October 19, 2023 - 8:30 AM - October 20, 2023 2:45 PM

2023 Continuous Service Readiness Fall Conference

Location: Online

Registration Deadline: October 21, 2023

Overview

The Pennsylvania Continuous Service Readiness Program (CSRP) is a joint effort between Joint Commission Resources (JCR) and The Hospital and Healthsystem Association of Pennsylvania (HAP) to structure and implement a program by which hospitals can receive education, consultation, and feedback on an ongoing basis from JCR and The Joint Commission (TJC) staff. This conference is limited to participants from CSR hospitals.

This meeting is limited to participants from CSR hospitals. Not a member? If you are interested in participating in the CSR Program, please contact Daneen Schroder.

Agenda

10/19/2023

8:30 AM

Welcome & Opening Comments

9:00 AM

Collaborating with The Joint Commission Office of Quality and Patient Safety to Strengthen Safety Processes

  • Suzanne Gavigan MSN, CRNP, CPPS, Director, Office of Quality and Patient Safety, The Joint Commission
10:30 AM

Break

10:45 AM

Collaborating with The Joint Commission Office of Quality and Patient Safety to Strengthen Safety Processes

  • Suzanne Gavigan MSN, CRNP, CPPS, Director, Office of Quality and Patient Safety, The Joint Commission
12:15 PM

Lunch

1:00 PM

Use of Restraints: Violent, Non-Violent, and Chemical

  • Suzanne D. Harrison, MPH, Consultant/Behavioral Health Specialist, Joint Commission Resources, Inc.
2:30 PM

Wrap Up


10/20/2023

8:30 AM

Welcome & Opening Comments

9:00 AM

Environment of Care /Life Safety/Emergency Management Update

  • Robert N. Neil, MBA, CHFM, CHSP, Principal Consultant, Joint Commission Resources
10:30 AM

Break

10:45 AM

Environment of Care /Life Safety/Emergency Management Update

  • Robert N. Neil, MBA, CHFM, CHSP, Principal Consultant, Joint Commission Resources
12:15 PM

Lunch

1:00 PM

Preparing for Revisions to the Survey Process with the Revised USP 797 and USP 800 Chapters

  • Jeannell M. Mansur, PharmD, RPh, CJCP, FASHP, FSMSO, Principal Consultant, Joint commission Resources
2:30 PM

Wrap Up

Learning Objectives

Conference Objectives

At the conclusion of this program, participants will be able to:

  1. Discuss the Environment of Care/Life Safety/Emergency Management updates
  2. Understand the Office of Quality and Patient Safety (OQPS) focus and intent to collaborate with organizations to strengthen patient safety processes
  3. Differentiate between violent and non-violent restraint and explain the parameters that define chemical restraint
  4. List new requirements of the 2022 USP Chapter 797 and the key requirements of USP Chapter 800

Additional session-specific objectives are as follows:

Collaborating with The Office of Quality and Patient Safety (OQPS) to Strengthen Safety Processes
Speaker: Suzanne Gavigan, The Joint Commission

At the conclusion of this program, participants will be able to: 

  1. Gain an understanding of the Patient Safety Event reporting process and next steps based on triage
  2. Learn how to engage with OQPS on Sentinel Event review and analysis
  3. Understand when and how does a concern result in survey activity
  4. Gain insight into the engagement of OQPS with other state or federal entities to work on behalf of the public 

Use of Restraints: Violent, Non-violent, and Chemical
Speaker: Suzanne Harrison, The Joint Commission Resources

At the conclusion of this program, participants will be able to:

  1. Discuss the purpose of and clinical criteria for the use of restraints
  2. Describe the associated documentation requirements
  3. Differentiate between violent and non-violent restraint
  4. Explain the parameters that define chemical restraint
  5. Understand the implications for the patient’s treatment plan
  6. Describe strategies for compliance and leading practices

Environment of Care, Life Safety and Emergency Management Update
Speaker: Robert N. Neil , The[DU1]  Joint Commission Resources

At the conclusion of this program, participants will be able to: 

  1. Learn how the Hazard Vulnerability Assessment should be used to determine exercises and drills, and best practices for completing After Action Reports and improvement plans
  2. Understand the interconnectedness between environmental sustainability, health care equity, and emergency management (Consider small steps your organization can take to impact Global Warming and save money)
  3. Recognize how construction and maintenance conducted above the ceilings increases the risk of fire related events and learn how to implement an Above the Ceiling Permit Program to mitigate risk
  4. Discover how a Safety Champion Program can change an organization’s culture and improve overall compliance within the physical environment

Preparing for Revisions to the Survey Process with the Revised USP 797 and USP 800 Chapters
Speaker: Jeannell M. Mansur. PharmD, The Joint Commission Resources

At the conclusion of this program, participants will be able to:

  1. List new requirements of the 2022 USP Chapter 797
  2. List key requirements of USP Chapter 800
  3. Describe the Joint Commission survey process for USP 797 (rev) and USP 800
  4. Identify requirements for those organizations which wish to adopt USP 797 (rev) early

Continuing Education Credits

This conference has been approved for 9.0 contact hours.

The Joint Commission is accredited by the Accreditation Council for Continuing Medical Education (ACCME-AMA PRA Category 1™), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

The Joint Commission is authorized to award the listed hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants should log into their MyACHE account and select ACHE Qualified Education Credit.

The Joint Commission Enterprise has been accredited as an Accredited Provider by the International Association for Continuing Education and Training (IACET).

Full attendance is a prerequisite for receiving full continuing education credits.

Registration Information

This conference is available to CSR members only. Although there is no charge, you must register to attend.

Questions? Contact HAP Education Services at 717-561-5270.

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