The Chapter Leader's Guide to Environment of Care
The Chapter Leader's Guide to Environment of Care

Author: Thomas J. Huser

Publisher: HC Pro, Inc.

Published: 2011-04-20

Total Pages: 149

ISBN-13: 1601468148

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The Chapter Leader's Guide to Environment of Care: Practical Insight on Joint Commission Standards Thomas J. Huser, MS, CHPS Quick, concise standard explanations for Environment of Care chapter leaders "This book has significant daily use and will prepare and support facility professionals. The author candidly describes how to make difficult things happen even when other people may not be immediately on board...and the survey preparation is thorough and very user intuitive. I like the easy-to-follow format. The policy and procedure forms and examples are excellent." --Stephen J. Thurston, Safety Officer, Emergency Managment Coordinator, Indiana University Health The Chapter Leader's Guide to Environment of Care breaks down the Joint Commission's Environment of Care requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator, chapter leader and staff of all levels. Plus, to make staff training easy, this guide includes two downloadable PowerPoint(R) presentations highlighting key compliance takeaways. Benefits of The Chapter Leader's Guide to Environment of Care: Build an interdisciplinary team to ensure Environment of Care compliance Achieve buy-in and support from leadership Educate staff of all levels on compliance utilizing ready-made tools and strategies Use practical advice from a seasoned expert in the field to avoid RFIs on your next survey What's inside: Standard-by-standard breakdowns and explanation by hospital safety veteran and expert Practical advice for successfully communicating with multiple levels of staff to better gain buy-in and compliance Quick tip sheets, checklists, and PowerPoint presentations for educating staff Sample mock tracer observations and questions in all areas of EOC Hospital safety and construction risk assessments Dozens of EOC policies, procedures, reports, and maintenance logs Department EOC report card and simplified scoring sheet to better communicate current compliance to department leaders and board members Table of Contents Part I: Organization and Accountabilities Board of Directors CEO Medical Staff Management Staff Key Players Part 2: Communication and Culture Hospital Staff Departmental Leadership Board of Directors Senior Leadership Part 3: Policy and Procedures Plan (EC.01.01.01) Safety and Security (EC.02.01.01, EC.02.01.03) Hazardous Materials and Waste (EC.02.02.01) Fire Safety (EC.02.03.01, EC.02.03.03, EC.02.03.05) Medical Equipment (EC.02.04.01, EC.02.04.03) Utilities (EC.02.05.01, EC.02.05.03, EC.02.05.05, EC.02.05.07, EC.02.05.09) Other Physical Environment Requirements (EC.02.06.01, EC.02.06.05) Staff Competence (EC.03.01.01) Monitor and Improve (EC.04.01.01, EC.04.01.03, EC.04.01.05) Part 4: Effective Survey Preparation Education and Training Organization Preparation Data Collection List of tools: Sample Board of Directors Report Survey Preparation for Physicians: Emergency Management Information Environment of Care Compliance: Sample Observations and Questions Survey Preparation for Staff: Emergency Management Information Security Quick Tips Temperature Logs Quick Tips Maintaining a Safe Environment Quick Tips Emergency Medical Equipment Quick Tips Fire Response Quick Tips Hazardous Materials Quick Tips Medical Equipment Failure Quick Tips Utility Failure Quick Tips Environment of Care Report Card Scoring Worksheet Safety Inspection Report Environment of Care Report Card for Department Leaders Safety Officer Statement of Authority Safety Risk Assessment Tool Officer's Report of Fall/Injury Forensic Patient Policy and Procedure Smoking Interventions Log Life Safety System Preventative Maintenance Grid Life Safety Equipment Repairs Log Interim Life Safety Management Implementation Worksheet Safe Medical Device Reporting Policy Emergency Generator Test Log and Report Construction Risk Assessment Form Employee Environment of Care Survey Plus: EOC Power Point Presentations: What You Need to Know to Train Your Staff Annual Education for Staff Who will benefit? Accreditation coordinator, accreditation specialist, survey coordinator, Joint Commission survey coordinator, Environment of Care chapter leader, safety officer, safety director, facility manager, and facility director Earn Continuing Education CreditsNational Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.

