{"id":202640,"date":"2024-10-19T12:57:54","date_gmt":"2024-10-19T12:57:54","guid":{"rendered":"https:\/\/pdfstandards.shop\/product\/uncategorized\/jcr-camcah-2020\/"},"modified":"2024-10-25T05:35:28","modified_gmt":"2024-10-25T05:35:28","slug":"jcr-camcah-2020","status":"publish","type":"product","link":"https:\/\/pdfstandards.shop\/product\/uncategorized\/jcr-camcah-2020\/","title":{"rendered":"JCR CAMCAH 2020"},"content":{"rendered":"

Get the official Joint Commission standards and accreditation policies in the 2020 Comprehensive Accreditation Manual for Critical Access Hospitals (CAMCAH). <\/p>\n

Key Topics:<\/p>\n

“Gold tab” standards requirements including the standards, National Patient Safety Goals, and Accreditation Participation Requirements effective January 1, 2020<\/p>\n

“Blue tab” accreditation process information about Joint Commission policies and procedures and practical survey preparation information on the Early Survey Policy, documentation requirements, standards applicability, and more<\/p>\n

Keys to successfully using the manual for survey preparedness<\/p>\n

Key Features:<\/p>\n

Integrated regulatory requirements for critical access hospital recognition<\/p>\n

Icons to help navigate documentation requirements as well as risk areas <\/p>\n

“What’s New” summary of changes made since the previous edition<\/p>\n

Standards: All critical access hospital standards<\/p>\n

Setting: Critical access hospitals<\/p>\n

Key Audience: Staff responsible for accreditation, patient safety, or quality improvement in critical access hospitals or the distinct part psychiatric and\/or rehabilitation distinct part units within a critical access hospital. (A critical access hospital is defined by CMS as hospital that offers limited services and is located more than 35 miles from a hospital or another critical access hospital, or is certified by the state as being a necessary provider of health care services to residents in the area. It maintains no more than 25 beds that could be used for inpatient care.)<\/p>\n

PDF Catalog<\/h4>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
PDF Pages<\/th>\nPDF Title<\/th>\n<\/tr>\n
1<\/td>\nWhat\u2019s New 2020 CAMCAH <\/td>\n<\/tr>\n
9<\/td>\nCover <\/td>\n<\/tr>\n
10<\/td>\nCopyright <\/td>\n<\/tr>\n
13<\/td>\nIntroduction: How The Joint Commission Can Help You Move Toward High Reliability (INTRO) <\/td>\n<\/tr>\n
14<\/td>\nI. Introduction to Joint Commission Accreditation <\/td>\n<\/tr>\n
16<\/td>\nII. About the Comprehensive Accreditation
\nManual for Critical Access Hospitals <\/td>\n<\/tr>\n
18<\/td>\nTable 1. Acronyms Used in This Manual <\/td>\n<\/tr>\n
19<\/td>\nTable 1. <\/td>\n<\/tr>\n
29<\/td>\nIII. Steps to Achieving and Maintaining Compliance <\/td>\n<\/tr>\n
37<\/td>\nIV. Get Extra Help <\/td>\n<\/tr>\n
39<\/td>\nPatient Safety Systems (PS)
Introduction <\/td>\n<\/tr>\n
40<\/td>\nWhat Does This Chapter Contain? <\/td>\n<\/tr>\n
41<\/td>\nSidebar 1. Key Terms to Understand <\/td>\n<\/tr>\n
42<\/td>\nSidebar 1.
Becoming a Learning Organization <\/td>\n<\/tr>\n
43<\/td>\nThe Role of Critical Access Hospital Leaders in Patient Safety <\/td>\n<\/tr>\n
47<\/td>\nSidebar 2. Assessing Staff Accountability <\/td>\n<\/tr>\n
48<\/td>\nSidebar 2.
Data Use and Reporting Systems <\/td>\n<\/tr>\n
51<\/td>\nTable 1. Defining and Comparing Analytical Tools <\/td>\n<\/tr>\n
52<\/td>\nA Proactive Approach to Preventing Harm <\/td>\n<\/tr>\n
53<\/td>\nSidebar 3. Strategies for an Effective Risk Assessment <\/td>\n<\/tr>\n
54<\/td>\nSidebar 3. <\/td>\n<\/tr>\n
55<\/td>\nEncouraging Patient Activation <\/td>\n<\/tr>\n
56<\/td>\nBeyond Accreditation: The Joint Commission Is Your Patient Safety Partner <\/td>\n<\/tr>\n
58<\/td>\nReferences <\/td>\n<\/tr>\n
61<\/td>\nAppendix. Key Patient Safety Requirements
Standard APR.09.01.01
Elements of Performance for APR.09.01.01
Standard APR.09.02.01 <\/td>\n<\/tr>\n
62<\/td>\nElements of Performance for APR.09.02.01
Standard EC.04.01.01
Elements of Performance for EC.04.01.01 <\/td>\n<\/tr>\n
63<\/td>\nStandard IC.01.03.01
Elements of Performance for IC.01.03.01 <\/td>\n<\/tr>\n
64<\/td>\nStandard LD.02.01.01
Elements of Performance for LD.02.01.01
Standard LD.02.04.01
Elements of Performance for LD.02.04.01 <\/td>\n<\/tr>\n
65<\/td>\nStandard LD.03.01.01
Elements of Performance for LD.03.01.01
Standard LD.03.02.01
Elements of Performance for LD.03.02.01
Standard LD.03.03.01
Elements of Performance for LD.03.03.01 <\/td>\n<\/tr>\n
66<\/td>\nStandard LD.03.04.01
Elements of Performance for LD.03.04.01
Standard LD.03.05.01
Elements of Performance for LD.03.05.01 <\/td>\n<\/tr>\n
67<\/td>\nStandard LD.03.06.01
Elements of Performance for LD.03.06.01
Standard LD.03.07.01
Elements of Performance for LD.03.07.01 <\/td>\n<\/tr>\n
68<\/td>\nStandard LD.03.09.01
Elements of Performance for LD.03.09.01 <\/td>\n<\/tr>\n
70<\/td>\nStandard LD.04.01.01
Elements of Performance for LD.04.01.01 <\/td>\n<\/tr>\n
72<\/td>\nStandard LD.04.01.10
Elements of Performance for LD.04.01.10
Standard MM.07.01.03
Elements of Performance for MM.07.01.03
Standard MM.08.01.01 <\/td>\n<\/tr>\n
73<\/td>\nElements of Performance for MM.08.01.01
Standard MS.08.01.01
Elements of Performance for MS.08.01.01 <\/td>\n<\/tr>\n
74<\/td>\nStandard MS.09.01.01 <\/td>\n<\/tr>\n
75<\/td>\nElements of Performance for MS.09.01.01
Standard NR.02.01.01
Elements of Performance for NR.02.01.01 <\/td>\n<\/tr>\n
76<\/td>\nStandard PC.03.05.19
Elements of Performance for PC.03.05.19 <\/td>\n<\/tr>\n
77<\/td>\nStandard PI.01.01.01
Elements of Performance for PI.01.01.01 <\/td>\n<\/tr>\n
79<\/td>\nStandard PI.02.01.01
Elements of Performance for PI.02.01.01 <\/td>\n<\/tr>\n
