question

We are a rural hospital with 101 beds and we have just an election of our
Medical Staff Officers. Can anyone direct me to the Standard or CoP that
relates to a requirement to have a Medical Director of ICU?



Thank you for any help.



Lillian Rodgers

Pleasant Valley Hospital

Comments

  • edited July 2016
    We are a rural hospital with 101 beds and we have just an election of our
    Medical Staff Officers. Can anyone direct me to the Standard or CoP that
    relates to a requirement to have a Medical Director of ICU?



    Thank you for any help.



    Lillian Rodgers

    Pleasant Valley Hospital
  • edited July 2016
    We complete an annual review


    We are all angels with only one wing; we can only fly while embracing
    one another.

    Jane Zachrich, RN. MSN
    Chief Nursing Officer, VP Patient Services
    Community Memorial Hospital
    phone: 419-542-5567
    fax: 419-542-6506
    jzachrich@cmhosp.com
  • edited July 2016
    Yes, but it was on a unit where behavioral medicine patients were managed.

    Kathy Fiechter
  • From: Iris Mielke -DHMH- [mailto:iris.mielke@maryland.gov]
    Sent: Friday, October 07, 2016 12:51 PM
    To: Multiple recipients of list JCAHO-WATCH
    Subject: [jcaho-watch] Question

    Has anyone been cited during their survey in infection control chapter related to magazines being kept on racks in clinic areas or patient care units.

    Thanks in advance.

    --
    Iris Mielke, R.N., Director
    Performance Improvement & Patient Safety;
    Risk Management; Utilization Management
    Acting Director Environmental Safety and Emergency Management

    Springfield Hospital Center
    6655 Sykesville Road
    Sykesville, Maryland 21784
    Phone Number: 410-970-7039
    Fax Number: 410-970-7341

    Iris.Mielke@maryland.gov
    "In an integrated patient safety system, staff and leaders work together to eliminate complacency, promote collective mindfulness, treat each other with respect and compassion, and learn from their patient safety events, including close calls and other system failures that have not yet led to patient harm."

    [http://www.samhsa.gov/sites/default/files/eight-dimensions-wellness.jpg]


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  • We have not. Our volunteers like to pass those around the whole hospital too. Our IC would prefer these not be shared, maybe it should be looked at.

    From: Deborah Krejci [mailto:dkrejci@comhs.org]
    Sent: Friday, October 07, 2016 4:11 PM
    To: Multiple recipients of list JCAHO-WATCH
    Subject: RE: [jcaho-watch] Question



    From: Iris Mielke -DHMH- [mailto:iris.mielke@maryland.gov]
    Sent: Friday, October 07, 2016 12:51 PM
    To: Multiple recipients of list JCAHO-WATCH
    Subject: [jcaho-watch] Question

    Has anyone been cited during their survey in infection control chapter related to magazines being kept on racks in clinic areas or patient care units.

    Thanks in advance.

    --
    Iris Mielke, R.N., Director
    Performance Improvement & Patient Safety;
    Risk Management; Utilization Management
    Acting Director Environmental Safety and Emergency Management

    Springfield Hospital Center
    6655 Sykesville Road
    Sykesville, Maryland 21784
    Phone Number: 410-970-7039
    Fax Number: 410-970-7341

    Iris.Mielke@maryland.gov
    "In an integrated patient safety system, staff and leaders work together to eliminate complacency, promote collective mindfulness, treat each other with respect and compassion, and learn from their patient safety events, including close calls and other system failures that have not yet led to patient harm."

    [http://www.samhsa.gov/sites/default/files/eight-dimensions-wellness.jpg]


    *CONFIDENTIALITY NOTICE:* The information contained in this e-mail message may be confidential and legally privileged and is intended solely for the intended recipient of this message. Unauthorized disclosure, copying, distribution or use of the information contained herein (including any reliance thereon) is strictly prohibited and may constitute a violation of State of Maryland and/or federal laws concerning the confidentiality of privileged medical information. If you have received this message in error, please contact the sender by return e-mail and destroy the material in its entirety (whether in electronic or hard copy format). Thank you.



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    ---

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    To access the web interface, go to http://www.decisionhealth.com/jcaho-watch and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to �no mail.� To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.

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  • Same here, not cited so far. Our volunteers do remove them and replace fairly frequently. The individual magazines do not stay long.

    Denice Baird, RN
    Director of Regulatory Compliance
    Phone # 575-538-4845| dbaird@grmc.org
    Building the best rural hospital for those we serve!
    Gila Regional Medical Center |Regulatory Compliance | 1313 E. 32nd St., Silver City, NM 88061

    Confidentiality Notice
    The information in this e-mail may be confidential and/or privileged. This e-mail is intended to be reviewed by only the individual or organization named above. If you are not the intended recipient or an authorized representative of the intended recipient, you are hereby notified that any review, dissemination or copying of this e-mail and its attachments, if any, or the information contained herein is prohibited. If you have received this e-mail in error, please immediately notify the sender by return e-mail and delete this e-mail from your system. Thank You.


    From: Owens, Tammy L [mailto:towens@wisehealthsystem.com]
    Sent: Monday, October 10, 2016 10:11 AM
    To: Multiple recipients of list JCAHO-WATCH
    Subject: RE: [jcaho-watch] Question

    We have not. Our volunteers like to pass those around the whole hospital too. Our IC would prefer these not be shared, maybe it should be looked at.

