The Joint Commission 2014 for ASC's- Session 2
Video Training
Category: Accreditation
Title: The Joint Commission 2014 for ASC's; Session #2 out of 3 Series
Presenter: Cathy Montgomery, RN, President of Excellentia Advisory Group
Cathy has over 20 years of experience in healthcare services management. During her position as Regional Manager for Barnes Hospital, Cathy oversaw several physician practices. As Regional Administrator for Novamed, she oversaw operations of the physician practices, as well as the ambulatory surgery centers and optical shops in the Metro St. Louis and Illinois areas. Under her direction, a state-of-the-art refractive surgery center was also designed and opened in St. Louis, MO.
Cathy is Founder and President of Excellentia Advisory Group, a consulting and development company serving both the surgical industry through ASC’s as well as surgical hospitals and office-based surgical practices. Cathy’s passion has been teaching compliance to CMS Conditions of Coverage, AAAHC accreditation, and assisting ASCs with their survey readiness.
Description: This presentation is Session #2 in a 3-session series teaching you everything that you need to know about the preparation for and passing your Joint Commission accreditation for ambulatory surgery centers. The material content is current through 2014 standards.
The OVERVIEW of Cathy’s seminar presentation is about:
- *Infection Prevention- So much more than hand hygiene! We will review the necessary components required by TJC/CMS/CDC/OSHA to assure compliance. Risk assessment provided, as well as 2013 updated Surveyor Checklist.
- *Medication Management-Help your staff and providers comply by knowing what is required by USP 797, Pharmacopeia Standards. (Standards provided)
- *2014 Patient Safety Goals-Discussion of the 2014 revisions as well as Universal Protocols. (Handout on Goals and Protocols provided)
- *Provision of Care- Learn the specifics of the chapter. Policy on conscious sedation and oversedation provided.
- *Transplant Safety & Waived Testing- Quick review for those providing services.
This DVD should be viewed by the facility Administrator, Director of Clinical Services and any/all staff and providers in order to obtain maximum effectiveness of the training. Session 2 is one hour and 19 minutes in duration.
Note-taking version of this PowerPoint Presentation. CLICK HERE to download.
Other handouts associated with this presentation can be downloaded by selecting/clicking:
- 42cfr482_26_Handout Mandatory Rules
- 2012 Waiver Update
- 2013_02421 PI_Radiologist Repeal Proposal
- Advanced Chemical Sensors
- AHC NPSG Chapter 2014
- AORN Checklist
- ASC Checklist for GI
- ASC Cleaning Scheduled Revised
- Borrowed Instruments
- c797
- Cataract Safety Checklist
- CDC Hand Hygiene Brochure
- Ceiling OR Cleaning
- CMS Flash Sterilization
- CMS Invasive Definition
- Confused Drug Names
- Conscious Sedation Policy
- Copy of Infection Control Risk Assessment
- CRNA Peer Review
- Do not use list
- DVT Risk Assessment Form
- Eye Checklist
- Floor OR Cleaning
- GI checklist
- High Alert Medications
- How to Obtain Certificate of Waiver
- In the Heat of the Moment
- JCOnline February 20, 2013
- Lithrotripsy Guidelines Policy
- Look Alike Drug Errors Policy
- Malignant Hyperthermia Drill
- Management of Oversedation Policy
- Neutral Zone Hands Free Literature
- Operating Room Cleaning Between Cases Checklist
- Operating Room Cleaning Worksheet
- Outpatient Surgery Magazine 1005 Decontamination
- Outpatient Surgery Magazine 1008 Sterilization
- Patient Brochure Light
- Prepub 12_20_2013 DiagImaging
- Professional Laundry Tool Handout
- Radiology Checklist
- Reprocessing Endoscopes
- Safety Syringes
- Sample Medications_TJC publication
- Sample Safe Injection Practices Survey
- Sedation Audit tool
- Sharps
- Sharps Hands Free Technique Policy
- Shelf Life of Sterile Supplies Policy
- SSI
- Surgeon Peer Review
- Surveyor Worksheet_CMS
- Tall Man Letters
- VTE Patient Signs & Symptoms
- Walls OR Cleaning
- WHO
Once you and any/all staff have reviewed this presentation, you will be eligible to receive a Certificate of Participation worth 1.5 Credit Hours of continuing education. You simply contact us at events@excellentiagroup.com requesting your certificates, using the Certificate Request Form found in the link below. You will need to provide a typed list of all participants first and last names, position title (RN ,BSN, etc.), license numbers (if professionals) and date of completion.
* Excellentia Advisory Group LLC is approved by the California Board of Registered Nursing, Provider CEP 15481: Issue Date: 4/6/2010;
CLICK HERE for Certificate Request Form