Attendees will learn:

• How to evaluate your organization’s efforts toward high reliability and zero harm
• To identify potential causes of harm and adapt corrective actions to address them
• 2-4 new management tools to improve the sustainability of organizational change
• The latest updates to Joint Commission standards with best practices and tested strategies for improving compliance

Who should attend?

Healthcare professionals knowledgeable about the standards and the accreditation process including;

• Accreditation Professional
• Medical Directors
• Nursing Leaders
• Physicians
• RNs
• Performance Improvement Specialists
• Risk Managers
• Regulatory Compliance Professionals
• Quality Directors and Managers
• Patient Safety Officers
• CEOs, Vice Presidents

ANA PUJOLS MCKEE MD Executive Vice President and Chief Medical Officer The Joint Commission	MARK PELLETIER RN, MS Chief Operating Officer Accreditation and Certification Operations & Chief Nurse Exec                                The Joint Commission	SYLVIA GARCIA-HOUCHINS  RN, MBA, CIC Director, Infection Prevention and Control Division of Healthcare Improvement The Joint Commission
JIM KENDIG MS, CHSP, CHCM, CHEM, LHRM Field Director, Surveyor Management and Development Accreditation, Certification Ops                                 The Joint Commission	HERMAN MCKENZIE MBA, CHSP  Engineer Department of Engineering  The Joint Commission	ROBERT CAMPBELL, PharmD Director, Clinical Standards Interpretation Hospital / Ambulatory Programs Director, Medication Management The Joint Commission
EDWARD POLLAK, MD Medical Director & Patient Safety Officer Division of Healthcare Improvement                                The Joint Commission	MAURA NADDY MSN, RNC-OB Associate Director, Standards Interpretation The Joint Commission	ERIN LAWLER MS, CPPS Human Factors Engineer Division of Healthcare Improvement The Joint Commission

• Bring your fully charged electronic device (laptop, tablet, etc.) with you to the program so that you can access the program materials and take notes.
• Download/access program materials from the event app. Click here for instructions on how to download the event app and access these materials.1-2 weeks before your program, you will receive an email with instructions on how to access the program materials. And, those materials will continue to be available to you post-program, on both the event app and the JCR Learning Management System (LMS).
• If you prefer hard-copy program materials, please print before the program and bring with you. There will be no hard-copy program materials provided on site, other than the agenda itself.
• Full-text requirements books (with relevant Joint Commission standards for the program) will no longer be provided, either in hard copy or electronically. Please plan accordingly if you want to reference the standards during the program (for example, bring your own manual or plan to access E-dition).  
• Come ready to learn, network with peers, and be prepared for compliance challenges.

Because regulations and guidelines do change, it is a good idea to check for updates from your state, county or city on a regular basis and always before registering for a specific course to make sure it will be acceptable for your license/certification renewal. 

Summary of Continuing Education contact hours awarded for this program:

• ACCME: 6.83 CME - AMA PRA Category 1 Credit(s).
• ANCC: 6.83 CE
• ACHE: 6.83 CE
• CA Board of Registered Nursing: 6.83 CE
• CJCP: 6.83 CE

The Joint Commission is accredited to provide continuing education credit/hours by the following organizations:

JOINT ACCREDITATION (ACCME, ANCC, ACPE):
The Joint Commission is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

ACHE:
The Joint Commission is authorized to award X hours or pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives.  Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification.

ADA CERP:
The Joint Commission is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at ADA.org/CERP.

CA Board of Registered Nursing:
Joint Commission Resources is provider approved by the California Board of Registered Nursing, provider number CEP 6381 for the listed contact hours.

CJCP^® (Certified Joint Commission Professional^®):
To obtain CJCP credit hours, individuals must first be certified before they may start acquiring CJCP credit hours. CJCP credit hours will not be retroactive. CJCP professionals are required to maintain 30 CJCP credit hours within their three-year certification period.

