{"id":411628,"date":"2024-10-20T05:46:03","date_gmt":"2024-10-20T05:46:03","guid":{"rendered":"https:\/\/pdfstandards.shop\/product\/uncategorized\/jcr-camncc-2023\/"},"modified":"2024-10-26T10:40:24","modified_gmt":"2024-10-26T10:40:24","slug":"jcr-camncc-2023","status":"publish","type":"product","link":"https:\/\/pdfstandards.shop\/product\/publishers\/joint-commission\/jcr-camncc-2023\/","title":{"rendered":"JCR CAMNCC 2023"},"content":{"rendered":"

The 2023 Comprehensive Accreditation Manual for Nursing Care Centers (CAMNCC) is offered exclusively as a PDF manual. The CAMNCC PDF manual provides the official Joint Commission standards, elements of performance (EPs), National Patient Safety Goals\u00ae, and other accreditation requirements for nursing care centers for 2023, including those for the optional Post\u2013Acute Care and Memory Care certification options. The CAMNCC PDF manual provides everything you need to successfully achieve and maintain compliance with Joint Commission accreditation and optional specialty certification standards. Inside you\u2019ll find descriptions of the survey and decision process, questions to prompt discussion in your organization about compliance with the standards, checklists of the EPs that require written documentation, and action planning worksheets to address any issues of noncompliance. Available for single users or as a site license for the whole facility. Please note: The CAMNCC PDF manual is published annually. As such, it is not updated. The most up-to-date standards throughout 2023 are available electronically through E-dition\u00ae, found on your Joint Commission Connect\u00ae extranet site, or are available for purchase. Key Topics: Standards, EPs, National Patient Safety Goals\u00ae, and Accreditation Participation Requirements effective January 1, 2023 Accreditation process information about Joint Commission policies and procedures and practical survey preparation information on the Early Survey Policy, documentation requirements, and more Standards and EPs for optional Post\u2013Acute Care and Memory Care certifications Keys to successfully using the manual for survey preparedness Key Features: Survey readiness tools, including compliance prompts, documentation checklists, and action planning worksheets in every standards chapter Icons to help navigate documentation requirements as well as risk areas \u201cWhat\u2019s New\u201d summary of changes<\/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
PDF Pages<\/th>\nPDF Title<\/th>\n<\/tr>\n
1<\/td>\nWhat\u2019s New 2023 CAMNCC <\/td>\n<\/tr>\n
15<\/td>\nCover <\/td>\n<\/tr>\n
16<\/td>\nCopyright <\/td>\n<\/tr>\n
17<\/td>\nContents <\/td>\n<\/tr>\n
19<\/td>\nIntroduction: How Joint Commission Accreditation Can Help on the Road to High Reliability (INTRO) <\/td>\n<\/tr>\n
21<\/td>\nThe Value of Joint Commission Accreditation <\/td>\n<\/tr>\n
23<\/td>\nThe Joint Commission\u2019s Nursing Care Center Accreditation Program <\/td>\n<\/tr>\n
24<\/td>\nAddressing Complex Issues in Nursing Care Centers <\/td>\n<\/tr>\n
