Your Complete Policy Management Partner

Everything your healthcare organization needs to confidently maintain accreditation compliance.

Robust document control and workflow management software solution

Simplify & automate policy access, review and approval across your organization

Web-based library of more than 18,000 customizable policy documents

Instantly access up-to-date policies, procedures & forms authored by MCN experts

Automated regulatory notification system of daily email or mobile alerts

Keep current with regulatory changes from more than a dozen federal regulatory bodies, including TJC & NIAHO

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MCN Healthcare has been indispensable to our accreditation compliance efforts. With Policy Manager, Policy Library and StayAlert!, we have peace of mind that our policies will always be up-to-date and easy to locate.

Beverly McKenzie, Compliance Programs Director, IASIS Healthcare

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Helpful MCN Healthcare Resources

MCN Healthcare: StayAlert! - Immediate Regulatory Updates Icon

StayAlert! Headlines

Nov 22 2014
Recall of Baxter’s Highly Concentrated Potassium Chloride Injection, 10 mEq per 100 mL - Mislabeled Overpouch

Baxter International Inc. is informing healthcare professionals that it has voluntarily recalled one lot of Highly Concentrated Potassium Chloride Injection, 10 mEq per 100 mL to the user level due to a complaint of mislabeling of the overpouch. Some containers of Product Code 2B0826, Highly Concentrated Potassium Chloride Injection, 10 mEq per 100 mL, Lot Number P319160, Exp. 06/30/2015, NDC 0338-0709-48 were incorrectly labeled on the overpouch as Highly Concentrated Potassium Chloride Injection, 20 mEq per 100 mL.

The inability to detect this overpouch mislabeling at the point of care may result in the administration of a dose lower than intended. In the high-risk patient population - patients prone to severe electrolyte imbalance - this hazardous situation may lead to serious, life-threatening adverse health consequences. There have been no reported adverse events associated with this issue to date.

Potassium Chloride is indicated for treatment of potassium deficiency and administered intravenously. Products were distributed to customers in the U.S. between June 23, 2014 and October 2, 2014.

Baxter has notified customers, who are being directed not to use product from the recalled lot. Recalled product should be returned to Baxter for credit by contacting Baxter Healthcare Center for Service at 1-888-229-0001, Monday through Friday, between the hours of 7:00 a.m. and 6:00 p.m., Central Time.

Unaffected lot numbers can continue to be used according to the instructions for use. Unaffected lots of product are available for replacement. Consumers should contact their physician or healthcare provider if they have experienced any problems that may be related to using this drug product.

Read the MedWatch safety alert, including a link to the press release, at the link below.

Read more »
Nov 21 2014
Essential Components of a Comprehensive Compliance Plan

The annual release of the Office of Inspector General's (OIG) Work Plan provides an excellent opportunity for organizations to review their compliance plans and ensure that it addresses the areas OIG will be focusing on in the upcoming year.  Over the last two weeks StayAlert has reviewed the 2015 OIG Work Plan.  Today's notice reviews the essential components of a comprehensive compliance plan.

Hospitals receiving federal funds have a regulatory obligation to establish and maintain an effective compliance program.  The intention is for a compliance program to develop and support a culture of compliance that encompasses all levels of the organization.  According to the OIG's supplemental Compliance Program Guidance (CPG), a comprehensive compliance program should:

  • Demonstrate the hospital's commitment to honest and responsible corporate conduct
  • Increase the likelihood of preventing, identifying, and correcting unlawful and unethical behavior at an early stage
  • Encourage employees to report potential problems to allow for appropriate internal inquiry and corrective action
  • Minimize financial loss to government and taxpayers, as well as any corresponding financial loss to the hospital through early detection and reporting

A hospital's Compliance Plan should be overseen by the organization's compliance officer, in conjunction with the Compliance Committee.  This committee is responsible for the formulation and implementation of an overall organizational Compliance Plan which includes comprehensive policies and procedures that address compliance related issues including, but not limited to: 

  • Coding and billing
  • Reasonable and necessary services
  • Present on Admission (POA) diagnoses
  • Adverse Events
  • Documentation 
  • Improper inducements, kickbacks and self-referrals

The backbone of any compliance plan is employee education. Education programs should:

  • Be conducted at hire and at least annually thereafter
  • Address all applicable Federal and state laws and regulations that apply to and impact the organization's documentation, coding, billing and competitive practices, and the day-to-day activities of the hospital and its employees and agents.
  • Be tailored to the organization and include general information on compliance issues and well as individual departmental training on specific risk areas
  • Be documented in the employees' personnel file

Included with today's notice are example guidelines related to the development and implementation of a comprehensive compliance plan. 

