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The

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Fostering Safe Effective Care Transitions

Margherita Labson MSHSA Executive Director

Kathy Clark MSN RN APD Dept Standards amp Survey Methods

Pat Quackenbush RN-BC MBA Virtua

Susan Wade-Murphy MSN RN CCH Medical Center

Klaus Nether MBB Center for Transforming HealthCare

Deatrice Greathouse RN MSHA AD Standards Interpretation Group

1

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ight

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Objectives At the conclusion of the program participants will be able to -

Identify two key issues challenging safe transitions of care

Describe how The Joint Commission accreditation process supports organizationsrsquo efforts to promote safe care transitions

Explore how accredited organizations are using the accreditation process to foster safe effective care transitions

2

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ight

The

Joi

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omm

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on

Issues Challenging Care Transitions

Health care consumerrsquos today

Evolution of professional practice

Impact of Affordable Care Act

Issues specific to home care providers

3

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ight

The

Joi

nt C

omm

issi

on

The Joint Commissionrsquos Transitions of Care Project

Goal Utilize the research to develop standards NPSG measures and solutions to assist our accredited organizations to provide safe transitions of care from one setting to the next Background Key findings from research ldquoSeven Foundationsrdquo (next slide) Next steps

4

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ight

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Joi

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omm

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on

Foundations of Safe Transitions

LEADERSHIP MULTIDISCIPLINARY PATIENTS AT MEDICATION TRANSITIONAL PATIENTFAMILY TRANSFER OF SUPPORT COLLABORATION RISK MANAGEMENT PLANNING ACTION INFORMATION

5

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ight

The

Joi

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omm

issi

on

ToC Portal Web-page

wwwjointcommissionorgtoc

6

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ight

The

Joi

nt C

omm

issi

on

Objectives At the conclusion of the program participants will be able to -

Identify two key issues challenging safe transitions of care

Describe how The Joint Commission accreditation process supports organizationsrsquo efforts to promote safe care transitions

Explore how accredited organizations are using the accreditation process to foster safe effective care transitions

2

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Issues Challenging Care Transitions

Health care consumerrsquos today

Evolution of professional practice

Impact of Affordable Care Act

Issues specific to home care providers

3

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ight

The

Joi

nt C

omm

issi

on

The Joint Commissionrsquos Transitions of Care Project

Goal Utilize the research to develop standards NPSG measures and solutions to assist our accredited organizations to provide safe transitions of care from one setting to the next Background Key findings from research ldquoSeven Foundationsrdquo (next slide) Next steps

4

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opyr

ight

The

Joi

nt C

omm

issi

on

Foundations of Safe Transitions

LEADERSHIP MULTIDISCIPLINARY PATIENTS AT MEDICATION TRANSITIONAL PATIENTFAMILY TRANSFER OF SUPPORT COLLABORATION RISK MANAGEMENT PLANNING ACTION INFORMATION

5

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

ToC Portal Web-page

wwwjointcommissionorgtoc

6

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Issues Challenging Care Transitions

Health care consumerrsquos today

Evolution of professional practice

Impact of Affordable Care Act

Issues specific to home care providers

3

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opyr

ight

The

Joi

nt C

omm

issi

on

The Joint Commissionrsquos Transitions of Care Project

Goal Utilize the research to develop standards NPSG measures and solutions to assist our accredited organizations to provide safe transitions of care from one setting to the next Background Key findings from research ldquoSeven Foundationsrdquo (next slide) Next steps

4

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opyr

ight

The

Joi

nt C

omm

issi

on

Foundations of Safe Transitions

LEADERSHIP MULTIDISCIPLINARY PATIENTS AT MEDICATION TRANSITIONAL PATIENTFAMILY TRANSFER OF SUPPORT COLLABORATION RISK MANAGEMENT PLANNING ACTION INFORMATION

5

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

ToC Portal Web-page

wwwjointcommissionorgtoc

6

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

The Joint Commissionrsquos Transitions of Care Project

Goal Utilize the research to develop standards NPSG measures and solutions to assist our accredited organizations to provide safe transitions of care from one setting to the next Background Key findings from research ldquoSeven Foundationsrdquo (next slide) Next steps

4

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Foundations of Safe Transitions

LEADERSHIP MULTIDISCIPLINARY PATIENTS AT MEDICATION TRANSITIONAL PATIENTFAMILY TRANSFER OF SUPPORT COLLABORATION RISK MANAGEMENT PLANNING ACTION INFORMATION

5

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

ToC Portal Web-page

wwwjointcommissionorgtoc

6

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Foundations of Safe Transitions

