April 17, 2025 - 8:00 AM - April 18, 2025 2:15 PM

2025 Pennsylvania Continuous Service Readiness Spring Conference

Location: HAP Headquarters 30 North Third Street, Suite 600, Harrisburg, PA 17101

Registration Deadline: April 19, 2025

Overview

The Pennsylvania Continuous Service Readiness Program (CSRP) is a joint effort between Joint Commission Resources (JCR) and The Hospital and Healthsystem Association of Pennsylvania (HAP) to structure and implement a program by which hospitals can receive education, consultation, and feedback on an ongoing basis from JCR and The Joint Commission (TJC) staff.

This meeting is limited to participants from CSR hospitals. Not a member? If you are interested in participating in the CSR Program, please contact Daneen Schroder.

Agenda

4/17/2025

8:00 AM

Registration and Continental Breakfast

8:30 AM

Welcome

  • Penny Hoover MSN, RN, CJCP, CPPS, Nurse Paralegal, Consultant, Joint Commission Resources
     
8:45 AM

Joint Commission 2025 Update

  • Robert Campbell, PharmD, BCSCP, Sr. Director, Clinical Standards Interpretation Group; Director, Medication Management, Joint Commission
     
10:15 AM

Break

10:30 AM

Joint Commission 2025 Update

  • Robert Campbell, PharmD, BCSCP, Sr. Director, Clinical Standards Interpretation Group; Director, Medication Management, Joint Commission 
     
12:00 PM

Lunch

12:45 PM

The Joint Commission: Navigating the Infection Control Standards

  • Tiffany Wiksten DNP, RN, CIC, Team Lead, Standards Interpretation Group, Division of Accreditation and Certification Operations (ACO), The Joint Commission 
     
2:15 PM

Break

2:30 PM

The Joint Commission: Navigating the Infection Control Standards

  • Tiffany Wiksten DNP, RN, CIC, Team Lead, Standards Interpretation Group, Division of Accreditation and Certification Operations (ACO), The Joint Commission 
     
4:00 PM

Wrap up & Closing Comments


4/18/2025

8:00 AM

Registration and Continental Breakfast

8:30 AM

Welcome 

  • Penny Hoover MSN, RN, CJCP, CPPS, Nurse Paralegal, Consultant, Joint Commission Resources
     
8:45 AM

Survey Expectations in Radiology

  • Kenneth Flowe, MD, MBA, FACHE, Consultant, Joint Commission Resources
     
10:15 AM

Break

10:30 AM

Understanding Wound Centers & Hyperbaric Chambers

  • Richard Boor, PE, PhD, Consultant, Joint Commission Resources
12:00 PM

Lunch

1:00 PM

Maintaining Continuous Survey Readiness: Including Experiences from the Field 

  • Penny Hoover MSN, RN, CJCP, CPPS, Nurse Paralegal, CSR Consultant, Joint Commission Resources, Inc.
2:00 PM

Closing Comments & Final Q & A

Program Objections

At the conclusion of this program, participants will be able to:

  1. Discuss the application of the new infection control standards and elements of performance and infection control worksheet
  2. Explain top scored and compliance tips for the Joint Commission Standards
  3. Discuss issues related to radiation, infections, and other aspects of patient safety
  4. Explain strategies for a successful survey

Session-specific Objectives

Joint Commission 2025 Update

  • Describe survey experience enhancements for 2025
  • Review top scored Joint Commission Standards
  • Review compliance tips for top risk Joint Commission findings

The Joint Commission: Navigating the Infection Control Standards

  • Discuss the application of the new infection control standards and elements of performance and infection control worksheet
  • Review frequently scored and high-risk infection control observations
  • Examine common challenges in infection control identified during survey
  • Discuss survey processes, issue resolution, and evidence of standards compliance

Survey Expectations in Radiology

  •  Review frequently scored and high-risk infection control observations
  • Examine common challenges in infection control identified during survey
  • Explain application of the infection control standards in the outpatient setting
  • Review other Joint Commission Standards that support effective implementation of infection control interventions

Understanding Wound Centers and Hyperbaric Chambers

  • Understand wound care and the use of hyperbaric chambers
  • Describe the risks associated with hyperbaric chambers
  • Gain knowledge of the construction and safe operation of hyperbaric chambers

Maintaining Continuous survey Readiness: Including Experiences from the Field

  • Verbalize common survey themes
  • Explain strategies for a successful survey
  • Describe one tactic to help maintain a constant state of Readiness.  
  • Discuss commonly cited Joint Commission Standards

Continuing Education Credits

This program on April 17 and 18, 2025, will award 10.0 continuing education contact hours for the following: ACCME, ANCC, & ACHE.

Full attendance at every session and completion of a post-engagement survey are prerequisites for receiving continuing education credits.

In support of improving patient care, this activity has been planned and implemented by Joint Commission Resources. Joint Commission Resources is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. 

By attending the 2025 Pennsylvania CSR Workshop offered by Joint Commission Resources, participants may earn up to 10.0 ACHE Qualifying Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

Conference Location/Overnight Accommodations

Conference Location

The Hospital and Healthsystem Association of Pennsylvania
30 North Third Street, Suite 600
Harrisburg, PA 17101

You can access a list of hotels in close proximity to HAP Headquarters here.

Registration Information

This conference is available to CSR members only.

Registration Fee: $175

Registrants are responsible for the full fee if cancellation is received after Thursday, April 10.  There is a $50 administrative fee on all cancellations. Cancellations must be in writing. No-shows will be billed. Substitutions are permissible.

Please notify HAP Education Services at 717-561-5270, if you have dietary restrictions.

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