25<\/td>\nTable 1. Standards That Address Complex Care Issues in Nursing Care Centers <\/td>\n<\/tr>\n
27<\/td>\nHow Is This Manual Organized? <\/td>\n<\/tr>\n
28<\/td>\nTable 2. Acronyms Used in This Manual <\/td>\n<\/tr>\n
29<\/td>\nTable 2. <\/td>\n<\/tr>\n
30<\/td>\nAccreditation Requirements <\/td>\n<\/tr>\n
31<\/td>\nAccreditation Process Information <\/td>\n<\/tr>\n
33<\/td>\nIdentifying Applicable Standards <\/td>\n<\/tr>\n
35<\/td>\nUnderstanding the Organization of the Standards Chapters <\/td>\n<\/tr>\n
38<\/td>\nUnderstanding the Icons Used in the Manual <\/td>\n<\/tr>\n
39<\/td>\nBecome Familiar with the Standards <\/td>\n<\/tr>\n
40<\/td>\nUse the Standards to Improve Care, Treatment, and Services
Assess Compliance with the Standards <\/td>\n<\/tr>\n
42<\/td>\nStimulate Improvement <\/td>\n<\/tr>\n
44<\/td>\nAccelerate PI\u2122 <\/td>\n<\/tr>\n
45<\/td>\nKeep Current with Standards Changes via <\/td>\n<\/tr>\n
47<\/td>\nGetting Started with Accreditation
Account Executive <\/td>\n<\/tr>\n
48<\/td>\nContacting The Joint Commission
Standards Questions
Requesting Permission to Share Content from the Manual <\/td>\n<\/tr>\n
49<\/td>\nPatient Safety Systems (PS)
Quality and Safety in Health Care <\/td>\n<\/tr>\n
50<\/td>\nSidebar 1. Key Terms <\/td>\n<\/tr>\n
51<\/td>\nGoals of This Chapter <\/td>\n<\/tr>\n
52<\/td>\nBecoming a Learning Organization <\/td>\n<\/tr>\n
53<\/td>\nThe Role of Leaders in Patient and Resident Safety <\/td>\n<\/tr>\n
54<\/td>\nSafety Culture <\/td>\n<\/tr>\n
57<\/td>\nSidebar 2. Assessing Staff Accountability <\/td>\n<\/tr>\n
58<\/td>\nSidebar 2. <\/td>\n<\/tr>\n
59<\/td>\nData Use and Reporting Systems <\/td>\n<\/tr>\n
60<\/td>\nEffective Use of Data <\/td>\n<\/tr>\n
61<\/td>\nTable 1. Defining and Comparing Analytical Tools <\/td>\n<\/tr>\n
62<\/td>\nA Proactive Approach to Preventing Harm <\/td>\n<\/tr>\n
64<\/td>\nSidebar 3. Strategies for an Effective Risk Assessment <\/td>\n<\/tr>\n
65<\/td>\nSidebar 3.
Encouraging Patient or Resident Activation <\/td>\n<\/tr>\n
66<\/td>\nBeyond Accreditation: The Joint Commission Is Your Patient and Resident Safety Partner <\/td>\n<\/tr>\n
68<\/td>\nReferences <\/td>\n<\/tr>\n
71<\/td>\nAccreditation Participation Requirements (APR)
Overview <\/td>\n<\/tr>\n
72<\/td>\nChapter Outline <\/td>\n<\/tr>\n
73<\/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
74<\/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
75<\/td>\nAPR.02.01.01
Elements of Performance for APR.02.01.01
APR.05.01.01
Rationale for APR.05.01.01
Elements of Performance for APR.05.01.01
APR.06.01.01 <\/td>\n<\/tr>\n
76<\/td>\nElements of Performance for APR.06.01.01
APR.07.01.01
Elements of Performance for APR.07.01.01
APR.08.01.01
Elements of Performance for APR.08.01.01
APR.09.01.01 <\/td>\n<\/tr>\n
77<\/td>\nElements of Performance for APR.09.01.01
APR.09.02.01
Rationale for APR.09.02.01
Elements of Performance for APR.09.02.01 <\/td>\n<\/tr>\n
78<\/td>\nAPR.09.03.01
Elements of Performance for APR.09.03.01
APR.09.04.01
Elements of Performance for APR.09.04.01 <\/td>\n<\/tr>\n
