Join this session where we focus on TJC changes and updates to the survey process and share snapshots of how others have navigated their recent surveys. Applying your learning is the ultimate goal and this presentation will help you create an action plan where you can draw on lessons learned.
CE is not awarded for Industry Insights.
A complimentary webinar for members, sponsored by Courtemanche & Associates.
The Joint Commission has recently announced several changes to survey process and accreditation standards that have significant impact to hospitals. Those changes include the elimination of the Plans for Improvement in the Statement of Conditions, the reduction of over 200 standards and elements of performance and a scoring methodology based on risk. These significant changes will drive survey process in the coming year and this session will provide quality, regulatory and patient safety professionals in all aspects of healthcare with the information needed to lead their organizations.
- Identify at least two changes to the Joint Commission survey process
- Describe The Joint Commission’s new risk-associated process for categorizing survey findings
- Identify current accreditation and patient safety focus areas, associated challenges and potential solutions
About the Presenter: Jill
Ryan is Chief Executive Officer and a Senior Consultant at Courtemanche &
Associates. In this role, Jill is responsible for the daily operations of the firm
and assuring the provision of the mission of the company. She works with clients to enhance
Courtemanche & Associates’ offerings through onsite and virtual
consultation, web conferencing, and development of new services to meet
clients’ needs.
Ms. Ryan has nearly three decades of healthcare administrative and
regulatory experience. She has served as survey coordinator and patient
safety officer, facilitating numerous successful Joint Commission surveys,
Centers for Medicare and Medicaid Services (CMS) surveys and state surveys. Jill has worked in senior leadership for the
majority of her career and has demonstrated skills in governance and medical
staff relations, leadership and management development, facilitation of
strategic initiatives and the creation of infrastructure to support operational
growth and business goals.
Ms. Ryan has developed numerous unique regulatory
compliance tools and resources to assist organizations in accreditation and
regulatory success. Of note, she
developed the concept of the “Mini Tracer” which is highlighted in Performance Tracing: A Primer on Tracer
Methodology. No stranger to the educational needs of regulatory compliance,
Ms. Ryan also developed TJC Boot Camp and TJC 101 to keep organizations on
track with accreditation basics and changing regulatory requirements.
Ms. Ryan was also instrumental in developing and implementing the
concept of Care Enhancement to operationalize culture change at the operational
level of healthcare organizations enhancing compliance and patient care
outcomes. This unique approach modifies
organizational dynamics and creates the synergy needed between staff and
leaders to attain positive organizational outcomes.
In addition, Ms. Ryan is a Certified Professional in Healthcare Quality and a
Healthcare Accreditation Certified Professional.
The Joint Commission® is a registered trademark of Joint Commission on Accreditation of Healthcare Organizations. Courtemanche & Associates has no affiliation with this entity.