This session discusses the revised and new elements of performance as of January 2018. Changes that the Joint Commission will make within the next year to improve patient care delivery, patient safety, and the survey process will also be presented. The most often cited standards will be examined including the root causes for non-compliance and strategies for maintaining compliance. In addition, the process for response to survey findings will be presented. Time will be allocated for questions.

• Plan a strategy for compliance with new and revised elements of performance
• Explain the relationship between the physical health care environment and patient safety
• Maintain compliance and minimize survey findings
• Respond in the appropriate manner to survey findings

This session will provide an overview of the DNV GL survey process and an update on issues facing facility management staff in DNV GL client hospitals. This session will cover the effect of the new ISO 9001:2015 standard. Examples of NIAHO®-required process management for addressing common survey findings will be discussed along with hospital-developed goals that go beyond regulatory compliance. The session will also provide an introduction to the new DNV GL PE Specialist Certification.

• Discuss the adoption of the 2012 editions of NFPA 101® and NFPA 99
• Describe how to maintain lines of communication to the C-suite through the quality management system
• Explain the new DNV GL PE Specialist Certification
• Discuss the new ISO 9001:2015 standard

The Healthcare Facilities Accreditation Program has made adjustments to standard language in the Life Safety, Emergency Management, and the Physical Environment chapters to meet the requirements of CMS for patients at risk; updates include accessibility and enhanced safety evaluation of the environment. In this session, participants will explore changes and learn how to prepare for an HFAP or CMS survey. In addition, this session will review common findings with an emphasis on understanding the basis for accreditation requirements.

• Summarize standard changes for 2018
• Discuss common findings of non-compliance and the requirements and approaches to solving non-compliance
• Clarify rated walls and life safety plans to make them clear to the surveyor
• Discover hints for a successful document review session during the survey and survey tools

In this session, ASHE’s codes and standards experts will discuss emerging codes and standards issues facing health care facilities and offer answers to specific questions. Attendees are invited to ask questions about any of the codes and standards related to health care facilities.

• Describe the code compliance issues that health care facilities commonly face
• Discuss changes needed in health care facility regulations and how to support efforts to enact them
• Identify the means of meeting NFPA 99 and NFPA 101® requirements that often result in survey citations
• Explain the unique and important role of health care professionals in the development of codes and standards used to regulate health care facilities