80<\/td>\nStandard PI.03.01.01
Elements of Performance for PI.03.01.01
Standard RI.01.01.01
Elements of Performance for RI.01.01.01 <\/td>\n<\/tr>\n
82<\/td>\nStandard RI.01.01.03
Elements of Performance for RI.01.01.03
Standard RI.01.02.01 <\/td>\n<\/tr>\n
83<\/td>\nElements of Performance for RI.01.02.01 <\/td>\n<\/tr>\n
84<\/td>\nStandard RI.01.03.01
Elements of Performance for RI.01.03.01 <\/td>\n<\/tr>\n
85<\/td>\nStandard RI.01.05.01
Elements of Performance for RI.01.05.01 <\/td>\n<\/tr>\n
87<\/td>\nAccreditation Participation Requirements (APR)
Overview <\/td>\n<\/tr>\n
88<\/td>\nChapter Outline <\/td>\n<\/tr>\n
89<\/td>\nRequirements, Rationales, and Elements of Performance
APR.01.01.01
Elements of Performance for APR.01.01.01
APR.01.02.01 <\/td>\n<\/tr>\n
90<\/td>\nRationale for APR.01.02.01
Elements of Performance for APR.01.02.01
APR.01.03.01
Elements of Performance for APR.01.03.01 <\/td>\n<\/tr>\n
91<\/td>\nAPR.02.01.01
Elements of Performance for APR.02.01.01
APR.03.01.01
Rationale for APR.03.01.01
Elements of Performance for APR.03.01.01 <\/td>\n<\/tr>\n
92<\/td>\nAPR.04.01.01 <\/td>\n<\/tr>\n
93<\/td>\nElements of Performance for APR.04.01.01
APR.05.01.01
Rationale for APR.05.01.01 <\/td>\n<\/tr>\n
94<\/td>\nElements of Performance for APR.05.01.01
APR.06.01.01
Elements of Performance for APR.06.01.01
APR.07.01.01
Elements of Performance for APR.07.01.01 <\/td>\n<\/tr>\n
95<\/td>\nAPR.08.01.01
Elements of Performance for APR.08.01.01
APR.09.01.01
Elements of Performance for APR.09.01.01
APR.09.02.01 <\/td>\n<\/tr>\n
96<\/td>\nRationale for APR.09.02.01
Elements of Performance for APR.09.02.01
APR.09.03.01
Elements of Performance for APR.09.03.01
APR.09.04.01 <\/td>\n<\/tr>\n
97<\/td>\nElements of Performance for APR.09.04.01 <\/td>\n<\/tr>\n
99<\/td>\nEnvironment of Care (EC)
Overview <\/td>\n<\/tr>\n
102<\/td>\nChapter Outline <\/td>\n<\/tr>\n
103<\/td>\nStandards, Rationales, and Elements of Performance
Standard EC.01.01.01
Rationale for EC.01.01.01 <\/td>\n<\/tr>\n
104<\/td>\nElements of Performance for EC.01.01.01
Standard EC.02.01.01
Rationale for EC.02.01.01 <\/td>\n<\/tr>\n
105<\/td>\nElements of Performance for EC.02.01.01 <\/td>\n<\/tr>\n
106<\/td>\nStandard EC.02.01.03
Elements of Performance for EC.02.01.03
Standard EC.02.02.01 <\/td>\n<\/tr>\n
107<\/td>\nElements of Performance for EC.02.02.01 <\/td>\n<\/tr>\n
108<\/td>\nStandard EC.02.03.01
Elements of Performance for EC.02.03.01 <\/td>\n<\/tr>\n
109<\/td>\nStandard EC.02.03.03 <\/td>\n<\/tr>\n
110<\/td>\nElements of Performance for EC.02.03.03
Standard EC.02.03.05 <\/td>\n<\/tr>\n
111<\/td>\nElements of Performance for EC.02.03.05 <\/td>\n<\/tr>\n
115<\/td>\nStandard EC.02.04.01
Elements of Performance for EC.02.04.01 <\/td>\n<\/tr>\n
117<\/td>\nStandard EC.02.04.03
Elements of Performance for EC.02.04.03 <\/td>\n<\/tr>\n
123<\/td>\nStandard EC.02.05.01
Elements of Performance for EC.02.05.01 <\/td>\n<\/tr>\n
129<\/td>\nStandard EC.02.05.03
Elements of Performance for EC.02.05.03 <\/td>\n<\/tr>\n
131<\/td>\nStandard EC.02.05.05 <\/td>\n<\/tr>\n
132<\/td>\nElements of Performance for EC.02.05.05 <\/td>\n<\/tr>\n
133<\/td>\nStandard EC.02.05.07
Rationale for EC.02.05.07 <\/td>\n<\/tr>\n
134<\/td>\nElements of Performance for EC.02.05.07 <\/td>\n<\/tr>\n
136<\/td>\nStandard EC.02.05.09
Elements of Performance for EC.02.05.09 <\/td>\n<\/tr>\n
140<\/td>\nStandard EC.02.06.01
Elements of Performance for EC.02.06.01
Standard EC.02.06.05
Elements of Performance for EC.02.06.05 <\/td>\n<\/tr>\n
142<\/td>\nStandard EC.03.01.01
Rationale for EC.03.01.01
Elements of Performance for EC.03.01.01
Standard EC.04.01.01
Elements of Performance for EC.04.01.01 <\/td>\n<\/tr>\n
143<\/td>\nStandard EC.04.01.03
Elements of Performance for EC.04.01.03
Standard EC.04.01.05 <\/td>\n<\/tr>\n
144<\/td>\nElements of Performance for EC.04.01.05 <\/td>\n<\/tr>\n
145<\/td>\nEmergency Management (EM)
Overview <\/td>\n<\/tr>\n
147<\/td>\nChapter Outline <\/td>\n<\/tr>\n
148<\/td>\nStandards, Rationales, and Elements of Performance
Standard EM.01.01.01
Rationale for EM.01.01.01
Elements of Performance for EM.01.01.01 <\/td>\n<\/tr>\n
150<\/td>\nStandard EM.02.01.01
Rationale for EM.02.01.01 <\/td>\n<\/tr>\n
151<\/td>\nElements of Performance for EM.02.01.01 <\/td>\n<\/tr>\n
153<\/td>\nStandard EM.02.02.01
Rationale for EM.02.02.01
Elements of Performance for EM.02.02.01 <\/td>\n<\/tr>\n
155<\/td>\nStandard EM.02.02.03
Rationale for EM.02.02.03 <\/td>\n<\/tr>\n
156<\/td>\nElements of Performance for EM.02.02.03 <\/td>\n<\/tr>\n
158<\/td>\nStandard EM.02.02.05
Elements of Performance for EM.02.02.05
Standard EM.02.02.07 <\/td>\n<\/tr>\n
159<\/td>\nRationale for EM.02.02.07
Elements of Performance for EM.02.02.07 <\/td>\n<\/tr>\n
160<\/td>\nStandard EM.02.02.09
Rationale for EM.02.02.09 <\/td>\n<\/tr>\n
161<\/td>\nElements of Performance for EM.02.02.09
Standard EM.02.02.11 <\/td>\n<\/tr>\n
162<\/td>\nRationale for EM.02.02.11
Elements of Performance for EM.02.02.11 <\/td>\n<\/tr>\n
164<\/td>\nStandard EM.02.02.13
Elements of Performance for EM.02.02.13 <\/td>\n<\/tr>\n
166<\/td>\nStandard EM.02.02.15
Elements of Performance for EM.02.02.15 <\/td>\n<\/tr>\n
168<\/td>\nStandard EM.03.01.01
Rationale for EM.03.01.01
Elements of Performance for EM.03.01.01 <\/td>\n<\/tr>\n
169<\/td>\nStandard EM.03.01.03
Rationale for EM.03.01.03
Elements of Performance for EM.03.01.03 <\/td>\n<\/tr>\n
173<\/td>\nStandard EM.04.01.01
Elements of Performance for EM.04.01.01 <\/td>\n<\/tr>\n
175<\/td>\nHuman Resources (HR)
Overview <\/td>\n<\/tr>\n
176<\/td>\nChapter Outline <\/td>\n<\/tr>\n
177<\/td>\nStandards, Rationales, and Elements of Performance
