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
Helpful MCN Healthcare Resources
In order to enhance collective Ebola Virus Disease (EVD) preparedness and response efforts, the U.S. Department of Health and Human Services (DHHS), Centers for Disease Control and Prevention (CDC), Office of the Assistant Secretary for Preparedness and Response (ASPR), and other federal, state, and local partners have released a checklist that highlights key areas for hospital staff - especially hospital emergency management officers, infection control practitioners, and clinical practitioners - to review in preparation for a person with EVD arriving at a hospital for medical care. The checklist provides practical and specific suggestions to ensure your hospital is able to detect possible EVD cases, protect employees, and respond appropriately.
While there are not currently any domestic EVD cases (other than the American citizens who have been medically evacuated to the United States), now is the time to prepare, as it is possible that individuals with EVD in West Africa may travel to the United States, exhibit signs and symptoms of EVD, and present to facilities. According to DHHS, every hospital should ensure that it can detect a patient with Ebola, protect healthcare workers so they can safely care for the patient, and respond in a coordinated fashion. Many of the signs and symptoms of EVD are non-specific and similar to those of many common infectious diseases, as well as other infectious diseases with high mortality rates. Transmission can be prevented with appropriate infection control measures.
Hospitals should review infection control policies and procedures and incorporate plans for administrative, environmental, and communication measures, as well as personal protective equipment (PPE) and training and education. Hospitals should also define the individual work practices that will be required to detect the introduction of a patient with EVD or other emerging infectious diseases, prevent spread, and manage the impact on patients, the hospital, and staff.
The Joint Commission (TJC) recently approved revisions, effective September 29, 2014, for several standards for hospitals that use TJC accreditation for deemed status purposes. Today's notice reviews revisions made to the Leadership Chapter, specifically elements of performance for standard LD.04.02.03 which requires hospitals to use ethical principles to guide business practices.
Each of the changes made to EP 13, 14, 15, and 16 by TJC are specifically intended for hospitals that have swing beds used for long term care. In summary, changes include the following:
- The hospital is required to provide the following to each resident who is entitled to Medicaid benefits of at the time of admission or when the resident becomes eligible for Medicaid in writing:
- The items and services included in the state plan for which the resident may not be charged.
- Those items and services that the facility offers and for which the resident may be charged, and the amount of charges for those services.
- If there are changes made to any of the above specified services Hospitals must inform residents.
- If a resident becomes eligible for Medicaid after admission the hospital may only charge the resident the Medicaid-allowable charge.
- Before or at time of admission and then periodically during the residents stay, residents must be informed of services available at the facility and the charges for those services that are not covered under Medicare or by the facility's per diem rate.
Included with today's notice is an example policy and procedure that reflects the above described requirements.
Pharmacy Creations has voluntarily recalled four product lots (see firm Press Release, link below) after determining that the specific product lots have the potential of not being sterile. There are serious health implications for the use of contaminated product in all patients, including the development of a life-threatening infection. To date there have been NO reported adverse events associated with the use of the product.
The prescription preparations were distributed in Florida, New Jersey, New York, and Puerto Rico between March 4, 2014 and June 18, 2014 and were mailed directly to patients and physicians.
Customers should return the recalled product lots. Physicians and patients that have products which are being recalled should stop use and return to place of purchase. Consumers should be instructed to contact their physician or healthcare provider if they have experienced any problems that may be related to taking or using these drug products.
Featured Policy Library Manuals
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.Read more »
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.Read more »
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.Read more »