LEADERSHIP MULTIDISCIPLINARY PATIENTS AT MEDICATION TRANSITIONAL PATIENTFAMILY TRANSFER OF SUPPORT COLLABORATION RISK MANAGEMENT PLANNING ACTION INFORMATION

5

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

ToC Portal Web-page

wwwjointcommissionorgtoc

6

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opyr

ight

The

Joi

nt C

omm

issi

on

ToC Portal Web-page

wwwjointcommissionorgtoc

6

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Transitions in Care Program

Transitional Care Model ndash Dr Mary Naylor

Home Care Hybrid ndash Transitions in Care Program

7

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ight

The

Joi

nt C

omm

issi

on

Key Challenges

Transitioning the patient safely ldquoacross the gaprdquo many challenges

ndash Medication Reconciliation ndash Hand-off Communication

Transfer of Information

8

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ight

The

Joi

nt C

omm

issi

on

Key Challenge 1 Medication Reconciliation-

Policy should reflect actual practice(LD040107 EP 1 2)

List from referral organization(NPSG 030601)

Prescription bottle to list (NPSG 030601)

Assess the patient history for allergies sensitivities (PC010201 EP 6)

9

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opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation (cont)

Plan the patient care based on need (PC010301)

Separate historical medication ( Pt refuses to discard) (PC010203)

Provision of Care Treatment and Services Administration (PC020103)

PtFamily education in terms they can understand (PC020301)

10

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation

Focus on Medication Management Developing a SOP for Medication

Reconciliation ndash Lessons Learned Partnering with PCP

11

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation Integrated EMR Inpatient Discharge Medication Profile Initial Nurse Home Visit Discrepancy Resolution EMR Medication Profile updated

12

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenge 2 Hand-off CommunicationTransfer of Information

Use a consistent communication process during each transition of care

Communication between the sender and receiver prior to the transition

Established methods and timelines for communication and information exchange

Active collaboration between sender and receiver

Patient-specific and service-specific 13

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication Strategies Review of your hand off process for

compliance with PC020201 Review of transferdischarge process

PC040103 Process should include PC040201 Patient needs and education Reason for transferdischarge Summary of care and progress

14

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Safe and Effective Hand-off of Care

New Jersey Universal Transfer Form Physician Access to Home Care EMR SBAR

15

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenges

Transitioning the patient safely ldquoacross the gaprdquo many challenges

ndash Medication Reconciliation ndash Hand-off Communication

Transfer of Information

8

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenge 1 Medication Reconciliation-

Policy should reflect actual practice(LD040107 EP 1 2)

List from referral organization(NPSG 030601)

Prescription bottle to list (NPSG 030601)

Assess the patient history for allergies sensitivities (PC010201 EP 6)

9

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation (cont)

Plan the patient care based on need (PC010301)

Separate historical medication ( Pt refuses to discard) (PC010203)

Provision of Care Treatment and Services Administration (PC020103)

PtFamily education in terms they can understand (PC020301)

10

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation

Focus on Medication Management Developing a SOP for Medication

Reconciliation ndash Lessons Learned Partnering with PCP

11

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation Integrated EMR Inpatient Discharge Medication Profile Initial Nurse Home Visit Discrepancy Resolution EMR Medication Profile updated

12

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenge 2 Hand-off CommunicationTransfer of Information

Use a consistent communication process during each transition of care

Communication between the sender and receiver prior to the transition

Established methods and timelines for communication and information exchange

Active collaboration between sender and receiver

Patient-specific and service-specific 13

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication Strategies Review of your hand off process for

compliance with PC020201 Review of transferdischarge process

PC040103 Process should include PC040201 Patient needs and education Reason for transferdischarge Summary of care and progress

14

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Safe and Effective Hand-off of Care

New Jersey Universal Transfer Form Physician Access to Home Care EMR SBAR

15

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenge 1 Medication Reconciliation-

Policy should reflect actual practice(LD040107 EP 1 2)

List from referral organization(NPSG 030601)

Prescription bottle to list (NPSG 030601)

Assess the patient history for allergies sensitivities (PC010201 EP 6)

9

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation (cont)

Plan the patient care based on need (PC010301)

Separate historical medication ( Pt refuses to discard) (PC010203)

Provision of Care Treatment and Services Administration (PC020103)

PtFamily education in terms they can understand (PC020301)

10

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation

Focus on Medication Management Developing a SOP for Medication

Reconciliation ndash Lessons Learned Partnering with PCP

11

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation Integrated EMR Inpatient Discharge Medication Profile Initial Nurse Home Visit Discrepancy Resolution EMR Medication Profile updated

12

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenge 2 Hand-off CommunicationTransfer of Information