80<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
83<\/td>\nEnvironment of Care (EC)
Overview
About This Chapter <\/td>\n<\/tr>\n
84<\/td>\nOther Issues for Consideration <\/td>\n<\/tr>\n
85<\/td>\nChapter Outline <\/td>\n<\/tr>\n
86<\/td>\nStandards, Rationales, and Elements of Performance
Standard EC.01.01.01
Rationale for EC.01.01.01
Elements of Performance for EC.01.01.01 <\/td>\n<\/tr>\n
87<\/td>\nStandard EC.02.01.01
Rationale for EC.02.01.01 <\/td>\n<\/tr>\n
88<\/td>\nElements of Performance for EC.02.01.01
Standard EC.02.01.03
Elements of Performance for EC.02.01.03 <\/td>\n<\/tr>\n
89<\/td>\nStandard EC.02.02.01
Rationale for EC.02.02.01
Elements of Performance for EC.02.02.01 <\/td>\n<\/tr>\n
90<\/td>\nStandard EC.02.03.01
Rationale for EC.02.03.01
Elements of Performance for EC.02.03.01 <\/td>\n<\/tr>\n
91<\/td>\nStandard EC.02.03.03
Elements of Performance for EC.02.03.03 <\/td>\n<\/tr>\n
92<\/td>\nStandard EC.02.03.05
Elements of Performance for EC.02.03.05 <\/td>\n<\/tr>\n
94<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
96<\/td>\nStandard EC.02.04.01
Elements of Performance for EC.02.04.01 <\/td>\n<\/tr>\n
97<\/td>\nStandard EC.02.04.03
Elements of Performance for EC.02.04.03 <\/td>\n<\/tr>\n
99<\/td>\nStandard EC.02.05.01
Elements of Performance for EC.02.05.01 <\/td>\n<\/tr>\n
102<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
103<\/td>\nStandard EC.02.05.02
Elements of Performance for EC.02.05.02 <\/td>\n<\/tr>\n
104<\/td>\nStandard EC.02.05.03 <\/td>\n<\/tr>\n
105<\/td>\nElements of Performance for EC.02.05.03 <\/td>\n<\/tr>\n
106<\/td>\nStandard EC.02.05.05 <\/td>\n<\/tr>\n
107<\/td>\nRationale for EC.02.05.05
Elements of Performance for EC.02.05.05 <\/td>\n<\/tr>\n
108<\/td>\nStandard EC.02.05.07
Rationale for EC.02.05.07
Elements of Performance for EC.02.05.07 <\/td>\n<\/tr>\n
111<\/td>\nStandard EC.02.05.09
Rationale for EC.02.05.09
Elements of Performance for EC.02.05.09 <\/td>\n<\/tr>\n
112<\/td>\nIntroduction to Standard EC.02.06.01 <\/td>\n<\/tr>\n
113<\/td>\nStandard EC.02.06.01
Elements of Performance for EC.02.06.01 <\/td>\n<\/tr>\n
115<\/td>\nStandard EC.02.06.03
Elements of Performance for EC.02.06.03
Standard EC.02.06.05 <\/td>\n<\/tr>\n
116<\/td>\nRationale for EC.02.06.05
Elements of Performance for EC.02.06.05
Introduction to Standard EC.04.01.01 <\/td>\n<\/tr>\n
117<\/td>\nStandard EC.04.01.01
Elements of Performance for EC.04.01.01
Standard EC.04.01.03
Elements of Performance for EC.04.01.03
Standard EC.04.01.05 <\/td>\n<\/tr>\n
118<\/td>\nElements of Performance for EC.04.01.05 <\/td>\n<\/tr>\n
122<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
139<\/td>\nEmergency Management (EM)
Overview <\/td>\n<\/tr>\n
140<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
141<\/td>\nChapter Outline <\/td>\n<\/tr>\n
142<\/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
143<\/td>\nStandard EM.02.01.01 <\/td>\n<\/tr>\n
144<\/td>\nRationale for EM.02.01.01
Elements of Performance for EM.02.01.01 <\/td>\n<\/tr>\n
