From mishe_member at lists.netonecom.net Thu Oct 4 07:20:52 2007 From: mishe_member at lists.netonecom.net (mishe_member@lists.netonecom.net) Date: Thu Oct 4 08:05:59 2007 Subject: [MiSHE Member Communication] Nurse call parts available Message-ID: <47F14D3AE32AE649B3AF023B40DCE09E39579F@2000server.bcmcf.com> We have a HILLROM - NETLINX, COMLITE, Nursecall system from a 206 bed facility that has been replaced. The parts and manuals are available at a very reasonable cost. Please email directly (moswald@bcmcf.com) or call (989-892-3591 ext 119) before Oct. 31. Mark Oswald Environmental Services Director Bay Medical Care Facility 564 W. Hampton Rd. Essexville, Mich. 48732 989-892-3591 ext 119 moswald@bcmcf.com Disclaimer: Please be advised that in accordance with the Health Insurance Portability and Accountability Act (HIPAA), information in this e-mail may contain protected health information and is intended soley for the use of the intended recipient. If you are not the intended recipient, please notify the sender immediately via return e-mail, or call our Information Systems Security Officer at (989) 892-3591, and delete the e-mail from your mailboxes. Unauthorized use, disclosure, dissemination or copying of this e-mail or attachments, in whole or in part, is unlawful. Brenda B. Burzynski, Administrator Bay County Medical Care Facility 564 W Hampton Rd Essexville, MI 48732 (989) 892-3591 From mishe_member at lists.netonecom.net Mon Oct 8 10:42:11 2007 From: mishe_member at lists.netonecom.net (mishe_member@lists.netonecom.net) Date: Mon Oct 8 11:07:36 2007 Subject: [MiSHE Member Communication] Conference Material Message-ID: <200710081442.l98EgXXO056268@amram.netonecom.net> Dear Member, The 2007 Annual Conference was a big success! If you weren't able to join us this year, mark your 2008 calendar for September 24, 25, and 26 - we're going to be in the Soo! A few presentations are being finalized for the web. The balance of the material is ready for download. Go to http://www.mishe.org and click on Conference Material in read at the top left side of the page. When all of the material is posted, I will send you another note. Hope you had fun and got the information you need to do a more effective job in healthcare. Sincerely, Dr. John E. Hohman Director, MiSHE -------------- next part -------------- An HTML attachment was scrubbed... URL: http://lists.netonecom.net/pipermail/mishe_member/attachments/20071008/9df96f6e/attachment.htm From mishe_member at lists.netonecom.net Mon Oct 15 17:36:34 2007 From: mishe_member at lists.netonecom.net (mishe_member@lists.netonecom.net) Date: Mon Oct 15 17:41:05 2007 Subject: [MiSHE Member Communication] FW: YOUR COMMENTS ARE NEEDED! Message-ID: <200710152137.l9FLb4XO093611@amram.netonecom.net> MiSHE Member, MiSHE is an affiliate organization to ASHE, the national entity. We would like to have each of our members join ASHE as well as MiSHE. Below is one of the services that ASHE provides. We feel that this Regulatory Advisory is important to all MiSHE members. Some of you who belong to ASHE have already read and responded to this announcement. All MiSHE members are encouraged to participate and comment on those areas of assistance requested. Follow the directions provided. Essentially, they would like you to read the EC standards that include revisions and deletions; record you comments as you read in a word processing document or written notes; and send your comments in one of three ways: online survey, email, or regular mail. Your participation on this important action impacts all of us. Please spend some time and make comment. Thank you Dr. John E. Hohman Director, MiSHE _____ From: ASHE [mailto:ASHE@mail142.subscribermail.com] Sent: Monday, October 15, 2007 2:32 PM To: edemco@netonecom.net Subject: YOUR COMMENTS ARE NEEDED! View this message in a browser. Regulatory Advisory A service to members, advisories are produced whenever there is a significant development that affects the job you do in your community. The Joint Commission Proposes Revision of the Environment of Care Standards Your Comments are Needed A Message to ASHE Members: The Joint Commission (JC) is seeking public comment on proposed new Environment of Care (EC) Standards. You are encouraged to seize this opportunity to review and comment on the proposed standards. As part of JC's Standards Improvement Initiative, revisions are being made to each standard and element of performance (EP) as well as the rationale for standards. In announcing the public review period, JC has stated that "No new standards requirements were introduced in this initiative; the field will not experience an increase in expectations as a result of these revisions." Their specific purpose is to: * Increase their clarity and logic. * Reflect requirements essential