Standard HR.01.01.01
Elements of Performance for HR.01.01.01 <\/td>\n<\/tr>\n
180<\/td>\nStandard HR.01.02.01
Elements of Performance for HR.01.02.01 <\/td>\n<\/tr>\n
181<\/td>\nStandard HR.01.02.05
Elements of Performance for HR.01.02.05 <\/td>\n<\/tr>\n
183<\/td>\nStandard HR.01.02.07 <\/td>\n<\/tr>\n
184<\/td>\nElements of Performance for HR.01.02.07
Standard HR.01.03.01
Elements of Performance for HR.01.03.01
Standard HR.01.04.01
Elements of Performance for HR.01.04.01 <\/td>\n<\/tr>\n
185<\/td>\nStandard HR.01.05.03
Elements of Performance for HR.01.05.03 <\/td>\n<\/tr>\n
187<\/td>\nStandard HR.01.06.01
Elements of Performance for HR.01.06.01
Standard HR.01.07.01
Elements of Performance for HR.01.07.01 <\/td>\n<\/tr>\n
189<\/td>\nInfection Prevention and Control (IC)
Overview <\/td>\n<\/tr>\n
191<\/td>\nChapter Outline <\/td>\n<\/tr>\n
192<\/td>\nStandards, Rationales, and Elements of Performance
Standard IC.01.01.01
Elements of Performance for IC.01.01.01 <\/td>\n<\/tr>\n
193<\/td>\nStandard IC.01.02.01
Elements of Performance for IC.01.02.01
Standard IC.01.03.01 <\/td>\n<\/tr>\n
194<\/td>\nElements of Performance for IC.01.03.01
Standard IC.01.04.01
Elements of Performance for IC.01.04.01
Standard IC.01.05.01 <\/td>\n<\/tr>\n
195<\/td>\nElements of Performance for IC.01.05.01
Standard IC.01.06.01
Elements of Performance for IC.01.06.01 <\/td>\n<\/tr>\n
196<\/td>\nStandard IC.02.01.01
Elements of Performance for IC.02.01.01 <\/td>\n<\/tr>\n
197<\/td>\nStandard IC.02.02.01
Rationale for IC.02.02.01 <\/td>\n<\/tr>\n
198<\/td>\nElements of Performance for IC.02.02.01 <\/td>\n<\/tr>\n
199<\/td>\nStandard IC.02.03.01
Elements of Performance for IC.02.03.01 <\/td>\n<\/tr>\n
200<\/td>\nStandard IC.02.04.01
Elements of Performance for IC.02.04.01 <\/td>\n<\/tr>\n
202<\/td>\nStandard IC.03.01.01
Elements of Performance for IC.03.01.01 <\/td>\n<\/tr>\n
203<\/td>\nInformation Management (IM)
Overview <\/td>\n<\/tr>\n
204<\/td>\nChapter Outline <\/td>\n<\/tr>\n
205<\/td>\nStandards, Rationales, and Elements of Performance
Standard IM.01.01.01
Elements of Performance for IM.01.01.01 <\/td>\n<\/tr>\n
206<\/td>\nStandard IM.01.01.03
Elements of Performance for IM.01.01.03 <\/td>\n<\/tr>\n
207<\/td>\nStandard IM.02.01.01
Elements of Performance for IM.02.01.01 <\/td>\n<\/tr>\n
208<\/td>\nStandard IM.02.01.03
Elements of Performance for IM.02.01.03 <\/td>\n<\/tr>\n
209<\/td>\nStandard IM.02.02.01
Elements of Performance for IM.02.02.01 <\/td>\n<\/tr>\n
210<\/td>\nStandard IM.02.02.03
Elements of Performance for IM.02.02.03
Standard IM.03.01.01
Elements of Performance for IM.03.01.01 <\/td>\n<\/tr>\n
211<\/td>\nLeadership (LD)
Overview <\/td>\n<\/tr>\n
215<\/td>\nChapter Outline <\/td>\n<\/tr>\n
216<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
217<\/td>\nStandard LD.01.01.01
Rationale for LD.01.01.01
Elements of Performance for LD.01.01.01
Standard LD.01.02.01
Rationale for LD.01.02.01
Elements of Performance for LD.01.02.01 <\/td>\n<\/tr>\n
218<\/td>\nStandard LD.01.03.01
Rationale for LD.01.03.01
Elements of Performance for LD.01.03.01 <\/td>\n<\/tr>\n
219<\/td>\nStandard LD.01.04.01
Elements of Performance for LD.01.04.01
Standard LD.01.05.01
Elements of Performance for LD.01.05.01 <\/td>\n<\/tr>\n
220<\/td>\nStandard LD.02.01.01
Rationale for LD.02.01.01
Elements of Performance for LD.02.01.01 <\/td>\n<\/tr>\n
221<\/td>\nStandard LD.02.02.01
Rationale for LD.02.02.01
Elements of Performance for LD.02.02.01 <\/td>\n<\/tr>\n
222<\/td>\nStandard LD.02.04.01
Elements of Performance for LD.02.04.01 <\/td>\n<\/tr>\n
225<\/td>\nStandard LD.03.01.01
Rationale for LD.03.01.01
Elements of Performance for LD.03.01.01
Standard LD.03.02.01 <\/td>\n<\/tr>\n
226<\/td>\nRationale for LD.03.02.01
Elements of Performance for LD.03.02.01
Standard LD.03.03.01
Rationale for LD.03.03.01 <\/td>\n<\/tr>\n
227<\/td>\nElements of Performance for LD.03.03.01
Standard LD.03.04.01
Rationale for LD.03.04.01
Elements of Performance for LD.03.04.01
Standard LD.03.05.01 <\/td>\n<\/tr>\n
228<\/td>\nRationale for LD.03.05.01
Elements of Performance for LD.03.05.01
Standard LD.03.06.01
Rationale for LD.03.06.01
Elements of Performance for LD.03.06.01 <\/td>\n<\/tr>\n
229<\/td>\nStandard LD.03.07.01
Elements of Performance for LD.03.07.01 <\/td>\n<\/tr>\n
230<\/td>\nStandard LD.03.08.01
Elements of Performance for LD.03.08.01 <\/td>\n<\/tr>\n
231<\/td>\nStandard LD.03.09.01
Elements of Performance for LD.03.09.01 <\/td>\n<\/tr>\n
233<\/td>\nStandard LD.03.10.01
Rationale for LD.03.10.01
Elements of Performance for LD.03.10.01 <\/td>\n<\/tr>\n
234<\/td>\nStandard LD.04.01.01
Elements of Performance for LD.04.01.01 <\/td>\n<\/tr>\n
236<\/td>\nStandard LD.04.01.03
Elements of Performance for LD.04.01.03 <\/td>\n<\/tr>\n
237<\/td>\nStandard LD.04.01.05
Rationale for LD.04.01.05
Elements of Performance for LD.04.01.05 <\/td>\n<\/tr>\n
238<\/td>\nStandard LD.04.01.06
Elements of Performance for LD.04.01.06 <\/td>\n<\/tr>\n
239<\/td>\nStandard LD.04.01.07
Elements of Performance for LD.04.01.07
Standard LD.04.01.10
Elements of Performance for LD.04.01.10 <\/td>\n<\/tr>\n
240<\/td>\nStandard LD.04.01.11
Rationale for LD.04.01.11
Elements of Performance for LD.04.01.11 <\/td>\n<\/tr>\n
241<\/td>\nStandard LD.04.02.01
Elements of Performance for LD.04.02.01
Standard LD.04.02.03
Elements of Performance for LD.04.02.03 <\/td>\n<\/tr>\n
242<\/td>\nStandard LD.04.02.05
Rationale for LD.04.02.05
Elements of Performance for LD.04.02.05
Standard LD.04.03.01 <\/td>\n<\/tr>\n
243<\/td>\nElements of Performance for LD.04.03.01 <\/td>\n<\/tr>\n
245<\/td>\nStandard LD.04.03.07
Rationale for LD.04.03.07
