/ en Wed, 07 May 2025 14:33:43 -0500 Mon, 20 Nov 23 18:00:00 -0600 /usp797 Mon, 20 Nov 2023 18:00:00 -0600 Regulatory Compliance /nfpa-99-2021-risk-assessment-tool <p>This risk assessment tool has been developed to help health care facility staff comply with the risk-based, patient-focused approach described by the 2021 version of NFPA 99: Health Care Facilities Code. This completed risk assessment should be used to determine the steps needed to respond to the identified risks as outlined in NFPA 99. It should be kept as a record of the decisions made and updated annually.</p> Tue, 10 Oct 2023 09:58:38 -0500 Regulatory Compliance /hospital-cms-tag-checklists-and-crosswalks <p>These crosswalks allow facility professionals to understand how the accreditation standards align with the CMS Conditions of Participation (CoP’s) and Code of Federal Regulations (CFR) and how these align with the adopted codes and standards. The crosswalks provide a comparison of the regulations applicable to most hospitals. This will allow facility professionals to better understand the standards and requirements and thus better prepare for survey evaluations within the physical environment. Additionally, using these crosswalks as checklists will assist facility professionals in developing a safe and healing physical environment for the care of patients.</p><h5><small>Members, please login to download each file.  </small></h5><h5><small>Nonmembers, fill out the form at the end of this page to access all three files. </small></h5> Mon, 24 Oct 2022 08:53:53 -0500 Regulatory Compliance /resources/fsestool Wed, 19 Jan 2022 18:00:00 -0600 Regulatory Compliance <p><strong>Speaker:</strong> Jonathan Hart, Senior Fire Protection Engineer, NFPA</p><p>This session provides an overview of NFPA 101: <em>Life Safety Code</em>®. The overview includes how to generally navigate the code, where to find specific issues, and how the sections are applicable once found. Topics covered include occupancy classification, components of the means of egress, doors, suites, interior finish, and more. Other NFPA codes and standards applicable to health care facility managers will be referenced.</p><p><strong>Learning Outcomes:</strong></p><ul><li>Describe how to appropriately navigate NFPA 101 to find the appropriate code requirements.</li><li>List specific code sections that apply to various common topics dealt with in facilities.</li><li>Identify other NFPA codes and standards that are widely applicable to health care.</li><li>Explain the role NFPA in the health care regulatory landscape and how facility managers can have a voice in the NFPA process.<br> </li></ul><div id="youtube"><div class="video-container"><p class="text-align-center"></p><p class="text-align-center"> </p></div></div> Fri, 27 Aug 2021 18:00:00 -0500 Regulatory Compliance <h2><a href="/justaskashe"><span class="small">Just Ask ASHE:</span></a><br>Q1 2021 Webinar</h2><p><strong>Speaker: ASHE</strong></p><p>Get trusted answers to your compliance questions from a panel of code experts.<br> </p><p></p> Thu, 18 Mar 2021 15:00:45 -0500 Regulatory Compliance <h2><a href="/justaskashe"><span class="small">Just Ask ASHE:</span></a><br>Q2 2020 Webinar</h2><p><strong>Speaker: ASHE</strong></p><p>Get trusted answers to your compliance questions from a panel of code experts.</p><p> </p><p></p> Thu, 23 Apr 2020 15:51:15 -0500 Regulatory Compliance <h2><a href="/justaskashe"><span class="small">Just Ask ASHE:</span></a><br>Q1 2020 Webinar</h2><p><strong>Speaker: ASHE</strong></p><p>Get trusted answers to your compliance questions from a panel of code experts.</p><p><a class="btn btn-primary" href="/system/files/media/file/2020/02/2020-q1-just-ask-ashe.pptx" target="_blank" title="Download the Presentation" role="button">Download the Presentation</a></p><p><a class="btn btn-primary" href="/system/files/media/file/2020/02/2020-q1-just-ask-ashe.pdf" target="_blank" title="Download the PDF" role="button">Download the PDF</a><br> </p><p></p> Fri, 14 Feb 2020 14:09:26 -0600 Regulatory Compliance /just-ask-ashe-q4-2019 <p><strong>Monday, October 21, 2019</strong></p> <p>The revamped Just Ask �����Թ�service is a members-only opportunity to get trusted answers to your compliance questions. Four times a year, �����Թ�will hold Just Ask �����Թ�webinars for members. A panel of code experts will discuss the latest compliance developments. The format, similar to the Just Ask �����Թ�sessions at �����Թ�conferences, will allow plenty of time for your code questions on topics including emergency preparedness, the latest on CMS requirements, NFPA codes, ICC codes, and more.</p> <p></p> Thu, 06 Feb 2020 16:03:42 -0600 Regulatory Compliance /USP <h2 class="MsoNormal text-align-justify">At A Glance</h2> <h3>At Issue</h3> <p>The United States Pharmacopeia (USP) in June 2019 released several new and revised pharmacy compounding standards. Specifically, USP published the final revised version of general chapter <<a href="/usp797">797</a>> (Pharmaceutical Compounding of Sterile Preparations) to accompany the previous released general chapter <<a href="/usp800">800</a>> (Hazardous Drugs Handling in Healthcare Settings). Due to pending appeals, the effective date of USP <797> remains postponed until further notice and USP <800> remains “informational” until <797> is finalized. While federal regulatory agencies and accrediting organizations likely will not begin enforcement of both chapters until after the appeals process is complete, several state boards of pharmacy already have begun enforcement of <800>, which may affect your hospital or health system’s timeline for compliance.  </p> <h3>AHA Take</h3> <p>While these standards provide an important reminder of the potential hazards of the chemical compounds used in medications, implementation of these standards will be complicated, and likely costly and time-consuming. In addition, while the effective date of USP <797> remains delayed and USP <800> remains informational until further notice, the AHA anticipates required compliance once final. We recommend organizations take immediate steps to assess their specific organizational readiness for compliance and develop a plan to make all necessary changes. Protecting health care personnel from harm resulting from occupational exposure to environmental hazards is a top priority for hospitals and health systems, and implementation of these standards will play a critical role in keeping providers and the patients they treat safe.</p> <h3>Resources</h3> <p>Due to the wide-reaching impact of both chapters, leadership teams for hospitals and health systems will need to discuss the implications for meeting these new requirements. For example, those facilities with in-house compounding services may benefit from having their facility revisit the financial viability of in-house compounding services, which could require large-scale physical environment changes as a result of the new standards. For those facilities intending to continue in-house compounding, ensuring the development of a comprehensive approach for implementation and compliance is critical. In addition to the resources below, this advisory also includes a high-level checklist for hospital leadership to reference.   </p> <p><a class="btn btn-primary" href="/usp800" role="button" title="�����Թ�USP 800">�����Թ�USP <800></a></p> <p><a class="btn btn-primary" href="/system/files/media/file/2020/02/usp-alert-200207.pdf" role="button" title="Read the Full Alert">Read the Full Alert</a></p> <p> </p> Wed, 05 Feb 2020 09:10:06 -0600 Regulatory Compliance