nurse walking down a hallway reading her ipad


Dec. 1, 2020


8:45am - 12:00pm




2021 Joint Commission Accreditation Update for Hospitals and Critical Access Hospitals


This event will take place Tuesday, Dec. 1, through Friday, Dec. 4, from 8:45 a.m. to noon each day.

MHA member — $825 per person
Nonmember — $925 per person


individuals involved with The Joint Commission surveys, as well as CEOs, medical executives, nurse executives, quality coordinators, financial officers, education coordinators, information managers and human resources managers


Welcome your TJC surveyors with confidence. This four-day program serves as an annual update to TJC accreditation processes, 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 the program, participants will be able to:

  • describe the hospital and critical access hospital survey process for 2020
  • identify frequent and challenging findings with TJC requirements
  • describe new or modified TJC requirements for 2021
  • discuss the high priority key concepts in TJC requirements chapters and implementation strategies, as well as suggestions for successful compliance


Tuesday, Dec. 1

8:45 a.m. — Call Begins — Participants Connect

9 a.m. — Welcome & Introductions

9 a.m. — 2020 Updates to The Joint Commission Accreditation Survey Process

  • survey process changes and pandemic adjustments
  • most frequently cited requirements (HAP and CAH)
  • what’s new for 2020 and 2021

10:25 a.m. — Break

10:30 a.m. — Medication Management Update

  • challenges in medication management
  • titration and block charting
  • update on USP 797 and USP 800

Noon — Program Adjourns


Wednesday, Dec. 2

8:45 a.m. — Call Begins — Participants Connect

9 a.m. — Welcome

9:05 a.m. — Infection Prevention: Understanding the Regulatory Framework for Infection Prevention Compliance 

  • framework for regulatory compliance
  • addressing survey challenges in infection prevention
  • regulatory implications for COVID-19 management

10:25 a.m. — Break

10:30 a.m. — Priorities and Trends in The Joint Commission Chapters

  • leadership
  • performance improvement
  • rights and responsibilities

Noon — Program Adjourns


Thursday, Dec. 3

8:45 a.m. — Call Begins — Participants Connect

9 a.m. — Welcome

9:05 a.m. — Priorities and Trends in The Joint Commission Chapters  

  • National Patient Safety goals
  • provision of care
  • waived testing
  • transplant safety

10:25 a.m. — Break

10:30 a.m. — Priorities and Trends in The Joint Commission Chapters

  • human resources
  • medical staff and nursing
  • record of care
  • information management

Noon — Program Adjourns


Friday, Dec. 4

8:45 a.m. — Call Begins — Participants Connect

9 a.m. — Welcome

9:05 a.m. — Priorities and Trends in The Joint Commission Chapters  

  • environment of care
  • life safety
  • emergency management

11 a.m. — Break

11:05 a.m. — Continual Readiness in Challenging Times

11:30 a.m. — Questions & Answers

Noon — Program Adjourns

*Times are approximate and fluid based on audience questions and discussions.



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

Kathy Eichner works with clients to achieve and sustain compliance with The Joint Commission standards, CMS Conditions of Participation and operational process improvement by bringing her extensive experience in leadership, management, safety, performance improvement, regulatory compliance, outcomes management and case management to her role as principal consultant for Joint Commission Resources. A certified Joint Commission Yellow Belt and Change Agent, Eichner collaborates with her clients to identify and achieve optimal performance and compliance in all health care settings, including hospitals, ambulatory centers, home care, behavioral health and disease-specific care programs. She has provided services for a diverse set of organizations, including hospital systems, academic teaching centers, children’s hospitals, behavioral health facilities, community hospitals, the U.S. Department of Defense, Indian Health Services and various ambulatory organizations.

Randy Blanchard, DNP, MHA, MBA, R.N., CJCP
Joint Commission Resources
Oakbrook Terrace, Ill.