Elements of Performance for LD.04.03.07 <\/td>\n<\/tr>\n
246<\/td>\nMonitoring Contracted Services <\/td>\n<\/tr>\n
248<\/td>\nStandard LD.04.03.09
Elements of Performance for LD.04.03.09 <\/td>\n<\/tr>\n
250<\/td>\nStandard LD.04.03.11
Rationale for LD.04.03.11
Elements of Performance for LD.04.03.11 <\/td>\n<\/tr>\n
251<\/td>\nStandard LD.04.03.13
Elements of Performance for LD.04.03.13 <\/td>\n<\/tr>\n
253<\/td>\nLife Safety (LS)
Overview <\/td>\n<\/tr>\n
256<\/td>\nChapter Outline <\/td>\n<\/tr>\n
257<\/td>\nStandards, Rationales, and Elements of Performance
Standard LS.01.01.01
Elements of Performance for LS.01.01.01 <\/td>\n<\/tr>\n
259<\/td>\nStandard LS.01.02.01
Elements of Performance for LS.01.02.01 <\/td>\n<\/tr>\n
261<\/td>\nStandard LS.02.01.10
Rationale for LS.02.01.10 <\/td>\n<\/tr>\n
262<\/td>\nElements of Performance for LS.02.01.10 <\/td>\n<\/tr>\n
264<\/td>\nStandard LS.02.01.20
Rationale for LS.02.01.20 <\/td>\n<\/tr>\n
265<\/td>\nElements of Performance for LS.02.01.20 <\/td>\n<\/tr>\n
271<\/td>\nStandard LS.02.01.30 <\/td>\n<\/tr>\n
272<\/td>\nRationale for LS.02.01.30
Elements of Performance for LS.02.01.30 <\/td>\n<\/tr>\n
278<\/td>\nStandard LS.02.01.34
Elements of Performance for LS.02.01.34 <\/td>\n<\/tr>\n
279<\/td>\nStandard LS.02.01.35
Elements of Performance for LS.02.01.35 <\/td>\n<\/tr>\n
281<\/td>\nStandard LS.02.01.40
Elements of Performance for LS.02.01.40
Standard LS.02.01.50 <\/td>\n<\/tr>\n
282<\/td>\nElements of Performance for LS.02.01.50 <\/td>\n<\/tr>\n
284<\/td>\nStandard LS.02.01.70
Elements of Performance for LS.02.01.70 <\/td>\n<\/tr>\n
285<\/td>\nStandard LS.03.01.10 <\/td>\n<\/tr>\n
286<\/td>\nElements of Performance for LS.03.01.10 <\/td>\n<\/tr>\n
288<\/td>\nStandard LS.03.01.20 <\/td>\n<\/tr>\n
289<\/td>\nRationale for LS.03.01.20
Elements of Performance for LS.03.01.20 <\/td>\n<\/tr>\n
291<\/td>\nStandard LS.03.01.30
Elements of Performance for LS.03.01.30 <\/td>\n<\/tr>\n
295<\/td>\nStandard LS.03.01.34
Elements of Performance for LS.03.01.34 <\/td>\n<\/tr>\n
297<\/td>\nStandard LS.03.01.35
Elements of Performance for LS.03.01.35 <\/td>\n<\/tr>\n
298<\/td>\nStandard LS.03.01.40
Elements of Performance for LS.03.01.40 <\/td>\n<\/tr>\n
299<\/td>\nStandard LS.03.01.50
Elements of Performance for LS.03.01.50 <\/td>\n<\/tr>\n
301<\/td>\nStandard LS.03.01.70
Elements of Performance for LS.03.01.70 <\/td>\n<\/tr>\n
303<\/td>\nMedication Management (MM)
Overview <\/td>\n<\/tr>\n
306<\/td>\nChapter Outline <\/td>\n<\/tr>\n
307<\/td>\nStandards, Rationales, and Elements of Performance
Standard MM.01.01.01
Rationale for MM.01.01.01
Elements of Performance for MM.01.01.01
Standard MM.01.01.03 <\/td>\n<\/tr>\n
308<\/td>\nRationale for MM.01.01.03
Elements of Performance for MM.01.01.03 <\/td>\n<\/tr>\n
309<\/td>\nStandard MM.01.02.01
Elements of Performance for MM.01.02.01
Standard MM.02.01.01
Elements of Performance for MM.02.01.01 <\/td>\n<\/tr>\n
311<\/td>\nStandard MM.03.01.01
Rationale for MM.03.01.01
Elements of Performance for MM.03.01.01 <\/td>\n<\/tr>\n
312<\/td>\nStandard MM.03.01.03
Rationale for MM.03.01.03
Elements of Performance for MM.03.01.03 <\/td>\n<\/tr>\n
313<\/td>\nStandard MM.03.01.05
Rationale for MM.03.01.05
Elements of Performance for MM.03.01.05 <\/td>\n<\/tr>\n
314<\/td>\nStandard MM.04.01.01
Elements of Performance for MM.04.01.01 <\/td>\n<\/tr>\n
316<\/td>\nStandard MM.05.01.01
Elements of Performance for MM.05.01.01 <\/td>\n<\/tr>\n
317<\/td>\nStandard MM.05.01.07
Elements of Performance for MM.05.01.07 <\/td>\n<\/tr>\n
318<\/td>\nStandard MM.05.01.09
Rationale for MM.05.01.09
Elements of Performance for MM.05.01.09 <\/td>\n<\/tr>\n
319<\/td>\nStandard MM.05.01.11
Elements of Performance for MM.05.01.11
Standard MM.05.01.13
Rationale for MM.05.01.13 <\/td>\n<\/tr>\n
320<\/td>\nElements of Performance for MM.05.01.13
Standard MM.05.01.15
Elements of Performance for MM.05.01.15
Standard MM.05.01.17 <\/td>\n<\/tr>\n
321<\/td>\nElements of Performance for MM.05.01.17
Standard MM.05.01.19
Rationale for MM.05.01.19
Elements of Performance for MM.05.01.19 <\/td>\n<\/tr>\n
322<\/td>\nStandard MM.06.01.01
Elements of Performance for MM.06.01.01 <\/td>\n<\/tr>\n
323<\/td>\nStandard MM.06.01.03
Elements of Performance for MM.06.01.03
Standard MM.06.01.05
Rationale for MM.06.01.05 <\/td>\n<\/tr>\n
324<\/td>\nElements of Performance for MM.06.01.05
Standard MM.07.01.01
Elements of Performance for MM.07.01.01
Standard MM.07.01.03 <\/td>\n<\/tr>\n
325<\/td>\nRationale for MM.07.01.03
Elements of Performance for MM.07.01.03
Standard MM.08.01.01 <\/td>\n<\/tr>\n
326<\/td>\nElements of Performance for MM.08.01.01
Standard MM.09.01.01
Elements of Performance for MM.09.01.01 <\/td>\n<\/tr>\n
331<\/td>\nMedical Staff (MS)
Overview <\/td>\n<\/tr>\n
333<\/td>\nChapter Outline <\/td>\n<\/tr>\n
334<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
335<\/td>\nStandard MS.01.01.01
Elements of Performance for MS.01.01.01 <\/td>\n<\/tr>\n
339<\/td>\nStandard MS.02.01.01
Elements of Performance for MS.02.01.01 <\/td>\n<\/tr>\n
340<\/td>\nManagement of Patient Care, Treatment, and Services
Standard MS.03.01.01
Rationale for MS.03.01.01
Elements of Performance for MS.03.01.01 <\/td>\n<\/tr>\n
341<\/td>\nStandard MS.03.01.03 <\/td>\n<\/tr>\n
342<\/td>\nRationale for MS.03.01.03
Elements of Performance for MS.03.01.03 <\/td>\n<\/tr>\n
343<\/td>\nStandard MS.05.01.01 <\/td>\n<\/tr>\n
344<\/td>\nRationale for MS.05.01.01
Elements of Performance for MS.05.01.01 <\/td>\n<\/tr>\n
346<\/td>\nCredentialing and Privileging <\/td>\n<\/tr>\n
347<\/td>\nStandard MS.06.01.01
Rationale for MS.06.01.01
Elements of Performance for MS.06.01.01 <\/td>\n<\/tr>\n