Criteria for Successful Completion:

• Full attendance at every session is a prerequisite for receiving full continuing education credits
• Completion of program evaluation form
• NOTE: For Pharmacists, you will be required to provide your NAPB # and DOB (MM/DD)

Conflict of Interest:
The Joint Commission maintains control over all continuing education content provided to ensure content integrity and minimize educational bias.  All education planners, faculty, content reviewers, authors and other involved with continuing education activities disclose any influencing relationships, or lack thereof including financial or commercial interests. Joint Commission ensures the accuracy and consistency of the application of accreditation criteria to ensure appropriateness of relationships and affiliations that may impact education content.

Disclaimer:
The designation of contact hours, credits, and/or approval of this activity refers to the recognition of the educational activity only and does not imply endorsement of any commercial product. The information presented at this program represents the views and opinions of individual presenters, and does not reflect the policies, opinions, endorsement of, or promotion by JCR or any accrediting/approving bodies affiliated with this program.

Clinicians should claim only the credit commensurate with the extent of their participation in the activity. The Joint Commission takes responsibility for the content, quality, and scientific integrity of this educational activity.

Privacy and Security of Learner’s Record:
All continuing education records, including personal information (PII) and learning accomplishments are secured. Records are released with the written permission and notification of the learner.

IACET:
The Joint Commission is an authorized provider to provide continuing education units (CEUs) for select educational programs by The International Association for Continuing Education and Training (IACET).  CEUs are accepted by many companies, boards and organizations for specialty licenses and certifications.  For further information about IACET, check the website (www.IACET.org). Participants are strongly encourages to check with their specific state regulatory boards, employers or other agencies to confirm that educational programs taken from the Joint Commission for IACET CEUs will be accepted.

What is a Continuing Education Unit?
Through the Continuing Education Unit System, you receive formal recognition for improving your knowledge and skills by completing Joint Commission seminars.

Under the CEU system, one unit is awarded for completion of 10 hours of participation in our seminars and conferences in an organized, continuing education experience that provides responsible sponsorship, capable direction and qualified instruction.

What does the CEU mean to you and your career?
You receive immediate recognition for your career development efforts. A CEU certificate suitable from framing will be sent to you upon satisfactory completion of the Joint Commission seminar you have attended.

The CEU system…

• Allows you to build a permanent record of achievement as you take part in education or training to further your career.
• Provides a means for showing supervisors, personnel officers and others an official document that shows you have completed a seminar as part of your preparation for wider responsibilities and higher-level positions.
• Offers a means for giving official confirmation of your completion of continuing professional education seminars to certification bodies, licensing boards and professional societies.

How many CEUs will you earn for your seminars/conferences you attend and complete the evaluation?

Note: The exact number of CEUs earned depends on the format and the number of hours in the program. Each program is evaluated separately and the CEU values of some will differ from the values listed above.

Payments
Payments submitted by check take up to 14 days to process.  If you are registering for a program less than 14 days away, please pay with a credit card or your registration may not be received in time and your seat may not be reserved.

Cancellations, Substitutions, and Transfers

Attendee Cancellations– 30 or more days prior to the event:

If you need to cancel your attendance at a live event, your registration fee, less a $100 processing fee, is refundable, if written notice of cancellation is received via e-mail to the below mailbox 30 days or more prior to the program date. Please include the attendee name, program name, date and order #.

Attendee Cancellations - less than 30 days prior to the event:

If you need to cancel your attendance at a live event less than 30 days prior, you may send an alternate attendee.  Please include the registrant’s name, program name, date, and order number as well as the alternate attendee’s full name, title, credentials, address, phone, and email address. Refunds will not be issued for cancellations received less than 30 days prior to the program or any no-shows. 

Event Cancellations:
Joint Commission Resources reserves the right to cancel or reschedule a program due to an insufficient number of registrants or other unforeseen circumstances. If a program must be cancelled, the registration fee will be refunded in full to each registrant. You may verify current program status on our website or by calling JCR Customer Service at 877.223.6866. Neither Joint Commission Resources nor The Joint Commission is responsible for a registrant's travel expenses in the event a program is cancelled. Participants are encouraged to purchase refundable tickets in case a program is cancelled or rescheduled.

