2018 Joint Commission Resources Education

Join us for the December 4-6, 2018

Joint Commission Resources Education Event

The Ala Moana Hotel • 7:30 am – 4:30 pm

OverviewAgendaSpeakersCEUsRegistrationPayment/FeesHotel Information
The Joint Commission accredits and certifies nearly 21,000 healthcare organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organization’s commitment to meeting certain performance standards.

The mission of Joint Commission Resources (JCR) is to continuously improve the safety and quality of healthcare in the United States and in the international community through the provision of education, publications, consultation, and evaluation services.

This year our speakers will provide accreditation updates to our acute care facilities.

Agenda – Tuesday, December 4, 2018

7:30 a.m. – 8:00 a.m.        Registration

8:00 a.m. – 8:15 a.m.        Welcome/Review of Objectives

8:15 a.m. – 9:00 a.m.        Updates to The Joint Commission’s Accreditation Process for 2018 – 2019

9:00 a.m. –10:30 a.m.       Suicide Prevention/Ligature Risk

10:30 a.m. – 10:45 a.m.    Break

10:45 a.m. – 11:15 a.m.    Interactive Session

11:15 a.m. – 12:00 p.m.    Provision of Care Update

12:00 p.m. – 1:00 p.m.       LUNCH

1:00 p.m. – 2:30 p.m.        Medication Management/Sterile Compounding Update

2:30 p.m. – 3:00 p.m.        Interactive Session

3:00 p.m. – 3:15 p.m.        Break

3:15 p.m. – 4:15 p.m.        Pain Management Standards/Other Hot Topics

4:15 p.m. – 4:30 p.m.        Q&A



Agenda – Wednesday, December 5, 2018

7:30 a.m. – 8:00 a.m.        Registration

8:00 a.m. – 9:30 a.m.        Infection Control Update Part One

9:30 a.m. – 10:00 a.m.      Interactive Session

10:00 a.m. – 10:15 a.m.    Break

10:15 a.m. – 12:00 p.m.    Infection Prevention and Control Update Part Two

12:00 p.m. – 1:00 p.m.       LUNCH

1:00 p.m. – 1:45 p.m.        Infection Control Annual Risk Assessment/General Infection
Control Risk Assessment: Process and Pitfalls.

1:45 p.m. – 2:15 p.m.         Interactive Session

2:15 p.m. – 3:00 p.m.        Break

3:00 p.m. – 3:45 p.m.        Emergency Management

3:45 p.m. – 4:00 p.m.        Tips for a Successful Survey

4:00 p.m. – 4:30 p.m.        Q&A



Agenda – Thursday, December 6, 2018

7:30 a.m. – 8:00 a.m.        Registration

8:00 a.m. – 8:15 a.m.        Welcome/Review of Objectives

8:15 a.m. – 10:00 a.m.      Environment of Care Part 1

10:00 a.m. –10:15 a.m.     Break

10:15 a.m. – 11:00 a.m.    Environment of Care Part 2

11:00 a.m. – 11:30 p.m.    Environment of Care Proactive Risk Assessment: Process and Pitfalls

11:30 a.m. – 12:00 p.m.    Interactive Session

12:00 p.m. – 1:00 p.m.       LUNCH

1:00 p.m. – 2:00 p.m.        Life Safety Part 1

2:00 p.m. – 2:30 p.m.        Interactive Session

2:30 p.m. – 2:45 p.m.        Break

3:45 p.m. – 4:15 p.m.        Life Safety Part 2

4:15 p.m. – 4:30 p.m.        Q&A




1.  Enhance knowledge of environment of care, life safety, and emergency management operations.

2.  Identify the changes related to the Joint Commission’s standards and survey process for 2018 and incorporate relevant improvements into your organization’s ongoing survey readiness activities.

3.  Learn to apply standards to real-life scenarios through group sessions

4.  Learn strategies for complying with new challenging standards in your practice setting(s).

Dr. Laurel McCourt is currently an honorary member of the Medina General Hospital Medical Staff in Medina, Ohio following her tenure as an active staff member from 1991-2010. During the time Dr. McCourt served as physician quality liaison at Medina General Hospital, she was instrumental in the development of the OPPE process. This process was implemented and was also submitted and accepted for the Joint Commission’s Leading Practice Library.

