2019 Joint Commission Accreditation Update for Hospitals and Critical Access Hospitals

Contact Our Team


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

Provided by MHA Health Institute
MHA Health Institute Logo

Dates & Location

Wednesday, Dec. 5, and Thursday, Dec. 6

Courtyard by Marriott
3301 LeMone Industrial Blvd.
Columbia, Mo.

Register on or before Wednesday, Nov. 21.

The registration fee includes continental breakfast, refreshments, lunch and electronic access to program materials.

This seminar is being offered at a reduced registration fee to MHA-member hospitals thanks to a generous contribution from MHA Management Services Corporation. This seminar also is eligible for use of the MHA Health Institute coupon. Coupons were mailed to MHA-member hospital CEOs in mid-December.

Hotel Reservation

Hotel cut-off date: Tuesday, Nov. 13
Group code: JCAA (King), or JCAB (Double Queen)
Request MHA Health Institute room rate:

  • king $119 + tax
  • double queen (two queen beds) $119 + tax


Individuals who will be involved with The Joint Commission surveys are encouraged to attend. CEOs, medical executives, nurse executives, quality coordinators, financial officers, education coordinators, information managers and human resources managers also will find the program beneficial.


Welcome your Joint Commission surveyors with confidence. This two-day program serves as an annual update to The Joint Commission accreditation process, requirements, changes and current challenges for hospitals. Essential elements of the requirements, as well as enhanced discussion regarding the most challenging and urgent accreditation issues, will be presented.


Upon completion of this program, participants will be able to:

  • describe the key areas for the hospital and critical access hospitals survey process for 2019
  • review the impact of SAFER Matrix scoring on survey decisions
  • list the 2019 National Patient Safety Goals and challenges for compliance
  • discuss the intent and key concepts in TJC requirements chapters
  • identify frequent and challenging findings with TJC requirements, including high-risk processes for condition-level deficiencies
  • describe implementation strategies and suggestions to improve compliance with TJC requirements


Wednesday, Dec. 5

8:30 a.m. — Registration/Continental Breakfast

9 a.m. — Welcome/Review of Objectives

9:15 a.m. — Updates to TJC’s Accreditation

  • survey process and SAFER matrix scoring

10:15 a.m. — Break

10:30 a.m. — Rights and Responsibilities of the Individual

  • 2019 national patient safety goals

Noon — Lunch (provided)

1 p.m. — Environment of Care and Life Safety

  • emergency management

2:30 p.m. — Break

2:45 p.m. — Human Resources

  • infection prevention and control

4:30 p.m. — Adjournment

Thursday, Dec. 6

7:30 a.m. — Registration/Continental Breakfast

8 a.m. — Provision of Care

  • waived testing
  • transplant safety

9:30 a.m. — Break

9:45 a.m. — Medication Management Issues

  • medical staff

11:45 a.m. — Lunch (provided)

12:30 p.m. — Leadership

  • performance improvement
  • record of care treatment and services
  • information management

3 p.m. — Adjournment


Steven Chinn, DPM, MBA, M.S.
Joint Commission Resources
Oakbrook Terrace, Ill.

Steven Chinn has more than 25 years of clinical and management experience in community health, behavioral health and academic medical centers, as well as ambulatory care and managed health care settings. Chinn's consulting skills for ambulatory, acute care and network organization lie in the areas of organizational assessment, survey preparation, performance improvement, managed care, medical staff, human resources and staff competency, and business development. He also serves as a Joint Commission Resources faculty member for the Department of Education and is involved with educational presentations for hospitals, ambulatory and network accreditation standards, performance improvement, patient safety, and medical staff issues.

Kathy J. Eichner, MSN, BSN, R.N.
Joint Commission Resources
Oakbrook Terrace, Ill.

Kathy Eichner has more than 29 years of health care experience, which includes case management, regulatory compliance, collaborative pathways, clinical outcomes improvement and access management. She is a certified Joint Commission Yellow Belt and Change Agent. Eichner has presented extensively in the areas of performance improvement, accreditation readiness, clinical outcomes, core measures and hospital operations.

Continuing Education

Participants must attend the program in its entirety to receive a certificate of completion and continuing education contact hours.

Summary of Continuing Education contact hours awarded for this program:

  • ACCME: 11.75 CME - AMA PRA Category 1 Credit(s)
  • ANCC: 11.75 CE
  • ACHE: 11.75 CE

Criteria for Successful Completion:

  • Full attendance at every session is a prerequisite for receiving full continuing education credits
  • Completion of program evaluation form

The Joint Commission is accredited by the Accreditation Council for Continuing Medical Education (ACCME), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the health care team.

The Joint Commission is authorized to award 11.75 hours of 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.

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 others involved with continuing education activities disclose any 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 education content.

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.