience and support.



••Additional Updates in:


RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom
Recommended Readings, Tips & Pearls

PR: Clarifications and Expectations: Managing Corridor Clutter—Part 2 [REF:EOC, RN, SFT.] Perspectives September 2012, Pg 1, Vol 32, # 9

This article briefly summarizes what was presented in its Part 1 and then moves on to describe corridor exceptions for items such as wall mounted hand rub dispensers and retractable computer desks if no more than 26 inches wide and projecting less than 6 inches into the corridor. More than 6 inches can be allowed for monitors and exit signs if they are higher than 6 feet 8 inches from the floor. In addition there is a useful definition of ‘equivalency’ and brief reviews of key issues related to latching patient room doors and the fire rating of corridor walls. Regarding the former, it should be noted that while self-closing devices are not required for those doors, they must latch and your fire plan must include a process for ensuring those doors are in fact latched during a fire emergency (e.g., staff check every patient room and close/latch the door).


RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom

TS: SWIFT: A New Tool for Identifying Prospective Hazards [Pearl: JCSC, LDR, PI] The Source September 2012, Pg 1, Vol 10, # 9

This article presents The Structured What-If Technique (SWIFT) as a proactive team-oriented risk assessment process that is faster (and easier) than FMEA as required by TJC every 18 months (LD.04.04.05). To increase speed, SWIFT makes heavy use of brainstorming in response to “thought-provoking guide words with a question-based format ” and focuses more on high-level processes. FMEA is a more detailed, in-depth and therefore more time consuming process. SWIFT is touted as a useful time-saver that would allow more potential hazards to be proactively analyzed. It was also recommended as a first step in a staged approach that might go deeper (ala FMEA) if warranted by the SWIFT findings. A useful illustration of the process flow and some sample guide words are included on page 4. Mapping the process (e.g., flowcharting), preparing good guide words, using an expert facilitator and choosing knowledgable team members are other important keys to the effectiveness of this process. For more details about SWIFT and its use in healthcare see:
1 – Beyond FMEA: The structured what-if technique [SWIFT – HTML] (SWIFT-PDF1211).[®] Card AJ, Ward JR, Clarkson PJ. J Healthc Risk Manag. 2012;31(4):23–29.
2 – The SWIFT Technique: Outline and Suggested Protocol [Tech-Html] (Tech-DOC1211) [®]


RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom

TS: 5 Sure-Fire Methods: Complying with Standard RC.01.01.01 [REF: BHC, IM] The Source September 2012, Pg 2, Vol 10, # 9

The Source also focused its ‘5 Sure-Fire Methods’ column on this same standard in September, two years ago (click on Complete and Accurate Medical Records (2010) below). Apparently, this standard continues to be highly problematic for the field. Then as now, the greatest difficulty seems to occur around RC.01.01.01 EPs 11 and 19. This time, however, the article gives greater address to the compliance difficulties of this standard for BHC organizations. The article cites the more spread-out nature of many BHC organizations as a possible contributing factor to deficiencies related to the ability to track the location of all components of a record. The mundane recommendations for improving compliance included conducting audits, more staff education and moving toward electronic medical records when feasible. Recommended strategies from last year’s article also included the use of date-time stamps and increasing staff accountability.

[expand title=”Complete and Accurate Medical Records (2010)”]

5 Sure-Fire Methods: Complete and Accurate Medical Records [REF: MDx, MD, IM] The Source, September 2012, Pg 2, Vol 8, # 9

Hospital rates of non-compliance with Standard RC.01.01.01, have increased from 49% in 2009 to 62% in the first half of this year. TJC reports that most of the difficulty was related to the requirements for dating (EP 11) and timing (EP 19) of all entries (including orders). The noncompliance rate for our state hospital members reported in post survey questionnaires (PSQ) over the same 18-month period was only 30%. However, EP19 was their most common concern as well. The article’s recommendations included:

  • Increasing staff and LIP awareness of the importance of this requirement via training, posted reminders, etc.
  • Conducting real-time monitoring and counseling
  • Use of date and time signature stamps
  • Increasing reinforcement and accountability for this requirement


RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom

TS: Tracer Methodology 101: Individual Medication Management Tracer in a Residential Behavioral Health Care Program [REF: BHC, MD, MDx, Phrm, P&T] The Source September 2012, Pg 6, Vol 10, # 9

Orientation and training should be in place to make sure staff are competent in the ‘basics’ of medication storage, side effects and safe administration. The article also encourages attention being paid to issues such as safe storage (of pills and liquids), management of medications brought by patients, requests for PRN medication not yet ordered, self-administration and the effectiveness of communication in related contract relationships (e.g., physicians, pharmacies). The balance of the articles briefly describes the sequence of events of a medication management tracer conducted in a residential setting. [Pearl] The scenario and sample questions are worth reviewing.


RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom

TS: New Sentinel Event Alert:Safe Use of Opioids in Hospitals [REF: MD, MDx, Phrm, P&T] The Source September 2012, Pg 9, Vol 10, # 9

Sentinel Event Alert (SEA), Issue 49 (8/8/12) largely focuses on the use of opioid medication in pain management. While these medications may not be employed as frequently in psychiatric hospitals, awareness of their potential adverse effects (including dizziness, delirium, hallucinations and falls) and potentially harmful interaction with other medications (e.g., benzodiazepines) is still important. The alert also emphasizes the importance of accurate pain assessment and appropriate management techniques. The article also provides a few best practice recommendations for avoiding accidental opioid overuse. The 5-page SEA 49 [®] contains an additional 8 actions suggested by TJC to make the use of opioids safer.

RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom

TS: JCCAP™ Joint Commission Certified Accreditation Professional™: Be Ready for the Exam [Pearl: JCCAP, JCSC, LDR] The Source September 2012, Pg 1, Vol 10, # 9

When TJC announced the JCCAP initiative in July we identified it as a useful opportunity for the Joint Commission Survey Coordinator and leadership of your organization to consider (see our review of JCR Launches New Joint Commission Certified Accreditation Professional Program). This article continues to encourage participation in the program for which applications are now being accepted. It provides another review of the program, its benefits, eligibility criteria, two sample questions, brief description of the 150-multiple choice type test and announces that the first exam will be offered in January 2013. It also presents two new resources.

  • [Pearl] First is the availability (since 9/5/12) of the JCCAP Candidate HandbooK1211. Any interested persons should download this free 36-page document that provides more detail about the testing process and 3 more sample questions (pg 24). [®]
  • [Pearl] Second are the nine on-demand, JCCAP Education Module/Webinars that are now available for purchase from JCR ($1,195.00 for the set or $199.00 per module). The set is eligible for 24 hours of continuing education credit (including ACCME and ANCC) and includes the following modules:
    1. Understanding The Joint Commission’s Accreditation Process
    2. Organizational Analysis: Developing an Organizational Profile
    3. Standards: The Essentials for Accreditation Managers
    4. How to Engage Your Medical Staff into The Joint Commission Accreditation Process
    5. Environment of Care
    6. Leadership: The Foundation of Quality and Safety
    7. Performance Improvement: The Accreditation Manager’s Role
    8. Focus on Patient Safety
    9. Understanding the CMS Regulatory and Survey Process for Hospitals

TIP: If you are currently the JCSC for your organization and/or are interested in becoming a JCCAP, pay attention to our reviews that note JCCAP applicability in the description line (e.g., this review). We identify these as articles that may also provide useful review information. Our reviews of these articles are being collected and can be subscribed to as an RSS feed to help with your exam preparations.

[expand title=”JCR Launches New Joint Commission Certified Accreditation Professional Program”]

AnchorJCR Launches New Joint Commission Certified Accreditation Professional Program [PEARL: JCSC, LDR] Perspectives July 2012, Vol 32, # 7, Pg 7

If you have been working as your hospital’s Joint Commission Survey Coordinator (JCSC) for at least 3 years and can correctly answer at least 120 of 150 questions on the TJC survey process, you could receive the new 3-year certification being offered by JCR starting 9/5/12. In addition to the recognition, the certification might well help the individual with career development and it will provide discounted access to TJC’s new Accreditation Resource Center (ARC). Since certification offers your organization the benefit of assured survey process knowledge and a new potential hiring criteria, it might be willing to spring for the $375 application fee. More details on the eligibility criteria, application process, an FAQ and a couple of sample test questions are available.