Her initial career in medicine began in a staff model HMO where she held the position of staff physician until 1991 with active staff privileges at Fairview General Hospital in Fairview, Ohio and Lakewood Hospital in Lakewood, Ohio. From 1991-2008, she served as the Medical Director of Brunswick Medical Care Center, a satellite facility of Medina General Hospital. From 2008-2009, she held the position of Physician Quality Liaison at Medina General Hospital.

In 2004, Dr. McCourt began her career with The Joint Commission as a hospital surveyor. For the first five years, she continued to practice medicine as well. Since that time, she was further trained in the Comprehensive Manual for Office Based Surgery and in the Primary Medical Home Accreditation Process. In addition, Dr. McCourt has served in the Special Survey Unit to investigate complaints for The Joint Commission. She has served as a team leader for both deemed and non-deemed hospital systems and has surveyed, and now consulted, at a broad range of organizations from rural community hospitals to large academic medical centers.

In her career at The Joint Commission, Dr. McCourt has been active in the speaker’s bureau. She has given numerous presentations to a variety of audiences including several national meetings. Her presentations include the hospital and ambulatory accreditation standards and the survey process.

In September of 2014, Dr. McCourt transitioned to Joint Commission Resources to begin a career as a consultant and ceased being a surveyor. In her new role, she continues to educate healthcare organizations on the Joint Commission standards implementation and compliance.


  • Board Certified; American Board of Family Medicine (ABFM)
  • Certified Joint Commission Professional (CJCP)


Ms. Lisa Hardesty is an experienced healthcare consultant with numerous years of experience in environment of care and life safety. Ms. Hardesty worked as the Environment of Care and Sustainability Manager at a Malcolm Baldrige National Quality Award winning hospital. During her tenure as safety officer, she was responsible for conducting performance improvement initiatives related to the physical environment. Ms. Hardesty was responsible for significant improvements including: Upgrading HVAC systems to better support air quality in the surgery department; renovating the pharmacy compounding area to meet USP 797 compliance; restructuring the medical equipment management plan to adopt an alternate equipment management (AEM) program.

Prior to her role at the hospital, Ms. Hardesty provided service-based consulting focused on environmental safety and compliance issues. She consulted for a national Fortune 100 company to build a health care compliance division. Ms. Hardesty also worked with numerous health systems to improve compliance by developing a standardized approach for conducting surveys, writing action plans, and establishing metrics for monitoring sustainability.


  • Certified Fire Inspector (CFI)
  • Certified Healthcare Safety Professional (CHSP)
  • Healthcare Environmental Manager (HEM)
  • Leadership in Energy and Environmental Design, Green Associate


Ms. Karen Martin’s consulting expertise includes reviewing IC standards to assure compliance, identifying gaps within programs, development of action planning to alleviate gaps, and developing custom education programs to meet the needs of the organization standards and survey process. Ms. Martin has conducted consultations in Asia Pacific.





  • Director of Infection Prevention and Environmental Services, Advocate Health Care, Oak Lawn, IL
  • Manager of Infection Prevention, Little Company of Mary Hospital, Evergreen Park, IL
  • APIC faculty, member
  • Certification in Infection Prevention (CIC)
  • National APIC Practice Standards
  • Past chairman of APIC Education, Chicago

The Joint Commission Enterprise is accredited by the following continuing education organizations:

Joint Accreditation | ACCME, ANCC, ACPE

The Joint Commission is accredited by the Accreditation Council for Continuing Medical Education (ACCME – AMA PRA Category 1 CreditsTM, the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

ACHE | American College of Healthcare Executives

Joint Commission is authorized to award pre-approved ACHE Qualified Education credit for programs toward advancement, or recertification in the American College of Healthcare Executives. Participants in select programs wishing to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants should log into their MyACHE account and select ACHE Qualified Education Credit.

CA Board of Registered Nursing

Joint Commission Resources is provider approved by the California Board of Registered Nursing, provider number CEP 6381 for the listed contact hours.

