At many hospitals, testing of the fire alarm and extinguishing systems is conducted by outside contractors with detailed test reports provided to the hospital. During the past ten years, we have conducted mock surveys at hospitals around the country helping them prepare for accreditation surveys. The following is a list of common problems we find and some suggestions for improvement.
In late September 2017, The Joint Commission released 87 pages of standards changes in the Environment of Care and Life Safety chapters. That’s a lot of changes! To be fair, this included the LS standards for both healthcare occupancies (LS.02) and ambulatory healthcare occupancies (LS.03) …but it’s still a lot!
[PART 2] On Friday, June 2, CMS issued document SC-17-29, their State Operations Manual Appendix Z, Emergency Preparedness Interpretive Guidelines. The information in this blog represents summarization of important points of compliance as presented in this interpretive guidance as they apply to hospitals.
[PART 1] On Friday, June 2, CMS issued document SC-17-29, their State Operations Manual Appendix Z, Emergency Preparedness Interpretive Guidelines. The information in this blog represents summarization of important points of compliance as presented in this interpretive guidance as they apply to hospitals.
The compliance landscape is changing once again, but this time it is within the Emergency Management (EM) chapter. The year 2017 has been full of changes. Let us help you understand the upcoming EM changes. A CMS EM update will follow in the coming weeks. For now, here is a list of Joint Commission EM updates to be aware of from our knowledgeable EM expert, Susan McLaughlin.
At their 2017 Annual Technical Meeting, the National Fire Protection Association (NFPA) voted to increase the allowable size of smoke compartments, in both new and existing facilities, to 40,000 square feet provided that these smoke compartments meet several minimal requirements.
In the first quarter of 2017, we have seen a number of changes to the Joint Commission standards. It can be difficult to keep track of all the changes, so we have compiled the changes in the following list separated by category.
The long-awaited publication of The Joint Commission’s 2017 accreditation standards occurred on January 9th. Meanwhile, however, CMS was writing many additional K-tags in these chapters. Due to the time required for CMS vetting of The Joint Commission’s new standards, these issues did not make it into the published 2017 standards. Let us help you understand the “wild card” standards which have been added to several standards in the EC chapter, and to the existing wild card standards in the LS chapter.
Today we would like to discuss the other new standard related to managing maintenance related risks: EC.02.05.05. In short, this new requirement is an extension of what we’ve been doing with construction risks since 2001. At first glance, the amount of work involved seems overwhelming. How do you create a process where each work order is assessed for its impact on all of the above stated factors?
Even if you have had the opportunity to review the new standards published January 9, 2017, chances are you could have missed the two simple words, “general maintenance”, inserted in EC.02.06.05, EP 2.
On September 27th, The Joint Commission published their list of elements of performance to be deleted from the accreditation standards, effective January 1, 2017. The list contained some surprises in the Environment of Care. Let us explain.
The Joint Commission is asking Facility Managers three new questions prior to starting the building tour associated with the TJC visit. Let us help you understand the importance of these questions.
As a result of the adoption of the 2012 Life Safety Code®, proposed changes to Environment of Care and Life Safety standards were presented by George Mills at the ASHE Annual Conference in Denver. These proposals are being vetted by CMS, and are not final at this time. The blog content is intended to be a preview only and a “heads up” for what is to come.
Last week in Denver, a ballroom full of people listened for nearly 3 hours as George Mills unveiled the new world of Joint Commission compliance.
At the 2016 NFPA Conference, TJC announced additional changes to the standards and survey process. MSL Healthcare Partners and Russell Phillips & Associates would like to assist you in navigating these changes.
CMS will adopt the 2012 edition of the Life Safety Code®, effective 7/5/16. In this blog we share a couple resources to assist you in the journey toward compliance.
The 2012 editions of NFPA 101, the Life Safety Code® and NFPA 99, the Health Care Facilities Code, have been adopted by the Centers for Medicare & Medicaid Services (CMS). The adoption will be published in the Federal Register on Wednesday, May 4, with an adoption date of July 5, 2016.