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Understanding the Center for Improvement in Healthcare Quality (CIHQ)
Victoria M. Fennel, PhD, RN-BC, CPHQ, has been published in Becker’s Hospital Review with the fifth article in our eight-part series on accreditation options for healthcare organizations. The article, "Understanding the center for improvement in healthcare quality"...
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CMS Withdraws Proposal to Make Accreditation Reports Public
The proposal had intended to require AOs to post provider/supplier survey reports and plans of corrections from CMS-approved accreditation programs on their public-facing websites.
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Accreditation Options: What Hospital Leaders Need to Know
This whitepaper explores some of the accreditation options available to hospitals— including TJC, HFAP, DNV GL, and CIHQ—paying close attention to the philosophies of different accrediting bodies, as well as the implications, costs, and benefits associated with them.
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10 Most Reported TJC Sentinel Events for Second Quarter 2017
The Joint Commission has released sentinel event data from the second quarter of 2017. 10 Most Reported Sentinel Events for Q2 2017 So far in 2017, 400 sentinel events have been reported. The following are the 10 most reported sentinel events from the second quarter...
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Understanding DNV GL – Healthcare’s NIAHO Program | Accreditation Options
DNV GL’s NIAHO® standards are directly related to the CMS Conditions of Participation and apply to hospitals of all sizes. To focus efforts on the fundamental aspects of the Conditions of Participations, the standards are less prescriptive than the Joint Commission’s and the survey process supports CMS’ quality initiatives with focus on continual improvement prioritized by the organizatio
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Important Steps to a Well-Prepared ED for the Treatment of Mental Health Patients
What are the most important steps to take to have a well-prepared emergency department for improving the treatment of mental health patients?
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First Update of Surgical Site Infection (SSI) Guidelines by CDC in 18 years
In May 2017, the Centers for Disease Control ( CDC) released its new guideline “Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017,” for surgical site infection (SSI) prevention, the first such update since the turn of the century. Estimated costs of SSIs range from $10,443 to $25,546 per infection, although it can cost more than $90,000 to treat an SSI involving a prosthetic joint implant or an antimicrobial-resistant organism.
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High and Low-risk Devices are all the Same to TJC Surveyors? New Maintenance Standards Could Prove Costly for Hospitals
Kevin Kiely, CHSP, CHFM, CPSO, HEM, senior consultant for Compass Clinical Consulting, is the featured in the August 1, 2017, edition of the Briefings on Accreditation and Quality Journal article, "High- and low-risk devices are all the same to surveyors; New...
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Infection Control Practices Improvement Program
One mid-sized medical center contacted Compass Clinical Consulting after operating without an Infection Preventionist for four months. Due to this prolonged vacancy, the medical center was experiencing a lack of organization within its Infection Control department, leading to noted regulatory deficiencies.
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TJC Revises Pain Assessment & Management Standards for Hospitals
In the July 2017 Perspectives, The Joint Commission (TJC) announced the implementation of new and revised pain assessment and management standards, effective January 1, 2018, for its accredited hospitals. According to the announcement, these revisions come following...
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