348<\/td>\nCredentialing <\/td>\n<\/tr>\n
350<\/td>\nStandard MS.06.01.03
Rationale for MS.06.01.03
Elements of Performance for MS.06.01.03 <\/td>\n<\/tr>\n
352<\/td>\nPrivileging
Standard MS.06.01.05
Elements of Performance for MS.06.01.05 <\/td>\n<\/tr>\n
355<\/td>\nStandard MS.06.01.07
Elements of Performance for MS.06.01.07 <\/td>\n<\/tr>\n
356<\/td>\nStandard MS.06.01.09
Elements of Performance for MS.06.01.09
Standard MS.06.01.13
Rationale for MS.06.01.13 <\/td>\n<\/tr>\n
357<\/td>\nElements of Performance for MS.06.01.13
Standard MS.07.01.01
Elements of Performance for MS.07.01.01 <\/td>\n<\/tr>\n
358<\/td>\nFocused Professional Practice Evaluation
Standard MS.08.01.01 <\/td>\n<\/tr>\n
359<\/td>\nRationale for MS.08.01.01
Elements of Performance for MS.08.01.01 <\/td>\n<\/tr>\n
361<\/td>\nStandard MS.08.01.03
Elements of Performance for MS.08.01.03
Standard MS.09.01.01
Rationale for MS.09.01.01 <\/td>\n<\/tr>\n
362<\/td>\nElements of Performance for MS.09.01.01
Telemedicine <\/td>\n<\/tr>\n
363<\/td>\nStandard MS.13.01.01
Rationale for MS.13.01.01
Elements of Performance for MS.13.01.01 <\/td>\n<\/tr>\n
367<\/td>\nNational Patient Safety Goals (NPSG)
Chapter Outline
National Patient Safety Goals
Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery\u2122 <\/td>\n<\/tr>\n
368<\/td>\nRequirements, Rationales, and Elements of Performance
NPSG.01.01.01
Rationale for NPSG.01.01.01
Elements of Performance for NPSG.01.01.01 <\/td>\n<\/tr>\n
369<\/td>\nNPSG.01.03.01
Elements of Performance for NPSG.01.03.01
NPSG.02.03.01
Rationale for NPSG.02.03.01 <\/td>\n<\/tr>\n
370<\/td>\nElements of Performance for NPSG.02.03.01
NPSG.03.04.01
Rationale for NPSG.03.04.01 <\/td>\n<\/tr>\n
371<\/td>\nElements of Performance for NPSG.03.04.01 <\/td>\n<\/tr>\n
372<\/td>\nNPSG.03.05.01
Rationale for NPSG.03.05.01 <\/td>\n<\/tr>\n
373<\/td>\nElements of Performance for NPSG.03.05.01 <\/td>\n<\/tr>\n
375<\/td>\nNPSG.03.06.01
Rationale for NPSG.03.06.01
Elements of Performance for NPSG.03.06.01 <\/td>\n<\/tr>\n
376<\/td>\nNPSG.06.01.01 <\/td>\n<\/tr>\n
377<\/td>\nRationale for NPSG.06.01.01
Elements of Performance for NPSG.06.01.01 <\/td>\n<\/tr>\n
378<\/td>\nNPSG.07.01.01
Rationale for NPSG.07.01.01 <\/td>\n<\/tr>\n
379<\/td>\nElements of Performance for NPSG.07.01.01
NPSG.07.03.01
Rationale for NPSG.07.03.01
Elements of Performance for NPSG.07.03.01 <\/td>\n<\/tr>\n
381<\/td>\nNPSG.07.04.01
Elements of Performance for NPSG.07.04.01 <\/td>\n<\/tr>\n
382<\/td>\nNPSG.07.05.01
Elements of Performance for NPSG.07.05.01 <\/td>\n<\/tr>\n
384<\/td>\nNPSG.07.06.01
Elements of Performance for NPSG.07.06.01 <\/td>\n<\/tr>\n
387<\/td>\nUP.01.01.01
Rationale for UP.01.01.01 <\/td>\n<\/tr>\n
388<\/td>\nElements of Performance for UP.01.01.01 <\/td>\n<\/tr>\n
389<\/td>\nUP.01.02.01
Elements of Performance for UP.01.02.01 <\/td>\n<\/tr>\n
390<\/td>\nUP.01.03.01 <\/td>\n<\/tr>\n
391<\/td>\nRationale for UP.01.03.01
Elements of Performance for UP.01.03.01 <\/td>\n<\/tr>\n
393<\/td>\nNursing (NR)
Overview <\/td>\n<\/tr>\n
394<\/td>\nChapter Outline <\/td>\n<\/tr>\n
395<\/td>\nStandards, Rationales, and Elements of Performance
Standard NR.01.01.01
Rationale for NR.01.01.01
Elements of Performance for NR.01.01.01
Standard NR.01.02.01
Elements of Performance for NR.01.02.01 <\/td>\n<\/tr>\n
396<\/td>\nStandard NR.02.01.01
Elements of Performance for NR.02.01.01
Standard NR.02.02.01
Elements of Performance for NR.02.02.01 <\/td>\n<\/tr>\n
397<\/td>\nStandard NR.02.03.01
Elements of Performance for NR.02.03.01 <\/td>\n<\/tr>\n
399<\/td>\nProvision of Care, Treatment, and Services (PC)
Overview <\/td>\n<\/tr>\n
401<\/td>\nChapter Outline <\/td>\n<\/tr>\n
402<\/td>\nStandards, Rationales, and Elements of Performance
Standard PC.01.01.01
Elements of Performance for PC.01.01.01 <\/td>\n<\/tr>\n
403<\/td>\nStandard PC.01.02.01
Elements of Performance for PC.01.02.01 <\/td>\n<\/tr>\n
405<\/td>\nStandard PC.01.02.03
Elements of Performance for PC.01.02.03 <\/td>\n<\/tr>\n
406<\/td>\nStandard PC.01.02.05
Elements of Performance for PC.01.02.05 <\/td>\n<\/tr>\n
407<\/td>\nStandard PC.01.02.07
Elements of Performance for PC.01.02.07 <\/td>\n<\/tr>\n
409<\/td>\nStandard PC.01.02.08
Elements of Performance for PC.01.02.08
Standard PC.01.02.09
Rationale for PC.01.02.09 <\/td>\n<\/tr>\n
410<\/td>\nElements of Performance for PC.01.02.09 <\/td>\n<\/tr>\n
411<\/td>\nStandard PC.01.02.13
Elements of Performance for PC.01.02.13 <\/td>\n<\/tr>\n
412<\/td>\nStandard PC.01.02.15
Elements of Performance for PC.01.02.15 <\/td>\n<\/tr>\n
414<\/td>\nStandard PC.01.03.01
Elements of Performance for PC.01.03.01 <\/td>\n<\/tr>\n
416<\/td>\nStandard PC.02.01.01
Elements of Performance for PC.02.01.01 <\/td>\n<\/tr>\n
417<\/td>\nStandard PC.02.01.03
Elements of Performance for PC.02.01.03 <\/td>\n<\/tr>\n
418<\/td>\nStandard PC.02.01.05
Elements of Performance for PC.02.01.05
Standard PC.02.01.09
Elements of Performance for PC.02.01.09
Standard PC.02.01.11
Elements of Performance for PC.02.01.11 <\/td>\n<\/tr>\n
419<\/td>\nStandard PC.02.01.19
Rationale for PC.02.01.19
Elements of Performance for PC.02.01.19 <\/td>\n<\/tr>\n
420<\/td>\nStandard PC.02.01.21
Elements of Performance for PC.02.01.21
Standard PC.02.02.01 <\/td>\n<\/tr>\n
421<\/td>\nElements of Performance for PC.02.02.01 <\/td>\n<\/tr>\n
422<\/td>\nStandard PC.02.02.03
Elements of Performance for PC.02.02.03 <\/td>\n<\/tr>\n
423<\/td>\nStandard PC.02.02.09
Elements of Performance for PC.02.02.09
Standard PC.02.03.01
Elements of Performance for PC.02.03.01 <\/td>\n<\/tr>\n
425<\/td>\nStandard PC.02.04.01
Elements of Performance for PC.02.04.01
Standard PC.02.04.03
Elements of Performance for PC.02.04.03 <\/td>\n<\/tr>\n