145<\/td>\nStandard EM.02.02.01 <\/td>\n<\/tr>\n
146<\/td>\nRationale for EM.02.02.01
Elements of Performance for EM.02.02.01 <\/td>\n<\/tr>\n
147<\/td>\nStandard EM.02.02.03
Rationale for EM.02.02.03
Elements of Performance for EM.02.02.03 <\/td>\n<\/tr>\n
148<\/td>\nIntroduction to Standard EM.02.02.05 <\/td>\n<\/tr>\n
149<\/td>\nStandard EM.02.02.05
Elements of Performance for EM.02.02.05
Standard EM.02.02.07 <\/td>\n<\/tr>\n
150<\/td>\nRationale for EM.02.02.07
Elements of Performance for EM.02.02.07
Standard EM.02.02.09
Rationale for EM.02.02.09 <\/td>\n<\/tr>\n
151<\/td>\nElements of Performance for EM.02.02.09 <\/td>\n<\/tr>\n
152<\/td>\nStandard EM.02.02.11
Rationale for EM.02.02.11
Elements of Performance for EM.02.02.11 <\/td>\n<\/tr>\n
154<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
155<\/td>\nIntroduction to Standards EM.02.02.13 and EM.02.02.15 <\/td>\n<\/tr>\n
156<\/td>\nStandard EM.02.02.13
Elements of Performance for EM.02.02.13 <\/td>\n<\/tr>\n
157<\/td>\nStandard EM.02.02.15
Elements of Performance for EM.02.02.15 <\/td>\n<\/tr>\n
158<\/td>\nStandard EM.03.01.01
Rationale for EM.03.01.01
Elements of Performance for EM.03.01.01 <\/td>\n<\/tr>\n
159<\/td>\nStandard EM.03.01.03
Rationale for EM.03.01.03
Elements of Performance for EM.03.01.03 <\/td>\n<\/tr>\n
163<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
171<\/td>\nHuman Resources (HR)
Overview
About This Chapter <\/td>\n<\/tr>\n
172<\/td>\nChapter Outline <\/td>\n<\/tr>\n
173<\/td>\nStandards, Rationales, and Elements of Performance
Standard HR.01.01.01
Elements of Performance for HR.01.01.01 <\/td>\n<\/tr>\n
174<\/td>\nStandard HR.01.02.05
Elements of Performance for HR.01.02.05 <\/td>\n<\/tr>\n
175<\/td>\nStandard HR.01.02.07
Elements of Performance for HR.01.02.07 <\/td>\n<\/tr>\n
176<\/td>\nStandard HR.01.04.01
Elements of Performance for HR.01.04.01 <\/td>\n<\/tr>\n
177<\/td>\nStandard HR.01.05.03
Elements of Performance for HR.01.05.03 <\/td>\n<\/tr>\n
178<\/td>\nIntroduction to Standards HR.01.06.01 and HR.01.07.01 <\/td>\n<\/tr>\n
179<\/td>\nStandard HR.01.06.01
Elements of Performance for HR.01.06.01 <\/td>\n<\/tr>\n
180<\/td>\nStandard HR.01.07.01
Elements of Performance for HR.01.07.01 <\/td>\n<\/tr>\n
181<\/td>\nIntroduction to Standards HR.02.01.04, HR.02.01.05, and HR.02.01.07 <\/td>\n<\/tr>\n
182<\/td>\nStandard HR.02.01.04
Elements of Performance for HR.02.01.04 <\/td>\n<\/tr>\n
184<\/td>\nStandard HR.02.01.05
Elements of Performance for HR.02.01.05 <\/td>\n<\/tr>\n
185<\/td>\nStandard HR.02.01.07
Elements of Performance for HR.02.01.07
Standard HR.02.02.01 <\/td>\n<\/tr>\n
186<\/td>\nElements of Performance for HR.02.02.01 <\/td>\n<\/tr>\n
189<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
194<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
201<\/td>\nInfection Prevention and Control (IC)
Overview <\/td>\n<\/tr>\n
202<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
203<\/td>\nChapter Outline <\/td>\n<\/tr>\n
204<\/td>\nStandards, Rationales, and Elements of Performance
Standard IC.01.01.01