Use a consistent communication process during each transition of care

Communication between the sender and receiver prior to the transition

Established methods and timelines for communication and information exchange

Active collaboration between sender and receiver

Patient-specific and service-specific 13

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication Strategies Review of your hand off process for

compliance with PC020201 Review of transferdischarge process

PC040103 Process should include PC040201 Patient needs and education Reason for transferdischarge Summary of care and progress

14

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Safe and Effective Hand-off of Care

New Jersey Universal Transfer Form Physician Access to Home Care EMR SBAR

15

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation (cont)

Plan the patient care based on need (PC010301)

Separate historical medication ( Pt refuses to discard) (PC010203)

Provision of Care Treatment and Services Administration (PC020103)

PtFamily education in terms they can understand (PC020301)

10

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation

Focus on Medication Management Developing a SOP for Medication

Reconciliation ndash Lessons Learned Partnering with PCP

11

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation Integrated EMR Inpatient Discharge Medication Profile Initial Nurse Home Visit Discrepancy Resolution EMR Medication Profile updated

12

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenge 2 Hand-off CommunicationTransfer of Information

Use a consistent communication process during each transition of care

Communication between the sender and receiver prior to the transition

Established methods and timelines for communication and information exchange

Active collaboration between sender and receiver

Patient-specific and service-specific 13

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication Strategies Review of your hand off process for

compliance with PC020201 Review of transferdischarge process

PC040103 Process should include PC040201 Patient needs and education Reason for transferdischarge Summary of care and progress

14

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Safe and Effective Hand-off of Care

New Jersey Universal Transfer Form Physician Access to Home Care EMR SBAR

15

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation

Focus on Medication Management Developing a SOP for Medication

Reconciliation ndash Lessons Learned Partnering with PCP

11

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation Integrated EMR Inpatient Discharge Medication Profile Initial Nurse Home Visit Discrepancy Resolution EMR Medication Profile updated

12

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenge 2 Hand-off CommunicationTransfer of Information

Use a consistent communication process during each transition of care

Communication between the sender and receiver prior to the transition

Established methods and timelines for communication and information exchange

Active collaboration between sender and receiver

Patient-specific and service-specific 13

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication Strategies Review of your hand off process for

compliance with PC020201 Review of transferdischarge process

PC040103 Process should include PC040201 Patient needs and education Reason for transferdischarge Summary of care and progress

14

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Safe and Effective Hand-off of Care

New Jersey Universal Transfer Form Physician Access to Home Care EMR SBAR

15

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Medication Reconciliation Integrated EMR Inpatient Discharge Medication Profile Initial Nurse Home Visit Discrepancy Resolution EMR Medication Profile updated

12

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenge 2 Hand-off CommunicationTransfer of Information

Use a consistent communication process during each transition of care

Communication between the sender and receiver prior to the transition

Established methods and timelines for communication and information exchange

Active collaboration between sender and receiver

Patient-specific and service-specific 13

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication Strategies Review of your hand off process for

compliance with PC020201 Review of transferdischarge process

PC040103 Process should include PC040201 Patient needs and education Reason for transferdischarge Summary of care and progress

14

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Safe and Effective Hand-off of Care

New Jersey Universal Transfer Form Physician Access to Home Care EMR SBAR

15

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Key Challenge 2 Hand-off CommunicationTransfer of Information

Use a consistent communication process during each transition of care

Communication between the sender and receiver prior to the transition

Established methods and timelines for communication and information exchange

Active collaboration between sender and receiver

Patient-specific and service-specific 13

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication Strategies Review of your hand off process for

compliance with PC020201 Review of transferdischarge process

PC040103 Process should include PC040201 Patient needs and education Reason for transferdischarge Summary of care and progress

14

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Safe and Effective Hand-off of Care

New Jersey Universal Transfer Form Physician Access to Home Care EMR SBAR

15

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication Strategies Review of your hand off process for

compliance with PC020201 Review of transferdischarge process

PC040103 Process should include PC040201 Patient needs and education Reason for transferdischarge Summary of care and progress

14

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Safe and Effective Hand-off of Care

New Jersey Universal Transfer Form Physician Access to Home Care EMR SBAR

15

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Safe and Effective Hand-off of Care

New Jersey Universal Transfer Form Physician Access to Home Care EMR SBAR

15

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communication

Integrated EMR Employ Liaison Resource RN Utilize a Standard Transfer

Communication Template New Patient Note Resumption of Care Note

16

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Hand-off Communications (HOC)

Targeted Solutions Tool (TST)

