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INTERNET HIGHLIGHTS

Joint Commission Website (JCW)

  • Joint Commission Online (JCO)
    • January 9, 2013 (PDF)      [®]

      • Revised restraint requirement for hospitals and critical access hospitals   [Pearl: JCCAP/JCSC, MDx, LDR]

        Effective immediately, PC.03.05.19, EP 1, related to the use of restraints, has been revised to more specifically address the requirement for reporting to CMS, deaths that occur up to 1 week after the use of restraint or seclusion.     Read More
        TIP:  Make sure your death review procedures include consideration of this CMS reporting requirement.     #JCo130109_RestraintRevision

      • Customize your on-site survey and help improve accreditation via the CVA survey  [Pearl: JCSC, LDR]

        The CVA is a two-part survey: the first part is completed after the E-App (electronic application) is submitted; the second part is completed after the on-site survey takes place. The first part of the CVA helps the survey team know what is important to an organization and provides a more customized on-site survey. The second part tells TJC how well they met your organization’s expectations for their on-site survey.  Read More
        TIP: Complete CVA part 1 with a mind toward constructively influencing surveyors/survey process.  Complete part 2 with the idea of improving  TJC survey process in general and advantageously positioning your organization, should appeal or reviews be required.  

    • January 2, 2013 (PDF)    [®]
      • New accountability performance measures for 2012  [Pearl: JCSC, PI]
        There are 4 new accountability measures for 2012 including HBIPS-4a/HBIPS-5a (Patients discharged on multiple antipsychotic medications without appropriate justification). “Beginning in 2013, only HBIPS-4a/HBIPS-5a (patients discharged on multiple antipsychotic medications without appropriate justification) will be reported.
        Pearl: HBIPS-4a/HBIPS-5a is derived by subtracting HBIPS-5a (multiple antipsychotic medications at discharge with appropriate justification – overall rate) numerator cases (those cases with justification) from both the numerator and denominator of HBIPS-4a (multiple antipsychotic medications at discharge – overall rate)”.    #JCo130102_NewAcctMeasures

  • 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, JCCAP: Jt Com Certified Accreditation Professional, 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)
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