Read more »
Nov 20 2014
Class I Recall of Respironics California, Esprit V1000 and V200 Ventilators - Power Failure May Occur

Respironics California Inc. has initiated a recall of Esprit V1000 and V200 Ventilators, Model V1000 and V200, installed with 3rd Generation Power Supplies, and 3rd Generation Power Supply Repair Part Kits. These devices were manufactured and distributed from December 21, 2012 to July 9, 2014.

The 3rd Generation Power Supplies are installed in Esprit V1000 and V200 Ventilators and are also sold as 3rd Generation Power Supply Repair Kits. A part in the 3rd Generation Power Supply may prevent the ventilator from using AC power (electricity from a wall socket) or may fail and prevent the ventilator from switching back to AC power after using battery power. Additionally, if a battery is not present or is used up, the ventilator will not work.

Failure of the power supply may cause the ventilator to shut off, which may result in too much carbon dioxide in a patient's blood, not enough oxygen in the blood, or death.  There have been no reports of death or serious injury related to this potential problem.

The Esprit V1000 and V200 ventilators provide constant or periodic breathing help for adults and children, including newborns. These devices are used in hospitals and other health care settings.

A Philips field service engineer, trained service provider, or distributor will contact customers to schedule a replacement of the recalled 3rd Generation Power Supply with a 3.1 Power Supply on all Esprit V1000 and V200 ventilators, and all 3rd Generation Power Supply Repair Part Kits.  Philips Healthcare sent an URGENT Field Safety Notice dated September 17, 2014 to all customers who purchased the Esprit V1000 and V200 Ventilators.

The letter recommends that customers and users take these actions:

  • Until the ventilator is replaced, it can still be used according to the directions for use.
  • If the power supply fails during use and the ventilator loses standard electrical current, a different ventilator must be used.
  • Be aware of the warnings from the Esprit V1000 and V200 operator's manual. When lights and sound alarms occur, including a flashing red light when the battery is low, the patient must be supported by a different ventilator.

Read the MedWatch safety alert, including a link to the recall notice, at the link below.

Read more »
MCN Healthcare: Policy Library - Customizable Policy Documents Icon

Featured Policy Library Manuals

Policy Library Manuals: Ambulatory Surgical Center and Outpatient Surgery Department Policy and Procedure Manual Icon
Ambulatory Surgical Center and Outpatient Surgery Department Policy and Procedure Manual

MCN's NEW Ambulatory Surgical Center/Outpatient Surgery Department Policy and Procedure Manual is cross referenced to TJC standards, AAAHC standards and CMS regulations. Policies and procedures meet AORN and CDC recommendations and guidelines. This comprehensive reference guide has over 290 policies and procedures that are ready to customize to your organization. See also the Administrative Manual for Ambulatory Care Facilities and the Ambulatory Services EOC Manual.

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Policy Library Manuals: Central Service Policy and Procedure Manual Icon
Central Service Policy and Procedure Manual

MCN's Central Service Policy and Procedure Manual provides over 200 proven, up-to-date policies and procedures in a ready-to-customize format. This manual is cross referenced to federal regulations, as well as Joint Commission and NIAHO standards. References used include AAMI Recommended Practices, IAHCSMM Central Service Technical Manual, ASHCSP Training Manual for Health Care Central Service Technicians and AORN Recommended Practices.

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Policy Library Manuals: Post Anesthesia Care Policy and Procedure Manual Icon
Post Anesthesia Care Policy and Procedure Manual

MCN's Post Anesthesia Care Policy and Procedure Manual is a comprehensive resource that covers the latest "hot topic" regulatory and patient safety issues that are relevant to PACU! This manual includes administrative, operational, functional and patient-centered policies and procedures. Policies and procedures are cross-referenced to CMS regulations, Joint Commission standards and NIAHO standards.

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