Dietary Restrictions
Should you have any dietary restrictions for an upcoming event, please contact customer service via e-mail with the name and date of the program and any special accommodations that may be needed.  We will work with the catering staff to try to accommodate your needs. In some cases, it may be best to bring some of your own food to supplement what is provided.

Americans with Disabilities Act

If you require any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend this Joint Commission Resources program, please e-mail Customer Service.

Conflict of Interest

Joint Commission Resources maintains control over all continuing education content provided to ensure content integrity and minimize educational bias. All education planners, faculty, content reviewers, authors, and others involved with continuing education activities disclose influencing relationships, or lack thereof, including financial or commercial interests. The Joint Commission ensures the accuracy and consistency of the application of accreditation criteria to ensure appropriateness of relationships and affiliations that may impact educational content.

Program Agendas and Faculty

Agendas are subject to change because we are always striving to improve the quality of your educational experience. Joint Commission Resources may substitute faculty with comparable expertise on rare occasions necessitated by illness, scheduling conflicts, and so forth.

Customer Service: 877-223-6866

Email JCR Customer Service

Suggested Attire: Business Casual

Due to the variation in meeting room temperatures and personal preferences, we recommend that you dress in layers for your comfort. 

Click Here for Agenda
(Agenda and speakers are subject to change. Last updated June 4, 2019.)

Program Objectives

1. Identify Medicare’s most top cited conditions of participation (CoPs) and difficulties with the Emergency Medical Treatment and Active Labor Act (EMTALA).
2. Discuss common issues and compliance strategies related to Medicare’s requirements for dialysis, swing beds, the physical environment, and emergency preparedness
3. Describe implications of CMS’s focal point with patient care areas and emotionally safe environments, along with Immediate Jeopardy.

FACULTY:

MICHELLE McDONALD RN, MPH Executive Director Government Regulations and Advisory Services Joint Commission Resources	VINCE AVENATTI CFPCA, CMS Consultant Joint Commission Resources
JOHN BERRY RN, MSN, CMS Consultant Joint Commission Resources	KATHRYN E. SPATES JD, ACNP-BC Director Federal Relations The Joint Commission

• Bring your fully charged electronic device (laptop, tablet, etc.) with you to the program so that you can access the program materials and take notes.
• Download/access program materials from the event app. Click here for instructions on how to download the event app and access these materials. 1-2 weeks before your program, you will receive an email with instructions on how to access the program materials. And, those materials will continue to be available to you post-program, on both the event app and the JCR Learning Management System (LMS).
• If you prefer hard-copy program materials, please print before the program and bring with you. There will be no hard-copy program materials provided on site, other than the agenda itself.
• Full-text requirements books (with relevant Joint Commission standards for the program) will no longer be provided, either in hard copy or electronically. Please plan accordingly if you want to reference the standards during the program (for example, bring your own manual or plan to access E-dition).  
• Come ready to learn, network with peers, and be prepared for compliance challenges.

Because regulations and guidelines do change, it is a good idea to check for updates from your state, county or city on a regular basis and always before registering for a specific course to make sure it will be acceptable for your license/certification renewal. 

Summary of Continuing Education contact hours awarded for this program:

• ANCC: 7.25 CE
• ACHE: 7.25 CE
• CJCP: 7.25 Credit Hours Towards Recertification

The Joint Commission is accredited to provide continuing education credit/hours by the following organizations:

JOINT ACCREDITATION (ANCC):
The Joint Commission is accredited by the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

ACHE:
The Joint Commission is authorized to award X hours or pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives.  Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting an application to the American College of Healthcare Executives for advancement or recertification.

CJCP® (Certified Joint Commission Professional®):

To obtain CJCP credit hours, individuals must first be certified before they may start acquiring CJCP credit hours. CJCP credit hours will not be retroactive. CJCP professionals are required to maintain 30 CJCP credit hours within their three-year certification period.

