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NFPA 3000 (PS)

NFPA 3000, Standard for an Active Shooter/Hostile Event Response (ASHER), was published in April 2018. It was issued as a provisional standard (PS), which means that the development of this standard was expedited due to the increased frequency and severity of active shooter events since 1999 and the fact that there was no standard program in existence.

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10 Year Anniversary

Honestly, it is hard to comprehend that today marks a full decade since we took a leap of faith and started MSL Healthcare Partners. And, although the journey was not always easy, it has been more rewarding than we could have possibly imagined. 

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Fire Alarm and Extinguishing System Testing Issues

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.

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New Year – New Standards

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!

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[PART 2] CMS Emergency Management Compliance

[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.

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[PART 1] CMS Emergency Management Compliance

[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.

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TJC Emergency Management Update

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.

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2017 Joint Commission Changes

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.

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Joint Commission Changes Since the January 9th Publication of the 2017 Standards

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. 

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Managing Maintenance Risks (EC.02.05.05 EP1)

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? 

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Just Two Words...

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.

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Proposed Joint Commission Standard Changes

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.

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June 2016 | Joint Commission Update

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.

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2012 Life Safety Code Adopted by CMS

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.

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