Webinar: Hospital Accreditation Standards Update
HOSPITAL ACCREDITATION STANDARDS UPDATE
Friday, October 2 | 7:00 am - 3:00 pm
This educational activity is jointly provided by AXIS Medical Education and the Mississippi Hospital Association. AXIS Medical Education designates this continuing nursing education activity for 6.75 contact hours.
Offered through Partnership with North Carolina Hospital Association
PROGRAM OVERVIEW
Even though the number of changes to the Joint Commission Hospital Standards are few in 2020, some topics continue to be problematic related to suicide screening, environmental and infection control risk assessments, sterile processing and sterile compounding. The identified topics are still challenging for hospitals to attain and maintain compliance on a consistent basis. Because of staff turnover throughout organizations, it remains important to revisit preparation strategies that can assist those new to their positions as well as reinforce items to seasoned staff.
By attending this year's virtual Joint Commission Update 2020, it will help you to promote participant networking and provide information needed to understand and heighten awareness of new standards, continued problematic standards and requirements for improvement that are being scored during Joint Commission Surveys.
OBJECTIVES
At the conclusion of this program, participants should be able to:
-Identify the changes in the Joint Commission Hospital Standards 2020-2021
-Explain most commonly scored JC findings for the first half of 2020
-Identify preparation strategies related to JC survey
-Distinguish challenging standards related to Infection Control
-Identify the development of monitoring of the Infection Control Risk Assessment (ICRA) process for construction projects
-Summarize challenging standards and strategies for Environmental Suicide Risks Assessments
-Summarize challenging standards related to Sterile Compounding
TARGET AUDIENCE
Hospital and Health System Joint Commission Coordinators, Compliance Officers, Nursing Directors, Quality Improvement Directors, Risk Manager and Safety Directors and those responsible for coordinating or implementing The Joint Commission hospital accreditation and standards compliance.
FACULTY
Sharon L. Courage, MPH, RN, Courage Healthcare Consulting
Sharon is an experienced healthcare professional in performance improvement and patient safety, infection control, case management, credentialing, consulting, program development, strategic planning and regulatory compliance. Sharon has developed and managed organizational programs that improved quality of care and customer satisfaction, enhanced reimbursement and met regulatory requirements.
Courage Health Consulting provides consulting services for a diverse client population including acute and long-term acute care. Specialty areas include performance improvement, patient safety and risk management, infection control, program assessment, accreditation preparation, assistance with the development and implementation of regulatory plans of correction, electronic medical record documentation simplification and more.
Prior to her current consulting role, Sharon provided consulting services for over 10 years with The Greeley Company and had previously worked as Director of Quality/ Risk Management at Anna Jaques Hospital in Newburyport, MA.
AGENDA
7:00 am Opening discussion and review of learning objectives
7:30 am Joint Commission 2019 survey data
7:45 am Challenges in Suicide Risk Prevention
•Environmental Risk Assessment Inpatient Behavioral Health
•Environment safety strategies non behavioral health locations
•Suicide risk screening and assessment
•Frequent survey findings
8:45 am Sterile Compounding Challenges
•PPE use USP 797 and USP 800
•Temperature, humidity, air pressures, environment testing
•Infection control environment safety
•Supply preparation (infection control)
•Staff Competencies
•Frequent survey findings
9:45 am Break
10:00 am Joint Commission Standards 2020/2021
•Perinatal standards
•Antibiotic stewardship in ambulatory care
•2021 standards to TBD
11:00 pm Lunch
11:45pm Infection Control Challenges
•High level disinfection including 2020 updates
•PPE
•Sterile processing
•Frequent survey findings
1:00 pm Break
1:15pm Emergency Management and Infection Control
•1135 waivers
•Hazardous vulnerability assessment (HVA)
•EM standards
•Surge capacity
•Incident Command structure
•Infection control emergency
2:15pm Joint Commission COVID-19 recovery survey process
3:00 pm Q&A