Articles
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Performance Goals and Indicators for the Hospital’s Physical Environment
ACHC Standards are structured to align with a Plan-Do-Study-Act (PDSA) quality improvement framework. Within each chapter, standards identify required policies, the implementation of those policies, evaluation of the results, and communication of changes or corrective actions.
Mastering Informed Consent
Questions posed during ACHCU’s monthly Coffee Chat live webinar often serve to reveal opportunities to extend education and develop additional resources for ACHC-accredited hospitals. In March 2025, the topic was medical record documentation.
Bridging the Gap: Connecting Hospital Physical Environment and Life Safety Standards
From a facilities perspective, protecting patient and staff safety are the hospital’s biggest priority. To ensure this safety, all aspects of the facility must be constructed, arranged, and maintained to meet a range of regulations.
Advance Directives Require Important Considerations
Advance directives rank among the most important legal documents in the healthcare setting. They come into use when a patient is incapacitated and cannot provide informed consent for care or cannot actively participate in care planning. Among the various types of advance directives, the most common in the healthcare setting are the living will and the durable power of attorney for health care.
Assessing Competencies Helps Ensure Quality and Safety of Patient Care
Competencies are not just requirements in health care. They are crucial aspects. Competencies play pivotal roles in ensuring patient safety, quality and continuity of care, and operational efficiency. As a healthcare professional, your role in identifying and addressing competence-related issues is paramount.
Verifying Personnel Credentials Is a Crucial Task for Hospitals
Your latest hire might not be the healthcare professional you think you hired for your acute care hospital. Did you check? A multi-state scheme to sell fake nursing diplomas should serve as a crucial reminder about the importance of verifying credentials for all licensed personnel.
Have a Plan for When You Must Write a Plan of Correction
Nobody is perfectly perfect. Nearly all organizations surveyed for accreditation are cited for deficiencies. To get back on the right track, the organization must develop an effective Plan of Correction (POC) for each deficiency and promptly submit it for approval before a final accreditation status can be determined. It’s a process.
Got Safety Plans? Waterborne Pathogens Can Spread Infection
As essential as water is to any hospital, this crucial element also can be a threat to patient safety. Waterborne pathogens – including multidrug-resistant organisms – can spread in seemingly innocuous ways. Having safety plans is essential.
Unraveling the Mysteries of Informed Consent
Patients or their representatives have the right to participate in the development of the patients’ plans of care. This includes providing informed consent for medical and surgical interventions and other aspects of their care
New Guidance on Your Facility Demographic Report
To help your organization meet requirements for completing Facility Demographic Reports (FDRs), Accreditation Commission for Health Care (ACHC) is providing guidance.