Criteria for Successful Completion:

• Full attendance at every session is a prerequisite for receiving full continuing education credits
• Completion of program evaluation form
• NOTE: For Pharmacists, you will be required to provide your NAPB # and DOB (MM/DD)

Conflict of Interest:
The Joint Commission maintains control over all continuing education content provided to ensure content integrity and minimize educational bias.  All education planners, faculty, content reviewers, authors and other involved with continuing education activities disclose any influencing relationships, or lack thereof including financial or commercial interests. Joint Commission ensures the accuracy and consistency of the application of accreditation criteria to ensure appropriateness of relationships and affiliations that may impact education content.

Disclaimer:
The designation of contact hours, credits, and/or approval of this activity refers to the recognition of the educational activity only and does not imply endorsement of any commercial product. The information presented at this program represents the views and opinions of individual presenters, and does not reflect the policies, opinions, endorsement of, or promotion by JCR or any accrediting/approving bodies affiliated with this program.

Clinicians should claim only the credit commensurate with the extent of their participation in the activity. The Joint Commission takes responsibility for the content, quality, and scientific integrity of this educational activity.

Disclosure:

The staff and speakers for this program have disclosed that neither they nor their spouses/partners have any financial arrangements or affiliations with corporate organizations that either provide educational grants to this program or may be referenced in this activity. Please see the listing of speakers associated with this program and the bios under the speakers’ bios.

Privacy and Security of Learner’s Record:
All continuing education records, including personal information (PII) and learning accomplishments are secured. Records are released with the written permission and notification of the learner.

Payments
Payments submitted by check take up to 14 days to process.  If you are registering for a program less than 14 days away, please pay with a credit card or your registration may not be received in time and your seat may not be reserved.

Cancellations, Substitutions, and Transfers

Attendee Cancellations– 30 or more days prior to the event:

If you need to cancel your attendance at a live event, your registration fee, less a $100 processing fee, is refundable, if written notice of cancellation is received via e-mail to the below mailbox 30 days or more prior to the program date. Please include the attendee name, program name, date and order #.

Attendee Cancellations - less than 30 days prior to the event:

If you need to cancel your attendance at a live event less than 30 days prior, you may send an alternate attendee.  Please include the registrant’s name, program name, date, and order number as well as the alternate attendee’s full name, title, credentials, address, phone, and email address. Refunds will not be issued for cancellations received less than 30 days prior to the program or any no-shows. 

Event Cancellations:
Joint Commission Resources reserves the right to cancel or reschedule a program due to an insufficient number of registrants or other unforeseen circumstances. If a program must be cancelled, the registration fee will be refunded in full to each registrant. You may verify current program status on our website or by calling JCR Customer Service at 877.223.6866. Neither Joint Commission Resources nor The Joint Commission is responsible for a registrant's travel expenses in the event a program is cancelled. Participants are encouraged to purchase refundable tickets in case a program is cancelled or rescheduled.

Dietary Restrictions
Should you have any dietary restrictions for an upcoming event, please contact customer service via e-mail with the name and date of the program and any special accommodations that may be needed.  We will work with the catering staff to try to accommodate your needs. In some cases, it may be best to bring some of your own food to supplement what is provided.

Americans with Disabilities Act

If you require any of the auxiliary aids or services identified in the Americans with Disabilities Act in order to attend this Joint Commission Resources program, please e-mail Customer Service.

Conflict of Interest

Joint Commission Resources maintains control over all continuing education content provided to ensure content integrity and minimize educational bias. All education planners, faculty, content reviewers, authors, and others involved with continuing education activities disclose influencing relationships, or lack thereof, including financial or commercial interests. The Joint Commission ensures the accuracy and consistency of the application of accreditation criteria to ensure appropriateness of relationships and affiliations that may impact educational content.

Program Agendas and Faculty

Agendas are subject to change because we are always striving to improve the quality of your educational experience. Joint Commission Resources may substitute faculty with comparable expertise on rare occasions necessitated by illness, scheduling conflicts, and so forth.

Customer Service: 877-223-6866

Email JCR Customer Service

Suggested Attire: Business Casual

Due to the variation in meeting room temperatures and personal preferences, we recommend that you dress in layers for your comfort.