Last week, the Centers for Medicare and Medicaid Services (CMS) unveiled its new searchable hospital inspection report database to the public. Now, anyone—patients, news media, lawyers, and hospital critics—can easily access reports detailing violations found in hospital operations. To make matters worse, the part of the database that is supposed to include hospital-submitted corrective action plans [...]
Compass Clinical Consulting Chief Executive Officer Cary D. Gutbezahl, MD, and Managing Director Kate Fenner, RN, PhD, will attend the American College of Healthcare Executives (ACHE) 2013 Congress on Healthcare Leadership. They will be looking to meet with seasoned CEOs thinking about their next career move. Contact us to set up an appointment to meet [...]
About six years ago, the Joint Commission (TJC) introduced the concept of the periodic performance review (PPR) as a way for healthcare organizations to monitor their performance on an annual basis. Recently, TJC announced that it will launch a new phase in the self-monitoring process: Intracycle Monitoring (ICM). This process will be made available beginning in November [...]
Earlier this year, we shared with you 2011’s most frequently cited Joint Commission (TJC) requirements, as well as a snapshot of TJC survey reports from the first quarter of 2012. The Executive Briefing from TJC has yielded a new “most popular” list. The most frequently cited deficiencies have been expanded to 20 from the previous [...]
The Joint Commission (TJC) has just released a clarifying guideline to assist hospitals in meeting the accreditation standards when Health Care Industry Representatives (HCIRs) are present. TJC’s expectations are straightforward: when HCIRs are in the clinical environment, TJC standards for infection control, patient rights (particularly informed consent), and safety must be maintained. This may sound [...]
In April of this year, the Food and Drug Administration (FDA) released a safety communication alerting healthcare facilities to stop the use of Other-Sonic Generic Ultrasound Gel manufactured during the months of June through December of 2011. The gel was found to be contaminated with the bacteria Pseudomonas aeruginosa and Klebsiella oxytoca, which were transmitted to patients [...]
July 1, 2012 marks the deadline for full implementation of IC.02.04.01, which requires hospitals to offer vaccinations against influenza to all hospital staff, including members of the medical staff (“Licensed Independent Practitioners” or LIPs), and to establish incremental goals to achieve a 90% vaccination rate by 2020. The new standard does not mandate vaccination; rather, the [...]
The final rule for the Medicare Physician Fee Schedule for 2012 expands bundled payments for inpatient stays to include all services within three days of admission by a wholly owned or operated physician practice. The new policy, effective … Print Friendly Version / Print to PDF
The Center for Medicare and Medicaid Services (CMS) Inspector General (IG) Daniel Levinson has released his report focusing on CMS tracking and follow-up on serious errors. The report urges better scrutiny of errors that are defined as initiating Immediate Jeopardy (see Conditions of Participation Appendix Q), as well as more consistent enforcement and monitoring of [...]
Effective November 18, 2011, CMS released for immediate implementation a relaxation of the “30-minute” rule for medications. With this change, only time-sensitive medications will still be required to meet the 30-minute time standard. On September 10, 2010, the Institute for Safe Medication Practices (ISMP) published results of a survey of nurses in which they self-reported [...]
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