to safety and quality. * Better tailor the standards to reflect the characteristics of organizations within each accreditation field. ASHE supports JC's efforts to simplify and bring increased clarity to the standards as well as the opportunity to comment on the proposed changes. The ASHE advocacy team has reviewed the proposed changes to the EC standards, and believes that there have been many improvements, and some duplication has been eliminated. However, the advocacy team also believes there are instances where the efforts to simplify and bring clarity have actually created greater ambiguity and increased compliance expectations. ASHE NEEDS YOUR HELP! JC has provided a narrow window of opportunity for comment. The proposed EC Standards are available for comment through October 31. ASHE encourages you to review the proposed EC Standards and comment on the changes. So what are the changes? Every standard and every EP has been revised. Below are some of the highlights of areas that raise concerns. * Safety (EC 1) and Security (EC 2) have been combined into one standard even though they are two distinct functions. * The proposed numbering system changes the standard numbers. For example EC 6 (Medical Equipment) becomes EC 5. * There are numerous instances where an EP refers to laws or regulations without stating the specific law or regulation that is to be followed. There are other instances where the reference is not consistent with the items addressed in the EP. For instance proposed EC 6.01.0 EP 6 deals with providing the proper environment through air exchanges, maintaining pressure relationships and filtration but NFPA 90A is referenced in a note for this EP. * There are instances were notes are used to identify specific risks to be removed or mitigated. But it is not clear if the note specifically identifies the risks that will be evaluated during survey or even if the list is exclusive (i.e. these are the only risks to be addressed). * There are instances where the proposed EP appears to be in direct conflict with existing codes. An example of this is the 4.01.0 EP 5: "The [organization] uses fire-safe bedding, window treatments, privacy curtains, furnishings, and decorations. NFPA 101 allows upholstered furnishings and mattresses that do not need to meet flame spread and char ratings within sprinklered spaces. * There are instances where the combining or splitting current EPs creates a scoring concern. For instance a proposed EP requiring a written plan for implementing Interim Life Safety Measures (ILSM) has been split into 10 separate EP's, one for each possible ILSM measure. This could create the opportunity for 10 RFI's for the same deficiency. * The proposed standard and EPs seem to broaden the scope of inspecting, testing and maintaining medical equipment. * By repeatedly explicitly using the term "written" in the new Utilities standard (currently EC 7) there is the impression of increased documentation requirements * Many of the EP's in proposed EC 7.01.0 use words such as "adequate" and "sufficient when describing expectations for the patient care environment." This raises a concern of variation in how an organization and a surveyor define "adequate" and "sufficient" or even from one surveyor to another. A Call to Action Please take this opportunity to discuss these proposed revisions to the existing EC standards within your organization and take the time to comment to the Joint Commission. ASHE will submit comments detailing our overall concerns. But it is critical the Joint Commission also hear directly from the professionals that work with these standards every day - each ASHE member! How to Comment There are numerous options for commenting directly to the Joint Commission. Click here to go to the ASHE webpage that identifies the options and links you directly into the JC comment process. For questions or comments contact Tim Adams at 312-422-3804. Unsubscribe or update your email address. Email Marketing American Hospital Association | One North Franklin | Chicago, IL 60606 -------------- next part -------------- An HTML attachment was scrubbed... URL: http://lists.netonecom.net/pipermail/mishe_member/attachments/20071015/1b4f381c/attachment-0001.htm From mishe_member at lists.netonecom.net Wed Oct 17 10:43:13 2007 From: mishe_member at lists.netonecom.net (mishe_member@lists.netonecom.net) Date: Wed Oct 17 10:47:54 2007 Subject: [MiSHE Member Communication] BCA Seminar on Hospital Commissioning Message-ID: <200710171443.l9HEhOXO000843@amram.netonecom.net> MiSHE Member, This is a general announcement to all members of a seminar put on by BCA (see website: http://www.bcxa.org/ ) regarding "Hospital Commissioning" to be held in Ann Arbor, MI on November 9th. See the announcement on the MiSHE Event Calendar