Patient Safety and Quality
Patient Safety and Quality

Author: Ronda Hughes

Publisher: Department of Health and Human Services

Published: 2008

Total Pages: 592

ISBN-13:

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"Nurses play a vital role in improving the safety and quality of patient car -- not only in the hospital or ambulatory treatment facility, but also of community-based care and the care performed by family members. Nurses need know what proven techniques and interventions they can use to enhance patient outcomes. To address this need, the Agency for Healthcare Research and Quality (AHRQ), with additional funding from the Robert Wood Johnson Foundation, has prepared this comprehensive, 1,400-page, handbook for nurses on patient safety and quality -- Patient Safety and Quality: An Evidence-Based Handbook for Nurses. (AHRQ Publication No. 08-0043)." - online AHRQ blurb, http://www.ahrq.gov/qual/nurseshdbk/

The Chapter Leader's Guide to Emergency Management
The Chapter Leader's Guide to Emergency Management

Author: Joseph L. Cappiello

Publisher: HC Pro, Inc.

Published: 2011-04-04

Total Pages: 149

ISBN-13: 160146813X

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The Chapter Leader's Guide to Emergency Management: Practical Insight on Joint Commission Standards Joseph Cappiello Quick, concise standard explanations for emergency management chapter leaders The Chapter Leader's Guide to Emergency Management breaks down the Joint Commission's emergency management requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Benefits of The Chapter Leader's Guide to Emergency Management: Keep your facility up to speed on the ever increasing emergency management requirements Pinpoint compliance loopholes in your current emergency management program Understand what it means to be prepared for an emergency under Joint Commission standards Educate and prepare organizational leaders to take a key role in emergency preparedness Ensure the highest possible level of preparedness and cooperation within your community What's inside: An in-depth look at emergency preparedness from a nationally recognized expert in the field The most up-to-date regulatory requirements resulting from recent national and international disasters Tips developing a successful emergency management plan with organizational leadership Methods to incorporate regulatory requirements into existing disaster preparations A step by step look at what The Joint Commission requires for emergency management THE AGENDA Part I: State of Preparedness Role of leaders Understanding community Understanding healthcare It shouldn't take a crisis to make a leader Understanding resiliency Part II: the 96 Hour Principal National Response Plan The Joint Commission's role Extending survivability Part III: The Value of Exercises The Emergency Operations Plan The value of exercises Part IV: Effective Survey Preparation The advent of unannounced surveys Types of surveyors Part V: Who Speaks for the Children? The National Commission on Children and Disasters Appendix Sample 96 Hour Sustainability Chart Joint Commission Emergency Management Standard Checklist Who will benefit? Accreditation coordinator, accreditation specialist, survey coordinator, Joint Commission survey coordinator, emergency management chapter leader, emergency management coordinator, facility manager, and disaster preparedness coordinator Earn Continuing Education Credits National Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.

The Chapter Leader's Guide to Leadership
The Chapter Leader's Guide to Leadership

Author: Jodi L. Eisenberg

Publisher: HC Pro, Inc.

Published: 2011-02-11

Total Pages: 113

ISBN-13: 1601468075

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Quick, concise standard explanations for LD chapter leaders The Chapter Leader's Guide to Leadership breaks down the Joint Commission's leadership requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPointr presentation highlighting key compliance takeaways. Also, receive bonus tools which include: * A document requirement checklist * Proactive risk assessment tool * Contract monitoring tool

Bringing Leadership to Life in Health: LEADS in a Caring Environment
Bringing Leadership to Life in Health: LEADS in a Caring Environment