426<\/td>\nStandard PC.02.04.05 <\/td>\n<\/tr>\n
427<\/td>\nElements of Performance for PC.02.04.05 <\/td>\n<\/tr>\n
428<\/td>\nStandard PC.02.04.06
Elements of Performance for PC.02.04.06 <\/td>\n<\/tr>\n
429<\/td>\nStandard PC.03.01.01
Elements of Performance for PC.03.01.01 <\/td>\n<\/tr>\n
431<\/td>\nStandard PC.03.01.03
Elements of Performance for PC.03.01.03 <\/td>\n<\/tr>\n
432<\/td>\nStandard PC.03.01.05
Elements of Performance for PC.03.01.05
Standard PC.03.01.07
Elements of Performance for PC.03.01.07 <\/td>\n<\/tr>\n
433<\/td>\nStandard PC.03.01.08
Elements of Performance for PC.03.01.08
Standard PC.03.05.01
Elements of Performance for PC.03.05.01 <\/td>\n<\/tr>\n
434<\/td>\nStandard PC.03.05.03
Elements of Performance for PC.03.05.03
Standard PC.03.05.05
Elements of Performance for PC.03.05.05 <\/td>\n<\/tr>\n
435<\/td>\nStandard PC.03.05.07 <\/td>\n<\/tr>\n
436<\/td>\nElements of Performance for PC.03.05.07
Standard PC.03.05.09
Elements of Performance for PC.03.05.09 <\/td>\n<\/tr>\n
437<\/td>\nStandard PC.03.05.11
Elements of Performance for PC.03.05.11 <\/td>\n<\/tr>\n
438<\/td>\nStandard PC.03.05.13 <\/td>\n<\/tr>\n
439<\/td>\nElements of Performance for PC.03.05.13
Standard PC.03.05.15
Elements of Performance for PC.03.05.15 <\/td>\n<\/tr>\n
440<\/td>\nStandard PC.03.05.17
Elements of Performance for PC.03.05.17 <\/td>\n<\/tr>\n
441<\/td>\nStandard PC.03.05.19
Elements of Performance for PC.03.05.19 <\/td>\n<\/tr>\n
442<\/td>\nStandard PC.04.01.01
Elements of Performance for PC.04.01.01 <\/td>\n<\/tr>\n
443<\/td>\nStandard PC.04.01.03 <\/td>\n<\/tr>\n
444<\/td>\nElements of Performance for PC.04.01.03 <\/td>\n<\/tr>\n
445<\/td>\nStandard PC.04.01.05 <\/td>\n<\/tr>\n
446<\/td>\nElements of Performance for PC.04.01.05
Standard PC.04.01.07
Elements of Performance for PC.04.01.07 <\/td>\n<\/tr>\n
447<\/td>\nStandard PC.04.02.01
Elements of Performance for PC.04.02.01 <\/td>\n<\/tr>\n
448<\/td>\nStandard PC.05.01.09
Elements of Performance for PC.05.01.09 <\/td>\n<\/tr>\n
449<\/td>\nPerformance Improvement (PI)
Overview <\/td>\n<\/tr>\n
451<\/td>\nChapter Outline <\/td>\n<\/tr>\n
452<\/td>\nStandards, Rationales, and Elements of Performance
Standard PI.01.01.01
Elements of Performance for PI.01.01.01 <\/td>\n<\/tr>\n
454<\/td>\nStandard PI.02.01.01
Elements of Performance for PI.02.01.01 <\/td>\n<\/tr>\n
455<\/td>\nStandard PI.03.01.01
Elements of Performance for PI.03.01.01 <\/td>\n<\/tr>\n
457<\/td>\nRecord of Care, Treatment, and Services (RC)
Overview <\/td>\n<\/tr>\n
458<\/td>\nChapter Outline <\/td>\n<\/tr>\n
459<\/td>\nStandards, Rationales, and Elements of Performance
Standard RC.01.01.01
Elements of Performance for RC.01.01.01
Standard RC.01.02.01
Elements of Performance for RC.01.02.01 <\/td>\n<\/tr>\n
460<\/td>\nStandard RC.01.03.01
Elements of Performance for RC.01.03.01
Standard RC.01.04.01 <\/td>\n<\/tr>\n
461<\/td>\nElements of Performance for RC.01.04.01
Standard RC.01.05.01
Elements of Performance for RC.01.05.01
Standard RC.02.01.01
Elements of Performance for RC.02.01.01 <\/td>\n<\/tr>\n
464<\/td>\nStandard RC.02.01.03
Elements of Performance for RC.02.01.03 <\/td>\n<\/tr>\n
466<\/td>\nStandard RC.02.03.07
Elements of Performance for RC.02.03.07
Standard RC.02.04.01 <\/td>\n<\/tr>\n
467<\/td>\nElements of Performance for RC.02.04.01 <\/td>\n<\/tr>\n
469<\/td>\nRights and Responsibilities of the Individual (RI)
Overview <\/td>\n<\/tr>\n
471<\/td>\nChapter Outline <\/td>\n<\/tr>\n
472<\/td>\nStandards, Rationales, and Elements of Performance
Standard RI.01.01.01
Elements of Performance for RI.01.01.01 <\/td>\n<\/tr>\n
474<\/td>\nStandard RI.01.01.03
Elements of Performance for RI.01.01.03 <\/td>\n<\/tr>\n
475<\/td>\nStandard RI.01.02.01
Elements of Performance for RI.01.02.01 <\/td>\n<\/tr>\n
476<\/td>\nStandard RI.01.03.01 <\/td>\n<\/tr>\n
477<\/td>\nRationale for RI.01.03.01
Elements of Performance for RI.01.03.01 <\/td>\n<\/tr>\n
478<\/td>\nStandard RI.01.03.05
Elements of Performance for RI.01.03.05 <\/td>\n<\/tr>\n
479<\/td>\nStandard RI.01.04.01
Elements of Performance for RI.01.04.01
Standard RI.01.04.03
Elements of Performance for RI.01.04.03 <\/td>\n<\/tr>\n
480<\/td>\nStandard RI.01.05.01
Elements of Performance for RI.01.05.01 <\/td>\n<\/tr>\n
481<\/td>\nStandard RI.01.06.01
Elements of Performance for RI.01.06.01
Standard RI.01.06.03
Elements of Performance for RI.01.06.03 <\/td>\n<\/tr>\n
483<\/td>\nStandard RI.01.06.05
Elements of Performance for RI.01.06.05
Standard RI.01.06.09 <\/td>\n<\/tr>\n
484<\/td>\nElements of Performance for RI.01.06.09
Standard RI.01.06.11
Elements of Performance for RI.01.06.11
Standard RI.01.07.01
Rationale for RI.01.07.01 <\/td>\n<\/tr>\n
485<\/td>\nElements of Performance for RI.01.07.01
Standard RI.01.07.05 <\/td>\n<\/tr>\n
486<\/td>\nRationale for RI.01.07.05
Elements of Performance for RI.01.07.05
Standard RI.01.07.07
Elements of Performance for RI.01.07.07 <\/td>\n<\/tr>\n
487<\/td>\nStandard RI.01.07.13
Elements of Performance for RI.01.07.13 <\/td>\n<\/tr>\n
489<\/td>\nTransplant Safety (TS)
Overview <\/td>\n<\/tr>\n
491<\/td>\nChapter Outline <\/td>\n<\/tr>\n
492<\/td>\nStandards, Rationales, and Elements of Performance
Standard TS.01.01.01
Elements of Performance for TS.01.01.01 <\/td>\n<\/tr>\n
494<\/td>\nStandard TS.02.01.01
Elements of Performance for TS.02.01.01 <\/td>\n<\/tr>\n
495<\/td>\nExamples of Tissue and Cell Products <\/td>\n<\/tr>\n
497<\/td>\nStandard TS.03.01.01
Elements of Performance for TS.03.01.01 <\/td>\n<\/tr>\n
498<\/td>\nStandard TS.03.02.01 <\/td>\n<\/tr>\n
499<\/td>\nElements of Performance for TS.03.02.01 <\/td>\n<\/tr>\n
500<\/td>\nStandard TS.03.03.01
