IHA/JCR CSR Workshop: Infection Control and Medication Management Standards: April 10

Time: 9:00 AM


IHA's Naperville and Springfield offices


Hospital subscribers of The Joint Commission Resources’ (JCR) Continuous Service Readiness® (CSR®) can send up to three staff members at no charge.

$279/person for individuals from non-CSR hospital

Learn more about the CSR program. To check your organization’s CSR subscription status, please contact Bridget McCarte.

Register Online

No matter the size of your hospital, maintaining continuous compliance with changing regulations can be arduous. Some hospitals may struggle with limited resources, while others struggle with consistency across departments.

This workshop, part of JCR's CSR program, focuses on two important Joint Commission standard chapters:

  • Infection Prevention and Control, and
  • Medication Management

Sylvia Garcia-Houchins, MBA, RN, CIC, will provide a high-level overview of disinfection and sterilization standards. She will also address dialysis, tracing dental clinics, and infection control risk assessments.

Don R. Janczak, PharmD, MS, RPh, BCPS, CJCP, CPHQ, will address sterile compounding as outlined in United States Pharmacopeia (USP) General Chapter 797, the requirements of USP General Chapter 800, pain management standards, antibiotic stewardship and the most frequently cited medication management standards of 2018.

Don’t miss this opportunity to work through your toughest accreditation challenges with accreditation experts and your peers from hospitals throughout Illinois.


  Session Faculty
8:30am Continental Breakfast & Networking  
8:55am Welcome & Introductions

Bridget McCarte, CPHQ Director, Program Development, IHA
Sarah Wilkinson, MBA, BSN, RN, CJCP, Consultant, JCR

9am Infection Control Sylvia Garcia-Houchins, MBA, RN, CIC
Director, Infection Prevention and Control, Division of Healthcare Improvement, The Joint Commission
10:15am Break  
10:30am Infection Control (cont'd) Sylvia Garcia-Houchins
11:45am Lunch  
12:45pm Medication Management Don R. Janczak, PharmD, MS, RPh, BCPS, CJCP, CPHQ
Consultant, JCR
2pm Break  
2:15pm Medication Management (con't)  
3:30pm Raffle & Adjourn  


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

  • Identify three recent changes to the infection control survey process and outline key requirements for the infection control plan.
  • State three areas of focus for infection control in dialysis units.
  • Discuss the Joint Commission philosophy of the hierarchy approach to infection control.
  • Identify at least one key issue found on survey relating to the top challenging medication management standards.
  • Identify five new medication-related standard changes surveyed as of January 1, 2019. 
  • Outline current Joint Commission accreditation standards and survey areas of focus for sterile compounding.
  • Summarize the new Joint Commission enhanced pain assessment and management standards.
  • Discuss two changes to the NPSG on anticoagulation that will be implemented in July 2019

Who Should Attend

This workshop will benefit managers, directors and executives in:

  • Compliance
  • Risk management
  • Infection prevention and control
  • Pharmacy
  • Quality improvement
  • Patient safety
  • Nursing
  • Other clinical care areas
The Illinois Health and Hospital Association (IHA) is authorized by the State of Illinois Department of Financial and Professional Regulation (license number 236.000109) to award up to 5.0 hours of nurse continuing education credit for this program.


Sylvia Garcia-Houchins, MBA, RN, CIC
Director, Infection Prevention and Control, Division of Healthcare Improvement
The Joint Commission
In her position, Garcia-Houchins is responsible for the oversight of infection prevention and control for The Joint Commission. She has over 30 years of infection control experience in hospital and long-term care settings and an additional eight years in clinical microbiology. Garcia-Houchins most recently served as Director of Infection Control at University of Chicago Medicine. She specializes in disinfection and sterilization, dialysis, infection prevention during renovation and construction, and control of Legionella.

Garcia-Houchins earned a degree in biochemistry and molecular biology from Northwestern University, a Master of Business Administration from the Keller Graduate School of Management, and her nursing degree from Truman College.

Don R. Janczak, PharmD, MS, RPh, BCPS, CJCP, CPHQ
Consultant, Joint Commission Resources
Janczak has over 30 years of clinical and administrative experience in health systems and currently serves as corporate director of pharmacy services for an integrated health system in south central Wisconsin and northern Illinois. As a pharmacy executive, he oversees the design, implementation, and management of safe and effective medication management systems in hospitals and retail pharmacies. Janczak has over 15 years of experience in the academic setting as clinical faculty and a lecturer at the University of Wisconsin-Milwaukee College of Nursing, where he has instructed undergraduate and graduate students in pharmacology.