http://www.mishe.org Thank you Dr. John E. Hohman Director, MiSHE -------------- next part -------------- An HTML attachment was scrubbed... URL: http://lists.netonecom.net/pipermail/mishe_member/attachments/20071017/810a3fa0/attachment.htm From mishe_member at lists.netonecom.net Wed Oct 24 11:37:36 2007 From: mishe_member at lists.netonecom.net (mishe_member@lists.netonecom.net) Date: Wed Oct 24 12:14:23 2007 Subject: [MiSHE Member Communication] MiSHE Digital Dispatch Message-ID: <200710241538.l9OFblXO079686@amram.netonecom.net> MISHE DIGITAL DISPATCH by Pier-George Zanoni, PE Oct 18, 2007 Clarifications to Joint Commission/Fire Safety Prohibitions on Hallway Obstructions A very interesting thread of emails regarding Hallway Obstructions came through on the ASHE Listserv recently. Our very own Larry LeForge, Dir of Plant Services & Security at Mary Free Bed Rehab Hospital (Grand Rapids) and longstanding MISHE Board member contributed a very clear and helpful explanation of the current requirements for keeping healthcare corridors clear. Presuming your inquiry is in reference to items in the corridor, the term "In-Use" would have the same meaning as "Attended". In Michigan, items that are attended are allowed to be in the corridor for short periods of time while staff is using the equipment for their work. A portable computer in the corridor (e.g. COW) that is plugged in to be charged would be considered unattended or "not-in-use". However, if that computer was outside a patient room where nurses were caring for a patient, it would be considered to be "attended" or "In-Use" because the nurses would be entering patient care data as they worked with each patient. Similarly housekeeping carts and food services carts are considered "In-Use" if staff is close by. If housekeeping or food service staff leave their cart in the corridor while taking a 1 hour lunch, that would be considered "not-in-use". Susan McLaughlin, President of SBM Consulting and frequent speaker for ASHE seminars, provided some history on this issue. She explained that "In use" comes from ASHE agreements with Joint Commission in the mid-90's. It refers to a cart on wheels that is actively being used, such as a housekeeping or linen cart as the rooms are being serviced, or a dietary cart as the meals are being served. She also clarified that a crash cart is considered to always be in use, as is an isolation cart when there is a person in isolation in the room. Many of the listserv contributions cited the "30 minute" criteria. Chet Howard, Dir of Maintenance at Arkansas Children's Hospital, related his experience with Joint Commission surveyors on this subject. A JC surveyor once told us that if it hasn't moved in 30 minutes, or it's plugged into a receptacle, it's stored. In a recent mock survey, the administrator surveyor said that the item can only be "in use" if the person attending it is within sight of it, or in the room next to it. He used a cleaning cart as an example. If the attendant has gone on break and is not attending the cart, it's stored, but if they're close by, it's in use. -------------- next part -------------- An HTML attachment was scrubbed... URL: http://lists.netonecom.net/pipermail/mishe_member/attachments/20071024/1bbfe100/attachment.htm From mishe_member at lists.netonecom.net Thu Oct 25 09:53:40 2007 From: mishe_member at lists.netonecom.net (mishe_member@lists.netonecom.net) Date: Thu Oct 25 09:54:19 2007 Subject: [MiSHE Member Communication] Digital Dispatch: JC announces EC 5.40 change to allow 6 yr damper testing Message-ID: MISHE DIGITAL DISPATCH by Pier-George Zanoni, PE Oct 25, 2007 Joint Commission OnLine announces EC 5.40 has been revised to allow Extension of Damper testing to Every Six (6) Years per NFPA The change requires all smoke and fire dampers installed on or after January 1, 2008, to be operated one year after their installation. In addition, for hospitals and critical access hospitals, the changes extend the time frame from four years to six years for the ongoing testing of fire and smoke dampers to ensure that they fully close. The standard changes were reviewed and supported by The Joint Commission?s Committee on Healthcare Safety and the Professional and Technical Advisory Committees of affected accreditation programs. For the full article visit Joint Commission Online. The web address for the October 2007 Joint Commission OnLine is: http://www.jointcommission.org/JointCommission/Templates/GeneralInformation.aspx?NRMODE=Published&NRNODEGUID=%7bBE549AF8-4F82-4BC4-8AE8-6708B9028EF1%7d&NRORIGINALURL=%2fLibrary%2fjconline%2fjo_10_07%2ehtm&NRCACHEHINT=Guest#1 -------------- next part -------------- An HTML attachment was scrubbed... URL: http://lists.netonecom.net/pipermail/mishe_member/attachments/20071025/13bd6578/attachment.htm