Elements of Performance for TS.03.03.01 <\/td>\n<\/tr>\n
501<\/td>\nWaived Testing (WT)
Overview <\/td>\n<\/tr>\n
504<\/td>\nChapter Outline <\/td>\n<\/tr>\n
505<\/td>\nStandards, Rationales, and Elements of Performance
Standard WT.01.01.01
Elements of Performance for WT.01.01.01 <\/td>\n<\/tr>\n
506<\/td>\nStandard WT.02.01.01
Elements of Performance for WT.02.01.01 <\/td>\n<\/tr>\n
507<\/td>\nStandard WT.03.01.01
Elements of Performance for WT.03.01.01 <\/td>\n<\/tr>\n
508<\/td>\nStandard WT.04.01.01
Elements of Performance for WT.04.01.01 <\/td>\n<\/tr>\n
509<\/td>\nStandard WT.05.01.01
Elements of Performance for WT.05.01.01 <\/td>\n<\/tr>\n
511<\/td>\nThe Accreditation Process (ACC)
Notices
ACC Chapter Contents <\/td>\n<\/tr>\n
513<\/td>\nOverview <\/td>\n<\/tr>\n
515<\/td>\nAccreditation Policies <\/td>\n<\/tr>\n
535<\/td>\nSidebar 1. Early Survey Policy <\/td>\n<\/tr>\n
536<\/td>\nSidebar 1. <\/td>\n<\/tr>\n
538<\/td>\nBefore the Survey <\/td>\n<\/tr>\n
543<\/td>\nDuring the Survey <\/td>\n<\/tr>\n
544<\/td>\nTable 1. Exceptions to Unannounced Surveys <\/td>\n<\/tr>\n
552<\/td>\nTable 2. Critical Access Hospital\u2013Specific Tracer Applicability and Objectives <\/td>\n<\/tr>\n
553<\/td>\nTable 2. <\/td>\n<\/tr>\n
560<\/td>\nAfter the Survey <\/td>\n<\/tr>\n
571<\/td>\nBetween Accreditation Surveys <\/td>\n<\/tr>\n
574<\/td>\nSidebar 2. Focused Standards Assessment (FSA) Options <\/td>\n<\/tr>\n
575<\/td>\nSidebar 2. <\/td>\n<\/tr>\n
584<\/td>\nDecision Rules for Organizations Seeking Initial Accreditation <\/td>\n<\/tr>\n
587<\/td>\nDecision Rules for Organizations Seeking Reaccreditation <\/td>\n<\/tr>\n
592<\/td>\nProcess for Organizations That Meet Decision Rule PDA02 for Patients Placed at Risk for Serious Adverse Outcomes Due to Signific <\/td>\n<\/tr>\n
594<\/td>\nProcess for Organizations That Meet Decision Rule PDA04 <\/td>\n<\/tr>\n
595<\/td>\nReview and Appeal Procedures <\/td>\n<\/tr>\n
601<\/td>\nStandards Applicability Grid (SAG) <\/td>\n<\/tr>\n
639<\/td>\nSentinel Events (SE)
I. Sentinel Events <\/td>\n<\/tr>\n
643<\/td>\nII. Goals of the Sentinel Event Policy <\/td>\n<\/tr>\n
644<\/td>\nIII. Responding to Sentinel Events <\/td>\n<\/tr>\n
651<\/td>\nIV. The Sentinel Event Database <\/td>\n<\/tr>\n
652<\/td>\nV. Determination That a Sentinel Event Is Subject to Review
VI. Optional On-Site Review of a Sentinel Event
VII. Disclosable Information <\/td>\n<\/tr>\n
653<\/td>\nVIII. The Joint Commission\u2019s Response
IX. Sentinel Event Measures of Success (SE MOS) <\/td>\n<\/tr>\n
654<\/td>\nX. Handling Sentinel Event\u2013Related Documents
XI. Oversight of the Sentinel Event Policy <\/td>\n<\/tr>\n
655<\/td>\nXII. Survey Process <\/td>\n<\/tr>\n
656<\/td>\nAppendix. Accreditation Requirements Related to Sentinel Events
Standard LD.03.09.01
Elements of Performance for LD.03.09.01 <\/td>\n<\/tr>\n
659<\/td>\nThe Joint Commission Quality Report (QR)
Introduction
What Is The Joint Commission Quality Report? <\/td>\n<\/tr>\n
660<\/td>\nWhat Will My Quality Report Contain? <\/td>\n<\/tr>\n
661<\/td>\nWhat Is Quality Check? <\/td>\n<\/tr>\n
662<\/td>\nCan My Critical Access Hospital Comment on Its Quality Report? <\/td>\n<\/tr>\n
663<\/td>\nWhat Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality? <\/td>\n<\/tr>\n
665<\/td>\nInformation Released by The Joint Commission
Guidelines for Publication <\/td>\n<\/tr>\n
667<\/td>\nPerformance Measurement and the ORYX Initiative (PM)
Overview
The Continued Role of ORYX <\/td>\n<\/tr>\n
668<\/td>\nORYX Requirements for Critical Access Hospitals
Use of Performance Measure Data <\/td>\n<\/tr>\n
670<\/td>\nAnalyzing ORYX Data <\/td>\n<\/tr>\n
671<\/td>\nRequired Written Documentation (RWD) <\/td>\n<\/tr>\n
672<\/td>\nList of EPs Requiring Written Documentation for Critical Access Hospitals by Service
Accreditation Participation Requirements (APR)
Environment of Care (EC)
Emergency Management (EM)
Human Resources (HR) <\/td>\n<\/tr>\n
673<\/td>\nInfection Prevention and Control (IC)
Information Management (IM)
Leadership (LD)
Life Safety (LS)
Medication Management (MM) <\/td>\n<\/tr>\n
674<\/td>\nMedical Staff (MS)
National Patient Safety Goals (NPSG) (including the Universal Protocol [UP])
Nursing (NR)
Provision of Care, Treatment, and Services (PC)
Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI) <\/td>\n<\/tr>\n
675<\/td>\nTransplant Safety (TS)
Waived Testing (WT)
Environment of Care (EC)
Infection Prevention and Control (IC)
Leadership (LD)
Medication Management (MM) <\/td>\n<\/tr>\n
676<\/td>\nMedical Staff (MS)
Provision of Care, Treatment, and Services (PC)
Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI)
Environment of Care (EC)
Infection Prevention and Control (IC) <\/td>\n<\/tr>\n
677<\/td>\nLeadership (LD)
Medication Management (MM)
Medical Staff (MS)
Provision of Care, Treatment, and Services (PC)
Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI) <\/td>\n<\/tr>\n
678<\/td>\nEnvironment of Care (EC)
Leadership (LD)
Medication Management (MM)
National Patient Safety Goals (NPSG)
Provision of Care, Treatment, and Services (PC)
Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI) <\/td>\n<\/tr>\n
679<\/td>\nEarly Survey Policy (ESP)
Accreditation Participation Requirements (APR)
Environment of Care (EC)
Emergency Management (EM) <\/td>\n<\/tr>\n
680<\/td>\nHuman Resources (HR)
Infection Prevention and Control (IC)
Information Management (IM) <\/td>\n<\/tr>\n
681<\/td>\nLeadership (LD)
Life Safety (LS)
Medication Management (MM)
Medical Staff (MS) <\/td>\n<\/tr>\n
682<\/td>\nNational Patient Safety Goals (NPSG)
Nursing (NR)
Provision of Care, Treatment, and Services (PC)
Performance Improvement (PI) <\/td>\n<\/tr>\n