IACET | International Association for Continuing Education and Training

The Joint Commission is an authorized provider of continuing education units (CEUs) for select educational programs by The International Association for Continuing Education and Training (IACET). CEUs are accepted by many companies, boards and organizations for specialty licenses and certifications. For further information about IACET, check the website (www.iacet.org). Participants are strongly encouraged to check with their specific state regulatory boards, employers or other agencies to confirm that educational courses taken from The Joint Commission for IACET CEUs will be accepted.

The Joint Commission is approved as a provider of continuing education programs in the clinical laboratory sciences by the ASCLS P.A.C.E.® program. ASCLS P.A.C.E.® , 6701 Democracy Blvd., Suite 300, Bethesda, MD 20817-

1574. Check the program website to be sure the specific programs provide this type of credit.

Continuing Education Credits Available

The 2-day program (Days 1 & 2) has been approved for 14.0 CEs for ACCME, ACHE, ANCC, and ACPE.

Day 3 has been approved for 7.0 CEs for ANCC and ACHE.

Criteria for Successful Completion
  • Full attendance at every session is a prerequisite for receiving full continuing education credits
  • Completion of program evaluation form
  • NOTE: for Pharmacists, you will be required to provide your NAPB # and DOB (MM/DD)
Conflict of Interest

The Joint Commission Enterprise maintains control over all continuing education content provided to ensure content integrity and minimize educational bias. All education planners, faculty, content reviewers, authors and others involved with continuing education activities disclose any influencing relationships, or lack thereof including financial or commercial interests. The Joint Commission ensures the accuracy and consistency of the application of accreditation criteria to ensure appropriateness of relationships and affiliations that may impact educational content.


The designation of contact hours, credits, and/or approval of this activity refers to the recognition of the educational activity only and does not imply endorsement of any commercial product. The information presented at this program represents the views and opinions of individual presenters, and does not reflect the policies, opinions, endorsement of, or promotion by The Joint Commission/JCR or any accrediting/approving bodies affiliated with this program. Clinicians should claim only the credit commensurate with the extent of their participation in the activity. The Joint Commission takes responsibility for the content, quality, and scientific integrity of this educational activity.

If you have questions, please contact Lori Henning at (808) 521-8961 or lhenning@hah.org.


Member rates:

  • 2-Days JCR Training $785
  • Day 3 ONLY Environment of Care/Life Safety $530
  • All 3-Days $885

Non-members and others:

  • 2-Days JCR Training $925
  • Facilities in Guam, CNMI and American Samoa $835
  • Day 3 ONLY Environment of Care/Life Safety $670
  • Facilities in Guam, CNMI and American Samoa $580
  • All 3-Days $1,025
  • Facilities in Guam, CNMI and American Samoa $935

We accept payments by check.

Make checks out to HHERF and mail to:

Healthcare Association of Hawaii
707 Richards Street, PH2
Honolulu, HI 96813

*Cancellations are not accepted; however, substitutions are allowed.

**NO REFUNDS for non-attendance.

The Joint Commission Resources Education event will be held at the Ala Moana Hotel  (410 Atkinson Drive, Honolulu HI 96814).

The Ala Moana Hotel is offering a 12% discount off of the best available rate at the time of booking in the Kona and Waikiki Towers, City/Mountain view. 

To get the discount, you may book and pay for your reservation(s) one  of two ways:

  1. Online at www.alamoanahotelhonolulu.com, using  Promo Code: HAHEVENT18; or,
  2. By phone, calling the Reservations Department.  If calling-in a reservation, mention the group name “HAH Joint Commission,” Guest Profile Central ID # 8183387046, AND the Promo Code (HAHEVENT18).

    Ala Moana Hotel reservations can be reached at:

    1-800-367-6025; or 955-4811 from Oahu

The discount HAHEVENT18 is only valid for travel between 03 Dec 2018 and 07 Dec 2018, based upon availability at time of booking.

The promo code will expire the day before the latest checkout date, OR, if there are no rooms available (meaning the hotel is sold out), whichever occurs first.