Powered by RPITM

17

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on Leadership

High reliability industries such as airlines nuclear power plants amusement parks and even zoos have zero room

for error

Mission

Transform Health Care into a high-reliability industry by hellip

18

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Usual approach best practices toolkits protocols checklists ldquobundlesrdquo ndash Typical best practice is ldquoone-size-fits-allrdquo ndash Can produce modest improvement ndash Difficult to get to zero ndash Difficult to sustain

The ldquoone-size-fits-allrdquo approach works well only for simple problems that do not vary

Toughest problems are not simple

The Way We Do Improvement

19

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ight

The

Joi

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issi

on

A New Way of Delivering Results

bull Complex processes require more sophisticated problem-solving methods

bullThree crucial and consistent findings minus Many causes of the same problem minus Each cause requires a different strategy minus Key causes differ from place to place

bull RPI = lean six sigma change management minus Producing next generation best practices ndash Solutions customized to your causes

20

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Org A should

not spend additional

time or resources on causes that were

not identified

Causes differ by health

care organization

ndash so solutions for

each organization

should be lsquotargetedrsquo

21

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

The TSTreg is an innovative online application that guides health care organizations through a step-by-step process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performance

bull Direct them to proven solutions that are customized to address their particular barriers

Powered by RPITM

22

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Started

23

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Training Data Collectors

24

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Your Data Results

25

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Viewing Your Contributing Factors

26

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Selecting Your Solutions

27

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

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opyr

ight

The

Joi

nt C

omm

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on

A New Way of Delivering Results

bull Complex processes require more sophisticated problem-solving methods

bullThree crucial and consistent findings minus Many causes of the same problem minus Each cause requires a different strategy minus Key causes differ from place to place

bull RPI = lean six sigma change management minus Producing next generation best practices ndash Solutions customized to your causes

20

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Org A should

not spend additional

time or resources on causes that were

not identified

Causes differ by health

care organization

ndash so solutions for

each organization

should be lsquotargetedrsquo

21

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

The TSTreg is an innovative online application that guides health care organizations through a step-by-step process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performance

bull Direct them to proven solutions that are customized to address their particular barriers

Powered by RPITM

22

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Started

23

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Training Data Collectors

24

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Your Data Results

25

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Viewing Your Contributing Factors

26

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Selecting Your Solutions

27

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Org A should

not spend additional

time or resources on causes that were

not identified

Causes differ by health

care organization

ndash so solutions for

each organization

should be lsquotargetedrsquo

21

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

The TSTreg is an innovative online application that guides health care organizations through a step-by-step process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performance

bull Direct them to proven solutions that are customized to address their particular barriers

Powered by RPITM

22

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Started

23

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Training Data Collectors

24

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Your Data Results

25

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Viewing Your Contributing Factors

26

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Selecting Your Solutions

27

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

The TSTreg is an innovative online application that guides health care organizations through a step-by-step process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performance

bull Direct them to proven solutions that are customized to address their particular barriers

Powered by RPITM

22

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Started

23

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Training Data Collectors

24

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Your Data Results

25

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Viewing Your Contributing Factors

26

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Selecting Your Solutions

27

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Started

23

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Training Data Collectors

24

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Your Data Results

25

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Viewing Your Contributing Factors

26

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Selecting Your Solutions

27

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Training Data Collectors

24

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Your Data Results

25

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Viewing Your Contributing Factors

26

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Selecting Your Solutions

27

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Getting Your Data Results

25

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Viewing Your Contributing Factors

26

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Selecting Your Solutions

27

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Viewing Your Contributing Factors

26

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Selecting Your Solutions

27

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Selecting Your Solutions

27

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

How to Access the TSTreg

httpwwwcenterfortransforminghealthcareorgtstaspx

28

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Summary

Effective Care Transitions are critical to safe patient care

Two of the challenging issues include Medication Reconciliation and Hand-off Communication

Resources available to guide organizations include Accreditation Standards ToC TSTs and processes developed by Accredited Organizations

29

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Time for Your Questions

30

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

Standards Interpretation Help Desk 630-792-5900 Joint Commission Resources 877-223-6866 or wwwjcrinccom

Center for Transforming Health Care

The Joint Commission Team Contacts Joint Commission Home Care Program

Help Desk 630-792-5070 or homecarejointcommissionorg wwwjointcommissionorgaccreditationhome_careaspx

Margherita Labson RN MSHSA CPHQ CCM Executive Director 630-792-5284 or mlabsonjointcommissionorg

Julia Finken MBA Associate Director 630-792-5283 or jfinkenjointcommissionorg

Kathy Clark MSN RN Associate Project Director Home Care Department of Standards and Survey Methods kclarkjointcommissionorg

Deatrice Greathouse RN MSHA Associate Director Standards 630-792-5833 dgreathousejointcommissionorg

31