    From: Deborah Krejci [mailto:dkrejci@comhs.org]
    Sent: Friday, October 07, 2016 4:11 PM
    To: Multiple recipients of list JCAHO-WATCH
    Subject: RE: [jcaho-watch] Question



    From: Iris Mielke -DHMH- [mailto:iris.mielke@maryland.gov]
    Sent: Friday, October 07, 2016 12:51 PM
    To: Multiple recipients of list JCAHO-WATCH
    Subject: [jcaho-watch] Question

    Has anyone been cited during their survey in infection control chapter related to magazines being kept on racks in clinic areas or patient care units.

    Thanks in advance.

    --
    Iris Mielke, R.N., Director
    Performance Improvement & Patient Safety;
    Risk Management; Utilization Management
    Acting Director Environmental Safety and Emergency Management

    Springfield Hospital Center
    6655 Sykesville Road
    Sykesville, Maryland 21784
    Phone Number: 410-970-7039
    Fax Number: 410-970-7341

    Iris.Mielke@maryland.gov
    "In an integrated patient safety system, staff and leaders work together to eliminate complacency, promote collective mindfulness, treat each other with respect and compassion, and learn from their patient safety events, including close calls and other system failures that have not yet led to patient harm."

    [http://www.samhsa.gov/sites/default/files/eight-dimensions-wellness.jpg]


    *CONFIDENTIALITY NOTICE:* The information contained in this e-mail message may be confidential and legally privileged and is intended solely for the intended recipient of this message. Unauthorized disclosure, copying, distribution or use of the information contained herein (including any reliance thereon) is strictly prohibited and may constitute a violation of State of Maryland and/or federal laws concerning the confidentiality of privileged medical information. If you have received this message in error, please contact the sender by return e-mail and destroy the material in its entirety (whether in electronic or hard copy format). Thank you.


    NOTICE: This message and the accompanying documents are intended only for the use of the individual or entity to which they are addressed and may contain information that is privileged, or exempt from disclosure under applicable law. If the reader of this email is not the intended recipient, you are hereby notified that you are strictly prohibited from reading, disseminating, distributing, or copying this communication. If you have received this email in error, please notify the sender immediately and destroy the original transmission.

    ---

    JCAHO-WATCH is a free service sponsored by DecisionHealth. JCAHO-Watch is 100% independent and is in no way affiliated with the Joint Commission on Accreditation of Healthcare Organizations, the trademark holder of JCAHO and Joint Commission.

    To access the web interface, go to http://www.decisionhealth.com/jcaho-watch and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to �no mail.� To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.

    You are currently subscribed to jcaho-watch as:dkrejci@comhs.org. To unsubscribe send a blank email to leave-2794274-24022200.6c8bb6c813fe016d548dcd008439238e@lyris.ucg.com

    This message and attachment(s), if any, is intended for the sole use of the individual and/or entity of which it is addressed, and may contain information that is privileged, confidential and prohibited from disclosure under applicable law. If you are not the addressee, or authorized to receive this on behalf of the addressee, you are hereby notified that you may not use, copy, disclose or distribute to anyone this message or any part thereof. If you have received this in error, please immediately advise the sender by e-mail and delete this information and all attachments from your computer and network. Thank you.

    ---

    JCAHO-WATCH is a free service sponsored by DecisionHealth. JCAHO-Watch is 100% independent and is in no way affiliated with the Joint Commission on Accreditation of Healthcare Organizations, the trademark holder of JCAHO and Joint Commission.

    To access the web interface, go to http://www.decisionhealth.com/jcaho-watch and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to �no mail.� To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.

    You are currently subscribed to jcaho-watch as:towens@wisehealthsystem.com. To unsubscribe send a blank email to leave-2794275-24021849.9b866a8b0f00bdc4b4b2dc373c3cff83@lyris.ucg.com
    CONFIDENTIALITY NOTICE: This email is covered by the Electronic Communications Privacy Act, 18 U.S.C. 2510-2521 and is legally privileged. This communication may also contain material protected and governed by the Health insurance Portability and Accountability Act of 1996 (HIPAA). This e-mail is only for the personal and confidential use of the individuals to which it is addressed and contains confidential information. If you are not the intended recipient, you are notified that you have received this document in error, and that any reading, distributing, copying or disclosure is unauthorized. If you have received this communication in error, please notify the sender immediately by the telephone number above and destroy the message.

    ---

    JCAHO-WATCH is a free service sponsored by DecisionHealth. JCAHO-Watch is 100% independent and is in no way affiliated with the Joint Commission on Accreditation of Healthcare Organizations, the trademark holder of JCAHO and Joint Commission.

    To access the web interface, go to http://www.decisionhealth.com/jcaho-watch and enter your e-mail address. Click on the My Account tab and then the Advanced tab to set or change your password. Click on the Essentials tab and Membership Type to set the way you want to access list messages. To read messages on the web interface only, set Membership Type to �no mail.� To see the archive of past messages, click on the Messages tab and the Show More button. To view the chat forum, click on the Conference tab. To unsubscribe, click on the My Forums tab.

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