Elements of Performance for IC.01.01.01 <\/td>\n<\/tr>\n
205<\/td>\nStandard IC.01.02.01
Elements of Performance for IC.01.02.01
Introduction to Standards IC.01.03.01 Through IC.01.06.01 \u2013 Planning <\/td>\n<\/tr>\n
206<\/td>\nStandard IC.01.03.01
Rationale for IC.01.03.01
Elements 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
207<\/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
208<\/td>\nIntroduction to Standards IC.02.01.01 Through IC.02.04.01 \u2013 Implementation <\/td>\n<\/tr>\n
209<\/td>\nStandard IC.02.01.01
Elements of Performance for IC.02.01.01 <\/td>\n<\/tr>\n
211<\/td>\nStandard IC.02.02.01
Rationale for IC.02.02.01 <\/td>\n<\/tr>\n
212<\/td>\nElements of Performance for IC.02.02.01 <\/td>\n<\/tr>\n
213<\/td>\nStandard IC.02.03.01
Elements of Performance for IC.02.03.01
Introduction to Standard IC.02.04.01 <\/td>\n<\/tr>\n
214<\/td>\nStandard IC.02.04.01
Elements of Performance for IC.02.04.01 <\/td>\n<\/tr>\n
215<\/td>\nStandard IC.02.04.03
Elements of Performance for IC.02.04.03 <\/td>\n<\/tr>\n
216<\/td>\nStandard IC.02.05.01
Elements of Performance for IC.02.05.01 <\/td>\n<\/tr>\n
217<\/td>\nIntroduction to Standard IC.03.01.01 \u2013 Evaluation and Improvement
Standard IC.03.01.01
Elements of Performance for IC.03.01.01 <\/td>\n<\/tr>\n
222<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
227<\/td>\nInformation Management (IM)
Overview
About This Chapter <\/td>\n<\/tr>\n
228<\/td>\nChapter Outline <\/td>\n<\/tr>\n
229<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard IM.01.01.01
Standard IM.01.01.01
Elements of Performance for IM.01.01.01 <\/td>\n<\/tr>\n
230<\/td>\nIntroduction to Standard IM.01.01.03
Standard IM.01.01.03
Elements of Performance for IM.01.01.03 <\/td>\n<\/tr>\n
231<\/td>\nIntroduction to Standard IM.02.01.01
Standard IM.02.01.01
Elements of Performance for IM.02.01.01 <\/td>\n<\/tr>\n
232<\/td>\nIntroduction to Standard IM.02.01.03
Standard IM.02.01.03
Elements of Performance for IM.02.01.03
Standard IM.02.02.01 <\/td>\n<\/tr>\n
233<\/td>\nRationale for IM.02.02.01
Elements of Performance for IM.02.02.01 <\/td>\n<\/tr>\n
234<\/td>\nIntroduction to Standard IM.02.02.03
Standard IM.02.02.03
Rationale for 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
238<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
241<\/td>\nLeadership (LD)
Overview <\/td>\n<\/tr>\n
242<\/td>\nProactive Risk Assessment <\/td>\n<\/tr>\n
243<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
244<\/td>\nChapter Outline <\/td>\n<\/tr>\n
245<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Leadership Structure, Standards LD.01.03.01 Through LD.01.07.01
Standard LD.01.03.01 <\/td>\n<\/tr>\n
246<\/td>\nRationale for LD.01.03.01
Elements of Performance for LD.01.03.01
Standard LD.01.04.01
Elements of Performance for LD.01.04.01
Standard LD.01.06.01
Elements of Performance for LD.01.06.01 <\/td>\n<\/tr>\n
248<\/td>\nStandard LD.01.07.01
Elements of Performance for LD.01.07.01 <\/td>\n<\/tr>\n
249<\/td>\nIntroduction to Leadership Relationships, Standard LD.02.03.01
Standard LD.02.03.01
