Do you find yourself performing duplicative work because of redundant standards?
NAMSS has partnered with the National Credentialing Forum (NCF) to identify the top redundant credentialing standards that are creating unnecessary time and cost burdens in medical services offices nationwide.
If you find yourself wasting time on repetitive tasks due to overlapping standards, NAMSS asks that you help us with this project by completing the following survey:
http://www.surveymonkey.com/s.aspx?sm=82VJa68fa_2fyUdSK77yYLaQ_3d_3d
The data collected through this survey will help NAMSS and the NCF promote the need for streamlined credentialing standards so MSP time can be better spent on effective quality measures, not on completing tasks that have already been performed.
Showing posts with label 2009 Standards. Show all posts
Showing posts with label 2009 Standards. Show all posts
Tuesday, June 30, 2009
Wednesday, June 10, 2009
The Joint Commission Updates Definition of "Physician"
The Joint Commission has made changes to the definition of "physician," which will apply to hospital programs starting July 1, 2009.
The change amends the definition in the Comprehensive Accreditation Manual for Hospitals to reflect the definition of "physician" used by CMS. The new definition recognizes the following groups as "physicians," based on state licensure requirements:
The change amends the definition in the Comprehensive Accreditation Manual for Hospitals to reflect the definition of "physician" used by CMS. The new definition recognizes the following groups as "physicians," based on state licensure requirements:
- Doctors of medicine and osteopathy
- Doctors of dental surgery or dental medicine
- Doctor of podiatric medicine
- Doctors of optometry
- Chiropractors
This change will affect several Elements of Performance. The latest revision of accreditation requirements have been updated to show when an EP applies to a doctor of medicine or osteopathy, or a physician under the CMS definition.
The change in definition has been made to comply with CMS requirements for deemed status.
More information on this change, including the new definition of "physician," can be found in the June 2009 issue of Perspectives.
For the revised accreditation requirements, click here:
http://www.jointcommission.org/NR/rdonlyres/C9298DD0-6726-4105-A007-FE2C65F77075/0/CMS_New_Revised_HAP_FINAL_withScoring.pdf.
Wednesday, April 8, 2009
2009 TJC Revised Hospital Accreditation Requirements and Scoring Categories Available Online
The Joint Commission (TJC) has updated its Revised 2009 Hospital Accreditation Requirements. The Requirements, originally released on March 26, now include scoring categories.
TJC revised its hospital accreditation standards following discussions with CMS regarding its deeming application. TJC originally released 165 new and revised requirements. The new version includes 87.
The Revised 2009 Hospital Accreditation Requirements and further information can be found at:
http://www.jointcommission.org/AccreditationPrograms/Hospitals/.
TJC revised its hospital accreditation standards following discussions with CMS regarding its deeming application. TJC originally released 165 new and revised requirements. The new version includes 87.
The Revised 2009 Hospital Accreditation Requirements and further information can be found at:
http://www.jointcommission.org/AccreditationPrograms/Hospitals/.
Wednesday, February 4, 2009
MS.1.20 Task Force to Meet in March
The MS.1.20 Task Force will meet in March to continue revising the standard. The Task Force has been working to determine how prescriptive the standard should be regarding Medical Staff bylaws. The Task Force has been trying to identify details that need to be placed within the bylaws in order to comply with the standard versus details that can placed in separate policy and procedure manuals and documents.
The Joint Commission (TJC) indefinitely delayed implementation of the revised version of MS.1.20 that was released in June 2007. Therefore, the 2008 version of MS.1.20 will remain in effect (Standard MS.01.01 in the 2009 manual) until a new revision is implemented.
TJC has issued the following statement on how the current standard will be addressed in surveys:
"There is an indefinite moratorium on the implementation of Element of Performance 19 of the current MS.1.20/MS.01.01.01. Therefore, the Joint Commission survey assesses whether each of the topics identified in EPs 1 through 18 are addressed in the bylaws, and whether necessary detail is addressed in either the bylaws, or rules and regulations, or policies. The survey does not assess how much of the detail is placed in rules and regulations or policies, rather than in bylaws; that decision is left to each medical staff and governing body. "
The Task Force first convened in January 2008. There are are 19 members on the MS.1.20 Task Force, including NAMSS Past-President Carol Ostermann, CPMSM, CPCS.
The Joint Commission (TJC) indefinitely delayed implementation of the revised version of MS.1.20 that was released in June 2007. Therefore, the 2008 version of MS.1.20 will remain in effect (Standard MS.01.01 in the 2009 manual) until a new revision is implemented.
