New CMS and TJC Workplace Violence Standards in Healthcare

1
Joint Commission Workplace Violence
Standards2023
2
Speaker

• Laura A. Dixon, Esq.
• BS, JD, RN, CPHRM
• President, Healthcare Risk Education, and
  Consulting, LLC
• 303-955-8104
• ldesq_at_comcast.net

2
2
3
Topics to be Covered

• Overall information on The Joint Commission TJC
  
• New and revised Workplace Violence Prevention
  standards
• Environment of Care
• Leadership Duties
• Human Resources
• Guidelines from OSHA and Department of Labor
• CMS Conditions of Participation

4
TJC Standards and CMS CoPs

• The Joint Commission (TJC) one of four
  accreditation organizations (AOs)
• Deemed status
• Hospitals accredited by TJC can get paid for
  taking care of Medicare and Medicaid patients
  without having a survey by CMS
• TJCs standards must meet or exceed those by CMS

5
HeadlinesWorkplace Violence in Healthcare
6
The Issue

• 2018 health care and social service workers five
  times more likely to experience workplace
  violence that any other workers
• Made up 73 of all nonfatal workplace injuries
  and illnesses
• Nearly half of all nurses report increased
  workplace violence 119 surge since
  2021(National Nurses United)
• Workplace violence underreported

7
Impact

• Exposure can impair effective patient care
• Leads to
• Psychological distress
• Job dissatisfaction
• Absenteeism
• High turnover
• Average RN turnover in past 5 years 95.7¹
• Higher costs
• 1. https//www.beckershospitalreview.com/finance/h
  ospitals-average-100-percent-staff-turnover-every-
  5-years-heres-what-that-costs.html last accessed
  May 25, 2023

8
The Joint CommissionWorkplace Violence
9
Definition

• An act or threat occurring at the workplace that
  can include any of the following
• Verbal, nonverbal, written, or physical
  aggression
• Threatening, intimidating, harassing or
  humiliating words or actions
• Bullying gt Sabotage
• Sexual harassment gt Physical assaults
• Other behaviors of concern involving staff,
  licensed practitioners, patients, or visitors

10
Training, Education and Resources

• What constitutes workplace violence
• Education
• Roles and responsibilities
• Leadership Clinical staff Security External
  law enforcement
• Training
• Nonphysical intervention skills gtDe-escalation
• Physical intervention techniques gt gtIncident
  response
• Incident reporting process

11
Suggested Measures

• Determine who within organization will receive
  reports
• Policy and procedures zero tolerance for
  violence
• Regardless of origin
• Patient
• Family/Visitors
• Other staff
• Education what to do when experience or observe
• Encourage reporting

12
Posters on Violence

• Review hospital policies posting
• Permitted?
• Place in entrances
• Other languages
• Consider in employee breakrooms
• Include who to contact
• Communicate with staff
• Consider perception by patients

13
GuidelinesOSHA/ Department of Labor
14
5 Core Elements

• Managements commitment and employee
  participation
• Worksite analysis and hazard identification
• Hazard prevention and control
• Safety and health training
• Recordkeeping and program evaluation

15
Joint CommissionEmergency Management/Preparedness

16
CMS Workplace Violence
17
Leadership

• Leadership must ensure provide
• Adequate training
• Sufficient staffing levels
• Ongoing assessment of patients/residents for
  aggressive behavior
• Plus indicators to adapt to care interventions
  and environment appropriately

18
The End Questions???

• Laura A. Dixon, Esq.
• BS, JD, RN, CPHRM
• President, Healthcare Risk Education and
  Consulting, LLC
• 303-955-8104
• ldesq_at_comcast.net

Register Now
18
18