Q&A With The Joint CommissionCOVID-19 Webinar for Ambulatory Health Care Accreditation

July 9, 2020

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PanelHerman A. McKenzie, MBA, CHSP Director of Engineering, Standards Interpretation Group (SIG) Division of Healthcare Improvement The Joint Commission

Linda Seager, RN, MSNDirector, Clinical Standards Interpretation GroupDivision of Healthcare ImprovementRPI Certified Yellow BeltThe Joint Commission

Kelly McCannAssociate Director AccreditationAccreditation and Certification OperationsThe Joint Commission

Stephanie CampbellField Director, Standards Interpretation GroupThe Joint Commission

Maura Naddy, MSN, RNC-OBAssociate Director Standards InterpretationThe Joint Commission

Jennifer Welch, MBAAssociate Director AccreditationAccreditation and Certification OperationsThe Joint Commission

Dana DunnField DirectorStandards Interpretation GroupThe Joint Commission

Diane Cullen, MSN, MBA, RN, CICAssociate Director, StandardsInterpretation Group,Division of Healthcare ImprovementThe Joint Commission

© 2019 The Joint Commission. All Rights Reserved.

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Pre-Submitted QuestionsWhat are the most salient points for dental to be aware of during a survey?

https://www.jointcommission.org/resources/news-and-multimedia/webinars/coronavirus-webinar-replays/dentistry-in-the-time-of-covid-19/

https://www.jointcommission.org/covid-19/

© 2019 The Joint Commission. All Rights Reserved.

Pre-Submitted Questions

COVID-19 exposure control in dialysis facilities?

https://www.cdc.gov/coronavirus/2019-ncov/hcp/dialysis/dialysis-in-acute-care.html https://www.cdc.gov/coronavirus/2019-

ncov/hcp/dialysis.html

© 2019 The Joint Commission. All Rights Reserved.

Personal Protective Equipment: Optimization Strategies

https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/index.html

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* Additional PPE as required by Standard and Transmission based Precautions

© 2019 The Joint Commission. All Rights Reserved.

Position Statement

Joint Commission Position Statement: Preventing Nosocomial COVID-19 Infections as Organizations Resume Regular Care Delivery Updated June 22, 2020 and FAQs and Revisions for the Position Statement provided– available at https://www.jointcommission.org/en/covid-19/

© 2019 The Joint Commission. All Rights Reserved.

Pre-Submitted Questions

What are the best practices for in-person visit screenings?

https://www.cdc.gov/coronavirus/2019-nCoV/lab/guidelines-clinical-specimens.html

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Room Turnover− Considerations

− Size of room?− Number of air exchanges/hour?− Length of time patient was in

room?− Patient coughing/sneezing?− Patient wearing face covering?− Aerosol generating procedure?− PPE worn?

The number of air changes per hour (ACH) and time and efficiency.

ACH

Time (mins.) required for

removal99% efficiency

Time (mins.) required for

removal99.9% efficiency

2 138 207

4 69 104

6+ 46 69

8 35 52

10+ 28 41

12+ 23 35

15+ 18 28

20 14 21

50 6 8

https://www.cdc.gov/infectioncontrol/guidelines/environmental/appendix/air.html#tableb1

https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-faq.html

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© 2019 The Joint Commission. All Rights Reserved.

COVID-19 Resources

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© 2019 The Joint Commission. All Rights Reserved.

Ambulatory COVID-19 Resources

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Thank You

We support your efforts in response to the COVID-19 pandemic and hope to provide helpful resources

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Resources−COVID Resources− https://www.jointcommission.org/covid-19/

−Standards Interpretation− https://www.jointcommission.org/standards/standard-

faqs/