TIP: Review the recommended readings (references and pearls) from past issues of this newsletter as part of your study process for the JCCAP exam.




RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom

EC: Tracing the Environment of Care: A sample fire safety mock tracer you can use [REF: EOC, E&M, SFT, JCSC] E C News September 2012, Pg 8, Vol 15, # 9

A mock EC tracer usually begins where a particular safety or security incident has occurred. Usually, much of the surveyor’s discussion with staff will be about their role in preventing/minimizing the particular risk in question and how they would appropriately respond. Here, a mock tracer scenario is presented that focused on aspects (i.e., priority focus areas (PFA)) of communication, orientation & training and physical environment as it related to the fire safety issue of the methods of entrance and egress through a hospital’s mechanical rooms. One nice aspect of this scenario is that it shows linkages between the scenario events and a set of sample questions.



RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom

[Index] [Blog] Perspectives [PR] – (September, Vol 32, # 9)

Pg01 Approved: 2013 Accreditation and Certification Decision Rules FYI: JCSC, LDR.

Accreditation decision rules for 2013 go into effect on January 1st. Most of the changes were edits designed to clarify already existing rules. However new Contingent Accreditation rules have been added to address “systematic patterns or trends of noncompliance” (CONT03) and issues related to licenses, registrations (CONT06), PFIs and ILSM (CONT07). The specific language is provided on pages 9-15.

Pg05Joint Commission Releases New Speak Up Video on Patient Rights FYI: PtEd

This is a 60-second public service announcement. However staff should note that it describes rights including:
• The right to receive information about their care in their own language
• The right to be listened to and treated with courtesy and respect
Patients are also encouraged to “participate in all decisions” about their treatment.


[Index] [Blog] The Source [TS] (September Vol 9 # 9)



[Index] [Blog] Environment of Care News [EC] (September Vol 15 #9)

Pg01 The Hazard Games: “Disaster Olympix” teaches hospital staff how to handle calamities FYI: JCSC, E0C, E&M, SFT.

“If you want to get someone to pay attention and learn, turn their work into play”. This is the core concept underlying a Los Angeles hospital’s successful integration of friendly, game-like competition into disaster drill preparedness. Games like Don’t-spill-the waste relay race and Disaster “Jeopardy”™ add fun to the process of learning and practicing principles/skills of disaster preparedness. Check out the full article for more ideas. [Note: F&A has developed ‘Compliance Games’ to achieve a similar end with National Patient Safety Goals]

Pg06 Clarifications and Expectations: Managing Corridors, Part 2 Understanding requirements for doors, corridor walls, corridor air supply, and more FYI: EOC, RN, SFT,

For a second month, Perspectives and EC News are running the same article as part of their Clarification & Expectations column. See our review of the Perspectives article above.


RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom

Quarterly Provider Updates

Mid-Quarter Instructions

Spotlight/What’s New


RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom


Joint Commission Website (JCW)

  • Joint Commission Topic Library (JTL)



SPHCC Library Additions & Full Text Articles

RTN Quick Jump••Top••RecRd••TJC••Perspectives••Source••EC News••CMS••TJCOnline••Internet••New Adds••Bottom
ALL: Everybody, CHP: Chaplain, C&P: Credentialing & Privileging, E&M: Engineering & Maint, EOC: Environment of Care, 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, MEC: Med Exec Committee, MD: Medical Staff, ofco: Officer and/or Committee, PI:Performance/Quality Improvement com/dept, PPR: PPR team mbrs/ldrs, P&T: Phrm & Therapeutics Com, Phrm: Pharmacy,PSY: Psychology, PtAd: Patient Advocate, PtEd: Patient Education, RHB: Rehab/Activity Therapy, RN: Nursing, SFT: Safety,StEd: staff ed & training dept, SW: Social Work, TxTm: Treatment Team, UrUm: Utilization Review/Management,X: Exec, Dir or Chief (e.g., MDx = Medical Director)
NOTE: You may leave COMMENTS or UNSUBSCRIBE from this mailing list at any time.