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Review of Hot Topics: Workplace Violence, Life Safety Code, Performance Improvement, Infection Prevention, Water Management, Advance Directives, Grievances..

The Joint Commission Hot Topics: Workplace Violence, Life Safety Code, Performance Improvement, Infection Prevention, This webinar will cover several Joint Commission hot topics for 2022. It will discuss the Joint Commission requirements for Workplace Violence, Life Safety code, Performance Improvement, infection prevention, advance directives, and grievances and more.
 
Experienced healthcare professionals know the Joint Commission (TJC) is a key accrediting organization that works closely with CMS. TJC updates and reviews hospital standards at least twice per year.
 
This webinar covers some of the hot topics for The Joint Commission including those that have resulted in more deficiencies than other standards. Topics to be addressed include grievances, informed consent, advance directives, and restraint and seclusion.

Webinar Highlights

Joint Commission Advance Directives RI.01.05.01 + RC.02.02.01

  • End of life care
  • Written policy and procedure
  • Tracer
  • Advance directives and outpatients
  • Providing patients with information about Ads
  • Honoring advance directives
  • Organ donation wishes
  • Medical records to contain copy of AFs
  • Recommendations for compliance

Joint Commission Complaints RI.01.07.01

  • Patient and family right to have reviewed
  • Need complaint resolution process
  • Board responsible and delegation
  • Acknowledging receipt of a complaint
  • Written notice of decision
  • Information in patient rights of who will handle complaints
  • QIO and process for resolving complaints
Who Should Attend
  • Compliance Officer
  • Chief Medical Officer (CMO)
  • Chief Nursing Officer (CNO)
  • Chief Operating Officer (COO
  • Joint Commission Coordinator
  • Nurses
  • Nurse Directors/Supervisors/Managers
  • Hospital Legal Counsel
  • Risk Manager
  • Board Members
  • Physicians
  • Medical Staff Coordinator
  • Patient Safety Officer
  • Senior Leadership
  • Chief Risk Officer
  • QAPI director
  • Discharge Planners
  • HIM director
  • Director of Anesthesia
  • OR nurse director
  • Patient Advocates
  • Ethics Committee
  • Director of Registration
  • Consumer Advocates
  • HIPAA Privacy Officer
  • Quality Improvement Staff
  • Others responsible for compliance/policy/procedure

Lena Browning

Lena Browning is a nurse leader and accreditation specialist with more than twenty-five years of experience in clinical leadership in acute care settings. Throughout her career, she has demonstrated a commitment to improving patient safety by empowering staff and leadership to maintain continuous compliance and achieve excellence in patient care across healthcare settings. As a Principal Consultant with Compass Clinical Consulting, Lena served as team lead for the accreditation and regulatory compliance survey team. Lena has a strong commitment to client relationships and provides support to retainer clients to ensure patient safety and quality of care. Most recently, Lena has fulfilled 3 Interim positions as Director of Accreditation and was responsible for restructuring accreditation departments and leading organizations in continuous compliance and preparation for survey readiness for their triennial Joint Commission (TJC) or Centers for Medicare and Medicaid Services (CMS) survey. Since then, those three organizations have had successful surveys with no condition-level findings. Additionally, Lena has successfully coached numerous organizations through Immediate Jeopardy situations with all organizations getting the IJ lifted, and no condition level findings noted on return surveys. She is a true pioneer in leadership development and coaching for excellence in healthcare accreditation.

Prior to consulting, Lena had over 2 decades of experience in Accreditation and Regulatory leadership. As an expert for CMS, TJC, and state regulations, she has performed system-wide tracers for continuous readiness and patient safety, coordinated accreditation and regulatory surveys, chaired, and facilitated continuous readiness committees, and coached staff and leadership in effective compliance and performance improvement strategies. Additionally, Lena has extensive experience in Quality and Patient Safety, Performance Improvement, Medical Staff Credentialing and Privileging, Contract Management, and Strategic Planning for Hospitals and Home Care Agencies.

Related Webinars

Recorded Webinar -

Restraint and Seclusion: Navigating a Problematic CMS Standard

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