TJC has issued the following statement on how the current standard will be addressed in surveys:
"There is an indefinite moratorium on the implementation of Element of Performance 19 of the current MS.1.20/MS.01.01.01. Therefore, the Joint Commission survey assesses whether each of the topics identified in EPs 1 through 18 are addressed in the bylaws, and whether necessary detail is addressed in either the bylaws, or rules and regulations, or policies. The survey does not assess how much of the detail is placed in rules and regulations or policies, rather than in bylaws; that decision is left to each medical staff and governing body. "
The Task Force first convened in January 2008. There are are 19 members on the MS.1.20 Task Force, including NAMSS Past-President Carol Ostermann, CPMSM, CPCS.
Monday, January 5, 2009
2009 Changes to TJC Hospital Requirements
The Joint Commission (TJC) has issued a reminder that several hospital accreditation requirements have been revised, effective January 1, 2009. The changes have been made in order to better comply with the CMS Conditions of Participation as TJC prepares to submit its renewal application for continued hospital deeming authority.
Surveyors will begin looking for compliance with these changes immediately; however, they will not score according to the revised standards until July 1, 2009 to allow hospitals to implement the changes.
A draft of the revised standards can be found here:
http://www.jointcommission.org/NR/rdonlyres/6F82A3A7-22A6-43C4-AF65-8EAC2670541A/0/Communications_HospitalnewandRevised_20081223.pdf
Source: The Joint Commission
Surveyors will begin looking for compliance with these changes immediately; however, they will not score according to the revised standards until July 1, 2009 to allow hospitals to implement the changes.
A draft of the revised standards can be found here:
http://www.jointcommission.org/NR/rdonlyres/6F82A3A7-22A6-43C4-AF65-8EAC2670541A/0/Communications_HospitalnewandRevised_20081223.pdf
Source: The Joint Commission
Tuesday, November 11, 2008
Joint Commission Accreditation: Lab Decisions Will No Longer Affect Hospital Decisions
Media Contact:
Ken Powers
Media Relations Manager
630-792-5175
kpowers@jointcommission.org
(OAKBROOK TERRACE, Ill. – November 4, 2008) Beginning January 1, 2009, under new Joint Commission policy, laboratory accreditation decisions will no longer immediately impact hospital accreditation decisions. This policy establishes comparability in the way that a laboratory with an adverse accreditation decision rendered by The Joint Commission or one of its cooperative partners, College of American Pathologists (CAP) or COLA, impacts the hospital or other organization with which the laboratory is affiliated. Currently, a laboratory’s accreditation has a direct impact on the accreditation status of its affiliated organization.
Under the new policy, the accreditation of laboratories and hospitals accreditation will continue to be linked, due to the critical importance of laboratory services to the delivery of hospital care. An adverse laboratory accreditation decision, whether due to survey by The Joint Commission, CAP or COLA, will help prioritize the hospital’s or other organization’s next unannounced survey.
“The new approach meets the needs of Joint Commission customers and reinforces the importance of the laboratory in the delivery of patient care,” says Ann Scott Blouin, Ph.D., R.N., executive vice president, Accreditation and Certification Operations, The Joint Commission.
The Joint Commission has been evaluating and accrediting hospital laboratory services since 1979 and freestanding laboratories since 1995. Today, The Joint Commission accredits nearly 2,000 organizations providing laboratory services, representing almost 3,000 CLIA-certified labs, including freestanding labs. The Centers for Medicare & Medicaid Services (CMS) officially recognizes the Joint Commission Laboratory Accreditation Program as meeting the requirements of CLIA ’88.
Source: The Joint Commission
http://www.jointcommission.org/NewsRoom/NewsReleases/nr_11_04_08.htm
Ken Powers
Media Relations Manager
630-792-5175
kpowers@jointcommission.org
(OAKBROOK TERRACE, Ill. – November 4, 2008) Beginning January 1, 2009, under new Joint Commission policy, laboratory accreditation decisions will no longer immediately impact hospital accreditation decisions. This policy establishes comparability in the way that a laboratory with an adverse accreditation decision rendered by The Joint Commission or one of its cooperative partners, College of American Pathologists (CAP) or COLA, impacts the hospital or other organization with which the laboratory is affiliated. Currently, a laboratory’s accreditation has a direct impact on the accreditation status of its affiliated organization.
Under the new policy, the accreditation of laboratories and hospitals accreditation will continue to be linked, due to the critical importance of laboratory services to the delivery of hospital care. An adverse laboratory accreditation decision, whether due to survey by The Joint Commission, CAP or COLA, will help prioritize the hospital’s or other organization’s next unannounced survey.
“The new approach meets the needs of Joint Commission customers and reinforces the importance of the laboratory in the delivery of patient care,” says Ann Scott Blouin, Ph.D., R.N., executive vice president, Accreditation and Certification Operations, The Joint Commission.
The Joint Commission has been evaluating and accrediting hospital laboratory services since 1979 and freestanding laboratories since 1995. Today, The Joint Commission accredits nearly 2,000 organizations providing laboratory services, representing almost 3,000 CLIA-certified labs, including freestanding labs. The Centers for Medicare & Medicaid Services (CMS) officially recognizes the Joint Commission Laboratory Accreditation Program as meeting the requirements of CLIA ’88.
