keyglobeiollogoPhone (319) 626-2302

Catalog Number : ncd1368
Title : The Joint Commission: The New Survey Process
Speaker : Sue Dill

Duration : 120 minutes

Webplay Recording Date : 5-6-2008
Webplay Price : $ 150 for two weeks viewing

Teleconference/Webinar Presenter: Sue Dill Calloway, RN, Esq., AD, BA, BSN, MSN, JD

Webinar Title: The Joint Commission: The New Survey Process

Webinar Description:

The survey process is more demanding than ever. You have the stress of training your entire staff on the Joint Commission's unannounced survey process, tracer methodology, and periodic performance review. The Joint Commission’s on-site surveys on an unannounced basis has moved your hospital even further away from the “ramping up” for the survey that used to typify the approach to accreditation surveys. The Joint Commission now expects you to maintain a constant state of compliance-such that a survey is more a validation of your continuous systems improvements efforts rather than a “snapshot” of standards compliance at a particular point in time. As you know, the introduction of The Joint Commission’s unannounced survey process magnifies the need for continuous staff training and survey readiness. It’s more crucial than ever before that each and every staff member-from your physician leaders to the admissions department-is prepared for the day surveyors show up at your facility. That's why you need one reliable source to keep you continuously prepared and continuously compliant. Ensure your staff’s continuous survey readiness by registering for this Webinar.

Webinar Objectives:

  • Includes information on infection control tracer, medication management tracer, LD session
  • Discusses CMS may require surveyors to collect specific information such as copies of orders and demographic information about patients
  • Surveyors return this information to the central office for filling and agree to keep confidential
  • Discusses individual tracer activity, opening conference, orientation to organization, daily briefing, competence assessment etc

Webinar Outline:

  • 2008 Survey Activity Guide
  • What’s New in 2008?
  • Contracted Services
  • MS 1.20
  • New Scoring and Accreditation Decision Process
  • Survey Process · Survey Planning
  • Survey Information
  • Joint Commission Connect
  • JRC and TJC Fire wall
  • Questions about Standards
  • Top Problematic Standards
  • JC Flier Infection Control
  • Things that are important in 2008
    • Top hot buttons by TJC during the past year
    • The Life Safety Code-TJC and CMS using the 2000 version
    • National Patient Safety Goals NPSG and IEs
    • Increased role of leadership and accountability
    • Medication management and infection control
    • Pay attention to the 14 primary focus areas (PFAs)
  • Random unannounced surveys 2008
  • New fixed performance areas for 2008 surveys
  • Beginning Mid 2008
    • Assessment and care/services
    • Medication management
    • Patient safety
    • NPSG for hospitals
    • 5% of organizations each year
  • Certification Programs
  • Important TJC standards
  • NPSG 2009 Universal Protocol
  • Tracers
  • Life Safety Code Building Assessment
  • Sentinel events
  • Minimum Scope of RCA
  • Behavioral Health Units
  • CAMH Updates 2008

Prerequisities: None

Target Audience: Risk Managers, Patient safety officer, Chief Operating Officer, Radiologists, Radiology staff, Radiology patient safety officer, Chief Nursing Officer, Emergency Department Manager, Nurse Managers/Supervisors, OR Nurse Manager, Compliance Officer, Joint Commission Coordinator, Quality Improvement personnel, Consumer Advocates, Staff Nurses, Nurse educator, Clinic Managers, Pharmacist & Anyone interested in risk management and patient safety issues.

Nursing Contact Hours: This course has been approved for 2.4 Iowa Nursing Contact Hours. There is usually a reciprocal agreement between state associations to allow these to count for each state. If you have any questions, please ask your state association.

Refund Policy:

Full tuition is refunded immediately on request if the participant has not been sent the program materials and instructions. Once the instructions (including access codes) have been sent, a full refund will be issued only after the program runs and it is verified that the participant did not access the program.