TJC Update for Staff

Contact Our Team


Start Time:12:00 AM
End Time:12:00 AM
Contact Information
Additional Information

Provided by MHA Center for Education

Date & Time

Thursday, March 23, 2017
9 - 10:30 a.m.

Register on or before Thursday, March 16, to ensure delivery of instructional materials.

MHA members — $225
Nonmembers — $275

The registration fee is for one connection. One webinar registration/connection allows for an unlimited number of participants. Dial-in information is for one physical location, so encourage staff to join you!

This webinar is being offered at a reduced registration fee to MHA-member hospitals because of a contribution from MHA Management Services Corporation.


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.

The following program content was provided by the speaker.


The Joint Commission Standards continue to be difficult for hospitals to understand. Participants will learn how to comply with these challenging standards. During this session we will learn how to lead our organizations to a 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.


  • identify what is new for 2016-2017
  • discuss the documented challenging standards from 2016
  • explain other problematic standards


Sandra M. McRae, BSN, R.N., MPH
Patient Safety and Healthcare Consulting and Education Company
Columbus, Ohio

Sandra McRae has experience in all levels of health care. She served as consultant and faculty for The Joint Commission from 1989 to 2004. In addition to being president of her own company, McRae brings outstanding experience as a nurse executive, administrator, risk manager, and patient safety and performance improvement expert to her role as a consultant. She is the clinical/TJC consultant for the Florida Hospital Association.

McRae assisted in the development of the Veterans' Administration National Center for Patient Education. In 2009-2010, she developed the Veterans' Administration National template for medical staff bylaws. She consults with multiple VA facilities and programs.

McRae taught a wide range of programs for TJC Department of Education and was consistently rated the highest of all faculty. She was one of only three people selected by TJC to do the nationwide education on the new 2004 standards and survey process. She spent a month in the Kingdom of Saudi Arabia teaching continuous quality improvement. McRae also has gone to Egypt and Ireland to help both countries begin the development of standards and an accreditation process. She has published Patient Care Trainee-Educational Employment, and her research has included a grant from Abbott Laboratories and work with the University of Florida in Perceptions of Education.