683<\/td>\nRecord of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI)
Transplant Safety (TS)
Waived Testing (WT) <\/td>\n<\/tr>\n
685<\/td>\nPrimary Care Medical Home Certification Option (PCMH)
Overview
Primary Care Medical Home Model <\/td>\n<\/tr>\n
689<\/td>\nStandards, Rationales, Elements of Performance, and Scoring Specific to the Primary Care Medical Home Certification Option
I. Patient-Centered Care
Standard LD.03.04.01
Elements of Performance for LD.03.04.01 <\/td>\n<\/tr>\n
690<\/td>\nStandard LD.03.07.01
Elements of Performance for LD.03.07.01
Standard LD.03.08.01
Elements of Performance for LD.03.08.01 <\/td>\n<\/tr>\n
691<\/td>\nStandard LD.04.01.11
Elements of Performance for LD.04.01.11
Standard PC.01.03.01
Elements of Performance for PC.01.03.01
Standard PC.02.01.01
Elements of Performance for PC.02.01.01 <\/td>\n<\/tr>\n
692<\/td>\nStandard PC.02.01.21
Elements of Performance for PC.02.01.21
Standard PC.02.02.01
Elements of Performance for PC.02.02.01 <\/td>\n<\/tr>\n
693<\/td>\nStandard PC.02.03.01
Elements of Performance for PC.02.03.01 <\/td>\n<\/tr>\n
694<\/td>\nStandard PC.02.04.05
Elements of Performance for PC.02.04.05
Standard RC.02.01.01
Elements of Performance for RC.02.01.01 <\/td>\n<\/tr>\n
695<\/td>\nStandard RI.01.01.01
Elements of Performance for RI.01.01.01 <\/td>\n<\/tr>\n
697<\/td>\nStandard RI.01.01.03
Elements of Performance for RI.01.01.03
Standard RI.01.02.01
Elements of Performance for RI.01.02.01 <\/td>\n<\/tr>\n
699<\/td>\nStandard RI.01.03.01
Elements of Performance for RI.01.03.01
Standard RI.01.04.01 <\/td>\n<\/tr>\n
700<\/td>\nElements of Performance for RI.01.04.01
Standard RI.01.04.03
Elements of Performance for RI.01.04.03 <\/td>\n<\/tr>\n
701<\/td>\nStandard RI.01.05.01
Elements of Performance for RI.01.05.01 <\/td>\n<\/tr>\n
702<\/td>\nStandard RI.01.07.01
Elements of Performance for RI.01.07.01
II. Comprehensive Care
Standard LD.04.01.06
Elements of Performance for LD.04.01.06 <\/td>\n<\/tr>\n
703<\/td>\nStandard MS.03.01.01
Elements of Performance for MS.03.01.01
Standard PC.02.01.05
Elements of Performance for PC.02.01.05
Standard PC.02.04.03
Elements of Performance for PC.02.04.03 <\/td>\n<\/tr>\n
704<\/td>\nStandard PC.02.04.05
Elements of Performance for PC.02.04.05 <\/td>\n<\/tr>\n
705<\/td>\nIII. Coordinated Care
Standard HR.01.02.07
Elements of Performance for HR.01.02.07
Standard MS.03.01.01
Elements of Performance for MS.03.01.01 <\/td>\n<\/tr>\n
706<\/td>\nStandard PC.01.03.01
Elements of Performance for PC.01.03.01
Standard PC.02.02.01
Elements of Performance for PC.02.02.01 <\/td>\n<\/tr>\n
707<\/td>\nStandard PC.02.04.03
Elements of Performance for PC.02.04.03
Standard PC.02.04.05
Elements of Performance for PC.02.04.05 <\/td>\n<\/tr>\n
708<\/td>\nStandard PC.04.01.01
Elements of Performance for PC.04.01.01
Standard PC.04.01.03
Elements of Performance for PC.04.01.03 <\/td>\n<\/tr>\n
709<\/td>\nStandard PC.04.01.05
Elements of Performance for PC.04.01.05
Standard PC.04.02.01
Elements of Performance for PC.04.02.01 <\/td>\n<\/tr>\n
710<\/td>\nStandard RC.01.01.01
Elements of Performance for RC.01.01.01 <\/td>\n<\/tr>\n
711<\/td>\nIV. Superb Access to Care
Standard PC.02.04.01
Elements of Performance for PC.02.04.01 <\/td>\n<\/tr>\n
712<\/td>\nV. Systems-Based Approach to Quality and Safety
Standard LD.01.03.01
Elements of Performance for LD.01.03.01
Standard LD.03.04.01
Elements of Performance for LD.03.04.01 <\/td>\n<\/tr>\n
713<\/td>\nStandard LD.03.07.01
Elements of Performance for LD.03.07.01
Standard LD.03.08.01
Elements of Performance for LD.03.08.01
Standard LD.03.09.01
Elements of Performance for LD.03.09.01 <\/td>\n<\/tr>\n
715<\/td>\nStandard LD.03.10.01
Elements of Performance for LD.03.10.01 <\/td>\n<\/tr>\n
716<\/td>\nStandard LD.04.01.11
Elements of Performance for LD.04.01.11
Standard MM.04.01.01
Elements of Performance for MM.04.01.01
Standard PC.01.03.01 <\/td>\n<\/tr>\n
717<\/td>\nElements of Performance for PC.01.03.01
Standard PI.01.01.01
Elements of Performance for PI.01.01.01 <\/td>\n<\/tr>\n
718<\/td>\nStandard PI.02.01.01
Elements of Performance for PI.02.01.01
Standard PI.03.01.01
Elements of Performance for PI.03.01.01 <\/td>\n<\/tr>\n
721<\/td>\nAppendix A: Medicare Requirements for Critical Access Hospitals (AXA) <\/td>\n<\/tr>\n
727<\/td>\nAppendix B: Medicare Requirements for Critical Access Hospitals with DPUs (AXB) <\/td>\n<\/tr>\n
743<\/td>\nGlossary (GL) <\/td>\n<\/tr>\n
783<\/td>\nIndex (IX) <\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

Comprehensive Accreditation Manual for Critical Access Hospitals (CAMCAH)<\/b><\/p>\n\n\n\n\n
Published By<\/td>\nPublication Date<\/td>\nNumber of Pages<\/td>\n<\/tr>\n
JCR<\/b><\/a><\/td>\n2020<\/td>\n806<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"featured_media":202643,"template":"","meta":{"rank_math_lock_modified_date":false,"ep_exclude_from_search":false},"product_cat":[],"product_tag":[],"class_list":{"0":"post-202640","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","7":"first","8":"instock","9":"sold-individually","10":"shipping-taxable","11":"purchasable","12":"product-type-simple"},"_links":{"self":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product\/202640","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/types\/product"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/media\/202643"}],"wp:attachment":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/media?parent=202640"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_cat?post=202640"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_tag?post=202640"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}