Source: The Joint Commission
http://www.jointcommission.org/NewsRoom/NewsReleases/nr_11_04_08.htm
Wednesday, November 5, 2008
DNV Hosting Educational Sessions on NIAHO Accreditation
Det Norske Veritas (DNV), the latest hospital accreditation agency to be granted deeming authority by CMS, will be hosting a one-hour webinar and several day-long workshops to explain its National Integrated Accreditation for Healthcare Organizations (NIAHO) program.
Since CMS approved NIAHO on Sept. 26, hospitals have been asking:
http://www.elabs7.com/c.html?rtr=on&s=ay26,cgpz,mxa,j5ov,29q2,c13t,7hre
Since CMS approved NIAHO on Sept. 26, hospitals have been asking:
- How do we implement NIAHO?
- How do the standards differ from TJC?
- What impact can NIAHO have on our overall quality programs?
Attend a one-hour webinar, or for a full-day in depth workshop in a city near you.
Online Webinar:
Thursday, Nov. 6, 10:00 a.m. or 2:00 p.m. (ET)
Full-day Workshops:
Chicago, Nov. 11
Columbus, Nov. 13
Atlanta, Nov. 19
Houston, Nov. 20
Newark, Dec. 2
Breakfast, lunch and beverages are included in registration fee, along with complete program materials for the day-long workshops.
http://www.elabs7.com/c.html?rtr=on&s=ay26,cgpz,mxa,j5ov,29q2,c13t,7hre
Thursday, October 30, 2008
Joint Commission CAH Accreditation Receives Conditional Approval from CMS
The Oct. 24 Federal Register by the Centers for Medicare & Medicaid Services (CMS) states "the Joint Commission received conditional approval for its critical-access hospital (CAH) accreditation program, but the program was placed on probation until it fixes the gaps between its standards and Medicare's conditions of participation."
Under updated "conditions, critical-access hospitals are allowed to provide inpatient psychiatric or rehabilitation services in a distinct-part unit as long as those services comply with hospital requirements in other sections of Medicare's conditions of participation." After the Joint Commission "has submitted its revised distinct-part unit standards [to reflect the updated conditions], the CMS will conduct a survey to validate the changes."
The Joint Commission CAH accreditation pro has been placed under a 180 day probationary period from November 21, 2008 through May 28, 2009 to revise its accreditation standards to meet or exceed CMS standards set forth in the Medicare conditions of participation. The conditional approval period applies to TJC CAH accreditation granted between November 21, 2008 through November 21, 2001.
The full Federal Register announcement can be found here:
http://frwebgate5.access.gpo.gov/cgi-bin/TEXTgate.cgi?WAISdocID=457935302722+1+1+0&WAISaction=retrieve
Under updated "conditions, critical-access hospitals are allowed to provide inpatient psychiatric or rehabilitation services in a distinct-part unit as long as those services comply with hospital requirements in other sections of Medicare's conditions of participation." After the Joint Commission "has submitted its revised distinct-part unit standards [to reflect the updated conditions], the CMS will conduct a survey to validate the changes."
The Joint Commission CAH accreditation pro has been placed under a 180 day probationary period from November 21, 2008 through May 28, 2009 to revise its accreditation standards to meet or exceed CMS standards set forth in the Medicare conditions of participation. The conditional approval period applies to TJC CAH accreditation granted between November 21, 2008 through November 21, 2001.
The full Federal Register announcement can be found here:
http://frwebgate5.access.gpo.gov/cgi-bin/TEXTgate.cgi?WAISdocID=457935302722+1+1+0&WAISaction=retrieve
Thursday, October 16, 2008
October 29 Health Care Staffing Certification Call Hosted by The Joint Commission
"Health Care Staffing Certification – What’s New?
Ask the Experts!"
In this one-hour call Michele Sacco and Joint Commission staff will discuss the latest information about changes to certification, and give you plenty of
time to ask questions about the following topics:
- 2009 changes to scoring and decision rules
- Certification participation requirements
- The CMIP (Certification Measurement Information Process)
- Performance measurement requirements
- Standards interpretation.
This call will be helpful to both certified and not-yet-certified organizations.
Wednesday, October 29
11:30 am (Central Time)
To register, please go to
http://www.surveymonkey.com/s.aspx?sm=gg8KLdhMoonkrM_2bq2e3NGw_3d_3d
Wednesday, August 20, 2008
2009 TJC Standards Available Online
The latest accreditation standards, effective January 1, 2009, are now available online. No major changes or additions were made, other than the reorganization of standards to allow for easier edits in the future.
Subscribe to:
Posts (Atom)