Q&A With The Joint Commisson...2020/09/03 · The Joint Commission John Raisch, CHFM Engineer,...
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Q&A With The Joint Commission COVID-19 Webinar for Hospital Accreditation September 3, 2020
Transcript of Q&A With The Joint Commisson...2020/09/03 · The Joint Commission John Raisch, CHFM Engineer,...
Q&A With The Joint CommissionCOVID-19 Webinar for Hospital Accreditation
September 3, 2020
© 2020 The Joint Commission. All Rights Reserved.
Panel
Kelley McCannAssociate Director AccreditationAccreditation and Certification OperationsThe Joint Commission
Jennifer Welch, MBAAssociate Director AccreditationAccreditation and Certification OperationsThe Joint Commission
Diane Cullen, MSN, MBA, RN, CICAssociate DirectorStandards Interpretation GroupThe Joint Commission
Theresa Hendricksen, RN, MS, FACHEField Director, HAP and CAHThe Joint Commission
Sylvia Garcia-Houchins, MBA, RN, CICDirector, Infection Preventionand ControlThe Joint Commission
Gayle Jensen-Savoie, PhD, LOC-S, LMFT-S, LCDCField Director, Surveyor Management and SupportThe Joint Commission
Maura Naddy, MSN, RNC-OBAssociate Director, Standards Interpretation GroupThe Joint Commission
Robert Campbell, PharmDDirector, Clinical Standards InterpretationHospital/Ambulatory ProgramsDirector, Medication ManagementThe Joint Commission
John Raisch, CHFMEngineer, Department of EngineeringThe Joint Commission
Room Turnover−Considerations− Size of room−Number of ACH (air changes
per hour)− Length of time patient was in
room− Patient coughing/sneezing− Patient wearing face covering−Aerosol generating procedure− PPE used
The number of air changes per hour (ACH) and time and efficiency.
ACH
Time (mins.) required for
removal99% efficiency
Time (mins.) required for
removal99.9% efficiency
2 138 207
4 69 104
6 46 69
8 35 52
10 28 41
12 23 35
15 18 28
20 14 21
50 6 8
https://www.cdc.gov/infectioncontrol/guidelines/environmental/appendix/air.html#tableb1
https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-faq.html
© 2019 The Joint Commission. All Rights Reserved.
© 2019 The Joint Commission. All Rights Reserved.
Community TransmissionType of Community Transmission Definition
Substantial community transmission Large scale community transmission, including communal settings (e.g., schools, workplaces)
Minimal to moderate community transmission:
Sustained transmission with high likelihood or confirmed exposure within communal settings and potential for rapid increase in cases
No to minimal community transmission Evidence of isolated cases or limited community transmission, case investigations underway; no evidence of exposure in large communal setting
https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html
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Patient Procedure CommunitySpread PPE required
COVID-19 Patient? Aerosol Generating Procedure?
Spread of COVID in community?
Type of PPE
Yes Yes Any levelFFR, face/eye protection, gloves, gown
Yes No N/AFFR or mask, face/eye protection, gown, gloves
No/ Unknown Yes Moderate or substantialFFR and face/eye protection, gloves, gown
No/Unknown Yes Minimal or limitedFFR or mask *
No/Unknown No Moderate or Substantial Mask and eye protection *
No/ Unknown No Minimal or LimitedMask or cloth covering (source control) *
PPE Selection: Risk= Resources Needed
* Additional PPE as required by Standard and Transmission based PrecautionsFFR: Filtering Facepiece Respirator
© 2019 The Joint Commission. All Rights Reserved.
Need for PPE Limited Resources
https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control.html
PPE Challenges
CDC: PPE Optimization Strategy
https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/strategies-optimize-ppe-shortages.html
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Are You in Crisis Capacity?
10© 2020 The Joint Commission. All Rights Reserved.https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/decontamination-reuse-
respirators.html
© 2019 The Joint Commission. All Rights Reserved.
How do I reprocess N95 respirators?
https://www.cdc.gov/coronavirus/2019-ncov/hcp/ppe-strategy/decontamination-reuse-respirators.html
Pre-Submitted Questions
© 2020 The Joint Commission. All Rights Reserved.
Pre-Submitted Questions
© 2020 The Joint Commission. All Rights Reserved.
COVID-19 resources
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Thank You
We support your efforts in response to the COVID-19 pandemic and hope to provide helpful resources
© 2020 The Joint Commission. All Rights Reserved.
Resources−COVID Resources− https://www.jointcommission.org/covid-19/
−Standards Interpretation− https://www.jointcommission.org/standards/standard-
faqs/
