In this session, a panel of various AHJs, surveyors and standards developers will discuss trending compliance issues. Hear the perspectives of professionals who regulate hospitals daily on topics ranging from accrediting bodies’ increased focus on infection prevention to common life safety citations. Panelists will provide insight on the regulations, why they are important and how attendees can get involved in shaping the future of health care.

Learning Objectives:

• Describe the approach for ensuring compliance with Joint Commission Infection Control Standards.
• Review infection risks associated with the environment and key interventions.
• Identify best practices to decrease infection risks.
• Provide examples of situations that could lead to survey findings and adverse accreditation decisions.

This session will describe recent Joint Commission updates, including those related to new standards, as well as how Life Safety Code Surveyors will address these updates during surveys. Topics include the new BBI, kitchen toolkit, new validation pilots, focus on infection control, surveying business, mercantile, industrial occupancies and SIG A & B calls. The session will include advice on how to prepare for surveys and suggestions regarding solutions to common findings and new trends. Attendees can ask questions and get answers directly from those overseeing Joint Commission Life Safety Code Surveyors.

Learning Objectives:

• Describe how new updates, tools and surveyor processes will be used.
• Implement a plan to prepare for and participate in surveys.
• Initiate measures for a successful Life Safety Code survey.
• Receive an update on Emergency Management.

This session will inform participants on the regulations surrounding workplace violence, led by a Physical Environment Sector Leader and Lead Surveyor who has performed over 500 surveys for his organization, DNV-GL Healthcare. The presentation is based on the OSHA Guidelines, NFPA 99 2012 Chapter 13 and the DNV-GL NIAHO standards. Participants will gain a better understanding of how the workplace violence program should be structured and function as well as gain some insight on how the program is surveyed by DNV-GL.

Learning Objectives:

• Develop a workplace violence program tailored to unique facility needs.
• Build a successful team to participate in a workplace violence program.
• Explain the training requirements for a workplace violence program.
• Understand the role of NFPA 99 Chapter 13 in workplace violence programs.

Learning Objectives:

• Analyze methodology related to survey compliance and specific actions required.
• Use consistent risk assessment and analysis to meet accreditation requirements, even for physical environment and life safety.
• Discuss compliance tasks aimed at fully engaging support staff utilizing resources already at your disposal.
• Learn about common findings, solutions and new HFAP tools available.

Although health care facility professionals have tried various methods to advance in their organizations, these methods are rarely successful. We believe our logic is clear and we have crucial expertise, but our value often isn’t recognized at the C-suite level. The ASHE Board is working to address this issue, in large part by partnering with other American Hospital Association (AHA) Professional Membership Groups (PMGs). This session discusses the ongoing learning required to move up through health care facility management and across an organization. The speakers represent the ASHE Task Force and the American Society for Healthcare Human Resources Administration of the AHA.

Learning Objectives:

• Understand and use The S-curve of Leadership Development.
• Recognize the benefits of being a life-long learner.
• Learn how to use ASHE and AHA resources.
• Explore professional development opportunities offered by Human Resources.

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.

Learning Objectives:

• 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.