** PSYCHIATRIC HOSPITAL HIGHLIGHTS FOR AUGUST 2016 **Article of the Month
- Revising the Statement of ConditionsTM (SOC): PFI rules, SPFI, Time-Limited Waivers, and the end of the 6-month grace period EOC News August 2016, Vol 19 , Number 8 Pg 8 – The influence of CMS on TJC requirements and survey process is again being felt. Largely because Title 42 CFR §488.28(d) “prohibits a time frame of more than 60 days to complete corrective actions in the physical environment”, TJC is having to make significant changes in its Statement of Conditions and related survey processes. The best explication of this is provided in this month’s Clarifications and Expectations column published in both Perspectives and EC News. And, it has already gone into effect (i.e., August 1, 2016). Given the complexities and implications of these changes, we have invited our Associate and Senior Regulatory Consultant with Healthcare Compliace Team, Barbara G. Pankoski, CHFM, CHSP-FSM to review this article. Your comments would also be greatly welcomed.
- Click here for our REVIEW(Mbr/Guest); the FULL TJC ARTICLE(Mbr); to share a COMMENT(Mbr/Guest).
**RECOMMENDED READING:
- PR: Sentinel Event Statistics for First Half of 2016 (PDF)[REF: LDR, SC]
- TS: Tracer: Point-of-Care Testing and Laboratories (PDF)[REF:Lab]
- TS: Psychiatric Advance Directives (PDF)[REF:BHC, RI]
- EC: The Safe Environment: Making the case to leaders (PDF)[REF: EC, LDR]
- EC: EC Toolbox: Fire drill matrix (PDF)[REF: EC]
- EC: Revising the Statement of Conditions (PDF)[REF: AOM, EC, LDR, SC. ’16]
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