Accreditation & Compliance Journal
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TJC has issued Sentinel Event Alert 59 to help organizations recognize and acknowledge physical and verbal violence directed against healthcare workers from patients and visitors, better prepare staff to handle violence, and more effectively address the aftermath.read more
When you have a perceived and very real imbalance of power in the hospital setting, how can you make sure that this is addressed in your organization that people feel that they do have the right to speak out and that someone will take whatever action is necessary?
How do you build the culture and will to take on the imbalance of power within your organization?read more
The Joint Commission has updated their sentinel event data, releasing data from the fourth quarter of 2017 and aggregating data from 2005-2017. 10 Most Reported Sentinel Events for Q4 2017 In 2017, 805 sentinel events were reported, with 87% of these events classified...read more
As staff joins an organization they need to have as part of their required orientation, a zero-tolerance policy introduction and education about their rights and responsibilities. Every right usually has an attendant responsibility. The prevention part is making sure that managers and medical staff leaders are all aware and have a similar zero-tolerance policy.read more
Helping Healthcare Organizations Prevent, Detect, and Remediate Sexual Harassment Allegations
Compass Clinical Consulting Launches New Service
It’s easy for healthcare leaders to believe that the presence of a sexual harassment policy and dedication of human resources office staff will prevent and mitigate any allegations, but policy isn’t enough. Hospitals and other healthcare organizations need an established, thoughtful procedure for the prevention, detection, and remediation of allegations.read more
Sexual Harassment in the Healthcare Setting: How to prevent, detect and remediate sexual harassment issues before they ruin your organizations’ reputation and drain critical financial resources.read more
Ideally, everyone could go to work without having to worry about harassment. But since this isn’t an ideal world, healthcare organizations must get proactive about preventing, investigating, and resolving sexual harassment claims and violations.read more
What is Immediate Jeopardy? What are the primary goals of Immediate Jeopardy Guidelines? Who do the Immediate Jeopardy Guidelines apply to? Does Harm have to occur before considering Immediate Jeopardy? What are ‘triggers” for Immediate Jeopardy situations? What are components of an Immediate Jeopardy situation? What are questions to ask to determine if an Immediate Jeopardy situation exists?read more
The Joint Commission (TJC) revamped their final accreditation survey report format for all accreditation surveys and certification reviews conducted after January 1, 2018. Working with customers, and field and central office staff, TJC addressed clients’ requests to...read more
Kate Fenner, RN, PhD, Managing Director, Compass, will present at Precision Medicine for Hospital CEOs: What You Need to Know about Genetic Testing, Precision Medicine, and Population Health Management, an intensive one-day summit for CEOs and administrators of health systems and hospitals on February 21, 2018.read more
The media has been chock full of news about sexual harassment and related issues creating a hostile work environment. Do not think that this news escapes either CMS (state) or TJC surveyors’ attention. We know from experience that issues in the news influence surveyors’ sensitivity and alertness to related Conditions of Participation and standards enforcement.read more
The Joint Commission has updated its hand hygiene standard for all accreditation programs. Effective January 1, 2018 surveyors will cite the failure of individuals to perform hand hygiene in the process of providing direct patient care as a deficiency resulting in a...read more
The Compass Difference
When you hire Compass to work with you, we bring a small team of consultants in to learn about your organization. We don’t invade your hospital – we become part of it. By keeping our team small, your people will get to know us and trust us and will see us as part of your team. We believe transparency is a critical success factor for any project, so you will always know about project progress and obstacles in real time.