Author: Graham Dickson

Publisher: Springer Science & Business Media

Published: 2014-01-13

Total Pages: 204

ISBN-13: 1447148754

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Globally, the health sector faces significant demands for reform and improvement to meet the needs of the 21st Century. To achieve that goal, highly sophisticated and capable leaders are required across all dimensions of the health system. This book describes the key challenges that demand reform, why better leadership is the source code for better system performance, and the issues that stand in the way of getting that leadership. It includes substantive treatment of the modern democratic challenges that healthcare leaders face; and the essence of what it means to be a leader in today’s world. The essence of leadership itself is described, and the case made for the need for people to use the workplace as the place to develop leadership rather than relying solely on formal programs. It will also outline a self-directed learning process that any individual leader—citizen, clinician, or senior executive—can use to develop their own leadership capability, and thus become more active as a leader of change. This book addresses the need for leaders to think on a system-wide scale. A second part of the book focuses primarily on the Canadian Health system and LEADS in a Caring Environment capabilities framework, and the link between LEADS and frameworks in Australia and the UK. LEADS was developed through a partnership between members of the Healthcare Leaders Association of British Columbia and the Canadian College of Health Leaders, the Canadian Health Leadership Network and Royal Roads University. Currently it is stewarded by a not-for-profit collaboration that has endorsed LEADS as an evidence-informed set of national expectations for Canadian health leaders. LEADS has been endorsed by many health organizations in almost all provinces in Canada as a foundation for their talent management programs in leadership (development and succession planning). The book will address the research foundations for the LEADS framework; how it was developed; the framework’s contents; its congruence with other national frameworks, and how LEADS can be used as a model to envisage and plan change.

The Chapter Leader's Guide to Medication Management
The Chapter Leader's Guide to Medication Management

Author: Robert L. Manniello

Publisher: HC Pro, Inc.

Published: 2011-04-06

Total Pages: 151

ISBN-13: 1601468105

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The Chapter Leader's Guide to Medication Management: Practical Insight on Joint Commission Standards Robert L. Manniello, MD, MS, MBA Quick, concise standard explanations for Medication Management chapter leaders The Chapter Leader's Guide to Medication Management breaks down the Joint Commission's medication management requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Benefits of The Chapter Leader's Guide to Medication Management: Optimize survey readiness with a complete breakdown of the medication management standards Educate everyone from bedside staff to leadership about the impact of medication management compliance Communicate updated medication management requirements in the most effective manner Build a high-functioning interdisciplinary team to ensure Medication Management compliance What's inside: A complete breakdown of the key standards your chapter leaders need to understand to optimize survey readiness An examination of how Medication Management affects staff from leadership to bedside staff within all departments of your organization Evidence demonstrating the critical role that communication plays in assuring the best compliance with Medication Management standards Tools to identify the best people to help keep Medication Management requirements in compliance at your facility Table of Contents Part I: Medication Management Standards: The High-Level Overview How does this chapter effect the organization as a whole? What is its impact on leadership and administration? Who owns the requirements of this chapter? Part II: the 96 Hour Principal Hospitals staff Medical staff and allied professionals Pharmacy staff Figure 2.1: Pharmacist Job Description Nursing staff Part III: Implementation of Medication Management Standards Handling of Selection and procurement standards Storage of medications Principles and Procedures Ordering and transcribing Evaluation Figure 3.1: High Risk and High Alert Medications Figure 3.2: Look-Alike/Sound-Alike Medications Figure 3.3a: Hospital Formulary Figure 3.3b: Black Box Warning, Handling of Figure 3.4a: Medication Administration Figure 3.4b: Medication Administration: Care of Patients Figure 3.4c: Sample Medication Storage Policy Figure 3.5: Patient Self-Administered Medications Figure 3.6: Medication Ordering Figure 3.7: Patient Information Minimum for Pharmacist Review Preparing and Dispensing Figure 3.8: Dispensing of Medications Administration Figure 3.9: Investigational Medications Monitoring Figure 3.10: Adverse Drug Reactions, Reporting of Summary statement Who will benefit? Accreditation coordinator, accreditation specialist, survey coordinator, Joint Commission survey coordinator, medication management chapter leader, pharmacy director, and pharmacy coordinator Earn Continuing Education CreditsNational Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.