Rationale for LD.02.03.01
Elements of Performance for LD.02.03.01
Introduction to Organization Culture and System Performance Expectations, Standards LD.03.01.01 Through LD.03.06.01 <\/td>\n<\/tr>\n
252<\/td>\nStandard LD.03.01.01
Rationale for LD.03.01.01
Elements of Performance for LD.03.01.01 <\/td>\n<\/tr>\n
253<\/td>\nIntroduction to Standard LD.03.01.02 <\/td>\n<\/tr>\n
254<\/td>\nStandard LD.03.01.02
Elements of Performance for LD.03.01.02 <\/td>\n<\/tr>\n
255<\/td>\nStandard LD.03.02.01
Rationale 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
256<\/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
Rationale for LD.03.05.01
Elements of Performance for LD.03.05.01 <\/td>\n<\/tr>\n
257<\/td>\nStandard LD.03.06.01
Rationale for LD.03.06.01
Elements of Performance for LD.03.06.01
Introduction to Operations, Standards LD.03.07.01 Through LD.04.03.09 <\/td>\n<\/tr>\n
258<\/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
259<\/td>\nIntroduction to Standard LD.03.09.01
Standard LD.03.09.01
Elements of Performance for LD.03.09.01 <\/td>\n<\/tr>\n
261<\/td>\nStandard LD.03.10.01
Elements of Performance for LD.03.10.01 <\/td>\n<\/tr>\n
262<\/td>\nStandard LD.04.01.01
Elements of Performance for LD.04.01.01 <\/td>\n<\/tr>\n
263<\/td>\nStandard LD.04.01.03
Elements of Performance for LD.04.01.03
Standard LD.04.01.05
Rationale for LD.04.01.05
Elements of Performance for LD.04.01.05 <\/td>\n<\/tr>\n
264<\/td>\nStandard LD.04.01.07
Elements of Performance for LD.04.01.07 <\/td>\n<\/tr>\n
265<\/td>\nStandard LD.04.01.11
Rationale for LD.04.01.11
Elements of Performance for LD.04.01.11
Standard LD.04.02.01
Elements of Performance for LD.04.02.01 <\/td>\n<\/tr>\n
266<\/td>\nStandard LD.04.02.03
Elements of Performance for LD.04.02.03
Standard LD.04.03.01
Elements of Performance for LD.04.03.01
Standard LD.04.03.07
Rationale for LD.04.03.07 <\/td>\n<\/tr>\n
267<\/td>\nElements of Performance for LD.04.03.07
Introduction to Oversight of Care, Treatment, and Services Provided Through Contractual Agreement, Standard LD.04.03.09 <\/td>\n<\/tr>\n
268<\/td>\nMonitoring Contracted Services <\/td>\n<\/tr>\n
269<\/td>\nPermitting Licensed Independent Practitioners to PracticeWithin the Organization
Standard LD.04.03.09
Elements of Performance for LD.04.03.09 <\/td>\n<\/tr>\n
270<\/td>\nIntroduction to Standard LD.04.03.13
Standard LD.04.03.13
Elements of Performance for LD.04.03.13 <\/td>\n<\/tr>\n
277<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
283<\/td>\nLife Safety (LS)
Overview
Applicability of the Standards
About This Chapter <\/td>\n<\/tr>\n
285<\/td>\nChapter Outline <\/td>\n<\/tr>\n
286<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard LS.01.01.01
Standard LS.01.01.01
Elements of Performance for LS.01.01.01 <\/td>\n<\/tr>\n
287<\/td>\nStandard LS.01.02.01 <\/td>\n<\/tr>\n
288<\/td>\nElements of Performance for LS.01.02.01 <\/td>\n<\/tr>\n
290<\/td>\nStandard LS.02.01.10
Elements of Performance for LS.02.01.10
Standard LS.02.01.20 <\/td>\n<\/tr>\n
291<\/td>\nRationale for LS.02.01.20