Dr. Randy Blanchard uses his experience in clinical operations, performance improvement, patient safety initiatives and hospital leadership as a solid foundation in his role as a consultant. Dr. Blanchard’s broad-based leadership experiences in both nursing and nonnursing services provide the basis for his ability to evaluate care delivery opportunities throughout organizations and to relate those opportunities to both hospital staff and leadership. His experiences provide the opportunity to relate standards to real-world scenarios and cross-reference to evidence-based literature. As a consultant, he has been able to develop sound working relationships with clients in both short- and long-term engagements. Dr. Blanchard is not only proficient in inpatient care services, but also has expertise in ambulatory care. He has demonstrated experience in delivering perioperative safety consulting services.

Dr. Blanchard received his bachelor’s degree in nursing from Valdosta State University in Valdosta, Ga.; his master’s degrees in business administration and healthcare administration from Texas Woman’s University in Dallas, Texas; and his doctorate in nursing practice from Texas Tech University Health Science Center in Lubbock, Texas. Dr. Blanchard is a U.S. Air Force veteran.

Jeannell Mansur, Pharm.D., RPh, CJCP, FASHP, FSMSO
Principal Consultant
Joint Commission Resources
Oakbrook Terrace, Ill.

Dr. Jeannell Mansur is principal consultant for Medication Management and Safety for Joint Commission Resources and Joint Commission International. In this role, she provides direction to hospital leaders on medication safety design, medication system optimization and technology implementation to support patient safety and effectiveness. Her expertise in Lean Six Sigma and change acceleration performance improvement methods and tools is of immense value to organizations that are seeking to implement effective and sustainable improvement to challenging issues. In her current role, Dr. Mansur provides expertise to the TJC enterprise on medication system themes. She has been recognized for her distinguished work by the designation of Fellow with the American Society of Health-System Pharmacists and the American Society for Medication Safety Officers. She is a voting member of the United States Pharmacopeial Convention.

Dr. Mansur has extensive experience in all aspects of medication system design and implementation as well as hospital pharmacy. She was director of pharmaceutical services for 12 years at the University of Chicago Medical Center before she became executive director for Pharmacy Informatics, where she was involved in the planning, building and implementation of the organization’s electronic medical record. Dr. Mansur has consulted throughout the U.S. and internationally, and she has published and presented extensively in the areas of medication safety and pharmacy operations improvement.

Robert N. Neil, MBA, CHFM, CHSP
Joint Commission Resources
Oakbrook Terrace, Ill.

Robert Neil is an Environment of Care® consultant with Joint Commission Resources. He provides expert consulting services to all areas of the physical environment. In his more than 20 years as a health care support services professional, Neil gained progressive technical, management and leadership experience serving in numerous support service leadership roles. Neil holds a Lean Six Sigma black belt from Mercer University and is a Certified Healthcare Facility Management and a Certified Healthcare Safety Professional. He has been recognized as a competent, engaging leader with the ability to effectively communicate, influence change and establish strategic alliances with leadership and staff to ensure optimal performance.

Before his career in health care, Neil amassed more than 10 years of environmental, health and safety experience both as a consultant and from his time as an industrial hygienist at NASA Ames Research Center in Moffett Field, Calif.

General Information

General Information


Register on or before Sunday, Nov. 22, to ensure delivery of *instructional materials in your confirmation email.

Register Online

*We will be using SkyPrep, an LMS system that will provide you access to everything you need for this program, including the Zoom session links, slide decks, agenda, continuing education information, faculty bios, post-engagement survey, attendance attestation, certificate and any other available program materials. To ensure you are able to access SkyPrep during the event, please access once you’ve received your confirmation email, preferably by Monday, Nov. 23.

This webinar is being offered at a reduced registration fee to MHA-member hospitals thanks to a generous contribution from the MHA Management Services Corporation. This webinar also is eligible for use of the MHA Health Institute coupon. Note: Coupons were mailed to MHA-member hospital CEOs in December 2019.

Contact An Expert

Daphney Partridge

Daphney Partridge

Vice President of Education
Kita Kay

Rita Kay

Manager of Educational Programs
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