April 25, 2024 - 8:30 AM - April 26, 2024 2:15 PM

2024 Pennsylvania Continuous Service Readiness Spring Conference

Location: HAP Headquarters 30 North Third Street, Suite 600, Harrisburg, PA 17101

Registration Deadline: April 26, 2024

Overview

If you are a CSR member and would like to register for this meeting, please contact HAP Education Servies.

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 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

4/25/2024

8:00 AM

Registration and Continental Breakfast

8:30 AM

Welcome

  • Penny Hoover MSN, RN, CJCP, CPPS, Nurse Paralegal, Consultant, Joint Commission Resources, Inc.
8:45 AM

The Joint Commission Standards & Survey Methods Development Process

  • Jennifer Anderson DNP, APRN, Associate Director-Department of Standards & Survey Methods (DSSM), The Joint Commission
9:15 AM

The New Joint Commission Infection Control Standards: A Foundation for Quality and Safety

  • Tiffany Wiksten DNP, RN, CIC, Associate Director, Standards Interpretation Group, Division of Accreditation and Certification Operations (ACO), The Joint Commission
  • Natalya Rosenberg, PhD, RN, Project Director Healthcare Standards Development, Department of Standards and Survey Methods (DSSM), Division of Healthcare Quality Evaluation and Improvement, The Joint Commission
11:00 AM

Lunch

12:00 PM

The Joint Commission:  Navigating the Infection Control Standards

  • Tiffany Wiksten DNP, RN, CIC, Associate Director, Standards Interpretation Group, Division of Accreditation and Certification Operations (ACO), The Joint Commission
1:45 PM

Break

2:00 PM

Sterile Compounding and Survey Updates

  • Tiffany Wiksten DNP, RN, CIC, Associate Director, Standards Interpretation Group, Division of Accreditation and Certification Operations (ACO), The Joint Commission
4:00 PM

Wrap up

4:15 PM

Adjourn


4/26/2024

8:00 AM

Registration and Continental Breakfast

8:30 AM

Welcome

  • Penny Hoover MSN, RN, CJCP, CPPS, Nurse Paralegal, CSR Consultant, Joint Commission Resources, Inc.
8:45 AM

Successful Navigation of the TJC Medical Staff Standards, Telemedicine 2024 and AI

  • Dwayne Anthony Thomas, MD, M.M.M., FACP, FCCP, Consultant, Joint Commission Ressources, Inc.
10:15 AM

Break

10:30 AM

Artificial Intelligence (AI) in Healthcare

  • Corrine Gangl, MBA, CJCP, CPHQ, Interim Director, Global Consulting, Joint Commission Ressources, Inc.
12:00 PM

Lunch

12:30 PM

Survey Experiences

  • Penny Hoover MSN, RN, CJCP, CPPS, Nurse Paralegal, CSR Consultant, Joint Commission Resources, Inc.
2:00 PM

Closing Comments and Final Q & A

2:15 PM

Adjourn

Program Objections

Program Objectives

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

  1. Describe The Joint Commission’s standards and survey methods development processes and the content of the new infection control standards and elements of performance
  2. Review frequently scored and high-risk infection control observations
  3. Understand the scoring process for sterile compounding non-compliance

Session-specific Objectives

The Joint Commission Standards and Survey Methods Development Process                            

  • Describe The Joint Commission’s standards and survey methods development processes

The New Joint Commission Infection Control Standards: A Foundation for Quality and Safety.

  • Discuss the rationale for the HAP/CAH infection control standards rewrite
  • Explain the structure and content of the new infection control standards and elements of performance
  • Demonstrate application of the infection prevention and control program assessment tool
  • Review the timeline for the infection control standards rewrite for the other programs

The Joint Commission:  Navigating the Infection Control Standards

  • Review frequently scored and high-risk infection control observations
  • Examine common challenges in infection control identified during survey
  • Explain application of the infection control standards in the outpatient setting
  • Review other Joint Commission Standards that support effective implementation of infection control interventions

Sterile Compounding Update  

  • Understand changes to the USP requirements
  • Application of TJC requirements for sterile medication compounding
  • Understand the scoring process for sterile compounding non-compliance

Survey Updates

  • Survey updates related to alternative equipment maintenance
  • Survey updates related to kitchen tracing activity
  • Understanding concepts of manner and degree in determining level of deficiency

Successful Navigation of the TJC Medical Staff Standards, Telemedicine 2024 and AI (Artificial Intelligence)

  • Review and understand the TJC MS Standards that have specific application to the advanced practice provider
  • Identify and discuss the benefits and risks associated with the provision of telemedicine services
  • Identify and employ risk reduction strategies during the delivery of telemedicine services
  • Recognize the potential impact of AI on my practice

Caring with AI (Artificial Intelligence): The Next Chapter in Healthcare

  • Understand the key developments and breakthroughs that have shaped the current landscape of AI in health care
  • Assess how AI technologies are currently being applied in both personal health management and within professional health care settings, and their impact on health care delivery
  • Explore practical examples and case studies of AI applications in health care, focusing on their outcomes, challenges, and lessons learned
  • Anticipate future trends in AI within the health care sector and discuss the ethical considerations and potential impacts of these advancements
  • Gain insights into the role of regulatory bodies and frameworks in overseeing the development and implementation of AI technologies in health care

Survey Experiences (Audience Participation)

  • Verbalize common survey themes
  • Explain ways to have a successful survey
  • Describe one tactic to help maintain a constant state of readiness
  • Discuss commonly cites Joint Commission Standards

Continuing Education Credits

This program on April 25 and 26, 2024, will award 10.5 continuing education contact hours for the following: ACCME, ANCC, & ACPE

Full attendance at every session and completion of a post-engagement survey are prerequisites for receiving continuing education credits.

In support of improving patient care, this activity has been planned and implemented by Joint Commission Resources. Joint Commission Resources is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

By attending the 2024 Pennsylvania CSR Workshops - Project offered by Joint Commission Resources, participants may earn up to 10.5ACHE Qualifying Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

Conference Location/Overnight Accommodations

Conference Location

The Hospital and Healthsystem Association of Pennsylvania
30 North Third Street, Suite 600
Harrisburg, PA 17101

You can access a list of hotels in close proximity to HAP Headquarters here.

Pricing and Registration information

This conference is available to CSR members only.

Registration Fee: $150

Registrants are responsible for the full fee if cancellation is received after Friday, April 19.  There is a $50 administrative fee on all cancellations. Cancellations must be in writing. No-shows will be billed. Substitutions are permissible.

Please notify HAP Education Services at 717-561-5270, if you have dietary restrictions.

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