An abundance of initiatives can be a great sign of a vital organization with leaders who are committed to improving healthcare delivery. Unfortunately, there’s also a shadow side.
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Is your organization's electronic health record process truly survey-ready? Proactive risk assessments can be conducted to mitigate safety hazards and known risks. We recommend addressing three common risk areas.
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We are thrilled to announce the addition of Lisa Waldowski, DNP, APRN, CIC, to the Compass Clinical Consulting team. Lisa joins us with deep expertise in infection prevention and control and accreditation and regulatory standards.
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与一栋建筑物超过90分钟的文件审查，联合委员会生活安全代码验证师没有更令人沮丧。一个有组织的文档审查设置了调查的基调。 This article delves into a process for making that happen.
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The Centers for Medicare and Medicaid Services (CMS) has alerted both accrediting organizations (AOs) and healthcare organizations of increased scrutiny and oversight of the AOs. This means that state agencies and accrediting organizations contracted to assess compliance with the Conditions of Participation (CoPs) for deeming status will be increasingly vigilant to healthcare organizations’ compliance with […]
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Moderate sedation, commonly known as conscious sedation, is a drug-induced depression of consciousness. When moderate sedation is administered, patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. Interventions are not required to maintain a patent airway; spontaneous ventilation continues to be adequate; and cardiovascular function is maintained.
Reducing variability in your Moderate Sedation Program is key to patient safety! Let’s look at the requirements in the TJC standards and some strategies for compliance.
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Tabitha Garbart, DNP, RN, has joined our staff as a Senior Consultant. Tabitha brings more than 19 years of experience in the industry and a commitment to helping healthcare organizations connect the dots and understand the “why” behind their work to use evidence-based practices to reduce harm and improve quality of care.
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Did you know that most life safety code deficiencies that contribute to CMS condition-level deficiencies are “low-hanging fruit”? This means that many findings could be prevented if you would simply deal with the easy-to-address deficiencies on a routine basis. For the sake of this article, I’m going to pinpoint places where the life safety code low-hanging fruit are most commonly found in hospitals and offer simple practices for quick remediation.
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That’s right, they’re coming back unannounced within 45 days to ensure your organization has met the identified Conditions of Participation. Follow these eight steps to get across the compliance finish line quickly for a successful Medicare Deficiency Follow-Up Survey.
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Compass is pleased to announce that Ken Blackwell, LSCS, CHSP, has joined the firm as a Senior Consultant, with a focus on Life Safety and the Environment of Care. A former Joint Commission surveyor, Ken has surveyed nearly 600 healthcare organizations, including military hospitals and Veterans Health Administration facilities. He brings to Compass nearly 20 years of experience in the healthcare industry, with expertise in the accreditation and regulatory standards and a commitment to continuous quality improvement.
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