Environment of Care Risk Assessment
Environment of Care Risk Assessment

Author: Joint Commission Resources, Inc

Publisher:

Published: 2008

Total Pages: 0

ISBN-13: 9781599401843

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In a health care environment, risks abound. This must-have book provides organizations with the tools and know-how to conduct effective assessments of potential risks and take steps to minimize them. Whether the risk issue is infant and pediatric abduction, infection control during construction, fire safety, or potential disaster emergencies, Environment of Carer Risk Assessment guides organizations through a basic risk assessment process and suggests potential high-profile, high-risk areas for consideration. It shows how to use existing standards tools such as the Periodic Performance Review, Interim Life Safety Measures, the hazard vulnerability analysis, and more. And, it provides case studies, examples, and worksheets for assessing and minimizing risk and includes a CD-ROM with interactive risk assessment forms. Performing risk assessments can help organizations avoid OSHA fines, accreditation noncompliance, and more. But the bottom line is that by performing prudent and timely risk assessments, organizations can help ensure patient, staff, and visitor safety.

The Chapter Leader's Guide to Performance Improvement
The Chapter Leader's Guide to Performance Improvement

Author: Cynthia Barnard

Publisher: HC Pro, Inc.

Published: 2011-02-11

Total Pages: 115

ISBN-13: 1601468083

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The Chapter Leader's Guide to Performance Improvement Cynthia Barnard, MBA, MSJS, CPHQ Quick, concise standard explanations for performance improvement chapter leaders The Chapter Leader's Guide to Performance Improvement breaks down The Joint Commission's performance improvement requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Also, receive bonus tools which include: Annual performance improvement program assessment worksheet Sample performance improvement team charter Critical information checklist Templates for quality plans Samples for compliance with required measurements Samples for compliance with measurements to be considered Checklist for survey readiness Benefits of The Chapter Leader's Guide to Performance Improvement: Empower your PI chapter leaders to successfully navigate the survey process Communicate the impact the PI chapter has on the entire leadership team, management, and caregivers Create a culture of accountability by delegating survey-related responsibilities to staff members Go beyond standard numbers and understand the true meaning of The Joint Commission's PI requirements Get everyone in your facility on board with compliance Save time training PI chapter leaders with the customizable PowerPoint presentation What's inside: Simplified explanation of The Joint Commission's performance improvement chapter Tools for data collection and analysis to measure the performance of processes Strategies for analyzing data to implement better care, improve compliance, and promote positive change Best practices in designing, implementing, and presenting performance improvement programs with reference to accreditation requirements Table of Contents Introduction: How This Handbook Can Help You Part I: Performance Improvement in the Organization Leadership Roles in Performance Improvement Successful Management of Performance Improvement Key Take-Away Points Part II: Planning and Coordinating Performance Improvement Communicating and Integrating Performance Improvement Throughout the Organization Do You Need a Dashboard? Impact of Performance Improvement on Patients, Clinicians, and Staff Teams, Charters, and Leadership Physician Roles and Responsibilities in Performance Improvement Key Take-Away Points Part III: Implementing Performance Improvement The Performance Improvement Cycle Data Collection and Analysis Process Improvement Documentation and "Telling the Story" Sustaining Change Key Take-Away Points Part IV: Effective PI Survey Preparation Critical Information at Your Fingertips The PI Presentation to Surveyors The Data Tracer and the Leadership Interview Key Take-Away Points Who will benefit? Accreditation coordinators, accreditation specialists, survey coordinators, Joint Commission survey coordinators, performance improvement chapter leaders, quality directors, quality improvement professionals Earn Continuing Education Credits National Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.