- Identify what is new for 2016-2017
- Discuss the documented challenging standards from 2016
- Explain other problematic standards
This program is designed for all compliance and clinical staff including physicians and
nurses, patient safety officers, pharmacy personnel, performance improvement and risk
management, Joint Commission coordinators, compliance officers and safety officers.
In addition to being president of her own company, Sandra McRae brings outstanding
experience as a nurse executive, administrator, and risk manager. She also has experience
in patient safety and performance improvement. Sandra is the Clinical/Joint Commission
Consultant for the Florida Hospital Association. Sandra has been Director of Hospital
Education and Research; Nurse Executive and Vice President of Performance
Improvement and Clinical Services. She has published “Patient Care Trainee‐Educational
Employment” and her research has included a grant from Abbott Laboratories. Sandra has
no real or perceived conflicts of interest that relate to this presentation.
The Joint Commission (TJC) Standards continues to be difficult for hospitals to understand
and comply. Participants will learn how to comply with these challenging standards.
During this session we will learn how to get our organizations to the culture of continuous
compliance, not because TJC requires it, but because it is the right thing to do. Some new
topics also included in this program: The Element of Performance Project, changes for
Statement of Conditions, clinical alarm management, diagnostic imaging standards,
suicide prevention and the SAFER Matrix scoring methodology.