September 2019 Newsletter                 Like us on Facebook Follow us on Twitter View our profile on LinkedIn View our videos on YouTube   

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USP Chapter 797 Sterile Compounding Changes Part II

Our September newsletter introduces two exciting and talented consultants: Sherri Aleksejczyk and Carol Mooney, and brings two timely articles to our readership. The first is: Change on the Horizon: Part 2 of our 4-part series on the July 2019 changes in 797 Sterile Compounding.  Part 2 is focused on the environment, and the importance of designing for safety.  Our second article shares inside information on Discharge Planning and Beyond. Tune in to learn why discharge planning, execution, and the patient's understanding of their role, is critical to patient success after discharge and the hospital's success in reducing readmissions.
Change on the Horizon: USP Chapter 797 Sterile Compounding Changes Series - Part 2 

Part 2 of change on the Horizon focuses on the facility design and environmental controls for Sterile Compounding Area (SCA), including microbiological air and surface sampling, cleaning and disinfection of the compounding areas, along with the Certification and Recertification requirements.
Overall, the cleanroom suite should be maintained at a temperature of 20 degrees Celsius or cooler and a relative humidity of below 60% in order to minimize the potential for microbial growth. Humidity and temperature recordings must be documented daily. If your organization utilizes a continuous recording device, the results of the monitoring must be retrievable. Free standing air conditioners, heating devices and/or humidifiers are not permitted within the classified area or the perimeter of the SCA. Devices used to monitor the temperature and humidity must be recalibrated every 12 months or in accordance with the manufacturer's instructions for the device.  Read More 

Discharge Planning Beyond the Day of Discharge 

The Affordable
Care Act (ACA) established the Hospital Readmission Reduction Program (HRRP) in 2012. The HRRP is a Medicare value-based purchasing program that reduces payments to hospitals with risk adjusted readmission rates beyond expectations. The overall rate of unplanned readmission after discharge from the hospital (also called "hospital-wide readmission") focuses on whether patients who were discharged from a hospital stay were hospitalized again within 30 days. The idea was that the overall rate of unplanned readmission would show whether a hospital is doing its best to prevent complications, provide clear discharge instructions to patients, and help ensure patients make a smooth transition to their home or next level of care. Read More

Welcome Sherri Aleksejczyk and Carol Mooney!

We are delighted to introduce two new consultants at Courtemanche & Associates. Please welcome Sherri Aleksejczyk, RN, CNOR, HACP and Carol Mooney, RN, MSN, CPHQ. Both professionals join us with far-reaching healthcare regulatory experience and consulting expertise.
Sherri has extensive experience in assessing healthcare organization's readiness for licensing, accreditation and regulatory compliance. She is a Registered Nurse and her practice ranges from hospital to ambulatory services, and from education to perioperative services. In addition, she has worked with organizations implementing Just Culture, High-Reliability approaches and numerous Patient Safety strategies. 
Carol Mooney joins us, not only with a background in consulting, but also in standards development and interpretation for the Joint Commission and CMS. She also has a clinical background in Home Health, Hospitals, Long Term Care, Behavioral Health and Disease Specific Certification. Her extensive background in accreditation and regulatory matters makes her a valuable and knowledgeable resource for clients who are currently involved or new to regulatory and accreditation processes and procedures.
Sherri and Carol both bring a wealth of knowledge and experience in all phases of healthcare including assessment, planning, implementation, evaluation and the development of sustainable approaches to meet client needs for patient safety.

Visit us at NAHQ this month!
Join Courtemanche & Associates at the NAHQ NEXT Conference September 16-17, 2019 in Phoenix!

Stop by our booth, #419 to chat with our team.  
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