Elements of Performance for LS.02.01.20 <\/td>\n<\/tr>\n
293<\/td>\nStandard LS.02.01.30
Rationale for LS.02.01.30
Elements of Performance for LS.02.01.30 <\/td>\n<\/tr>\n
294<\/td>\nStandard LS.02.01.34
Elements of Performance for LS.02.01.34 <\/td>\n<\/tr>\n
295<\/td>\nStandard LS.02.01.35
Elements of Performance for LS.02.01.35 <\/td>\n<\/tr>\n
296<\/td>\nStandard LS.02.01.40
Elements of Performance for LS.02.01.40
Standard LS.02.01.50 <\/td>\n<\/tr>\n
297<\/td>\nElements of Performance for LS.02.01.50
Standard LS.02.01.70
Elements of Performance for LS.02.01.70 <\/td>\n<\/tr>\n
301<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
305<\/td>\nMedication Management (MM)
Overview <\/td>\n<\/tr>\n
306<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
307<\/td>\nChapter Outline <\/td>\n<\/tr>\n
308<\/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
Rationale for MM.01.01.03 <\/td>\n<\/tr>\n
309<\/td>\nElements of Performance for MM.01.01.03
Standard MM.01.01.05
Rationale for MM.01.01.05
Elements of Performance for MM.01.01.05 <\/td>\n<\/tr>\n
310<\/td>\nStandard MM.01.02.01
Elements of Performance for MM.01.02.01
Standard MM.03.01.01 <\/td>\n<\/tr>\n
311<\/td>\nRationale for MM.03.01.01
Elements of Performance for MM.03.01.01
Standard MM.03.01.03 <\/td>\n<\/tr>\n
312<\/td>\nRationale for MM.03.01.03
Elements of Performance for MM.03.01.03
Standard MM.03.01.05
Rationale for MM.03.01.05
Elements of Performance for MM.03.01.05 <\/td>\n<\/tr>\n
313<\/td>\nIntroduction to Standard MM.04.01.01
Standard MM.04.01.01
Elements of Performance for MM.04.01.01 <\/td>\n<\/tr>\n
314<\/td>\nStandard MM.05.01.01 <\/td>\n<\/tr>\n
315<\/td>\nElements of Performance for MM.05.01.01
Standard MM.05.01.07
Elements of Performance for MM.05.01.07
Standard MM.05.01.09 <\/td>\n<\/tr>\n
316<\/td>\nRationale for MM.05.01.09
Elements of Performance for MM.05.01.09 <\/td>\n<\/tr>\n
317<\/td>\nStandard MM.05.01.15
Elements of Performance for MM.05.01.15
Standard MM.05.01.17
Elements of Performance for MM.05.01.17 <\/td>\n<\/tr>\n
318<\/td>\nStandard MM.05.01.19
Rationale for MM.05.01.19
Elements of Performance for MM.05.01.19
Standard MM.06.01.01
Elements of Performance for MM.06.01.01 <\/td>\n<\/tr>\n
319<\/td>\nStandard MM.06.01.03
Elements of Performance for MM.06.01.03 <\/td>\n<\/tr>\n
320<\/td>\nStandard MM.06.01.05
Rationale for MM.06.01.05
Elements of Performance for MM.06.01.05
Standard MM.07.01.01
Elements of Performance for MM.07.01.01 <\/td>\n<\/tr>\n
321<\/td>\nStandard MM.07.01.03
Rationale for MM.07.01.03
Elements of Performance for MM.07.01.03 <\/td>\n<\/tr>\n
322<\/td>\nIntroduction to Standard MM.08.01.01
Standard MM.08.01.01 <\/td>\n<\/tr>\n
323<\/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
329<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
337<\/td>\nNational Patient Safety Goals (NPSG)
Chapter Outline
National Patient Safety Goals\u00ae <\/td>\n<\/tr>\n
338<\/td>\nRequirements, Rationales, and Elements of Performance
Goal 1
NPSG.01.01.01
Rationale for NPSG.01.01.01
Elements of Performance for NPSG.01.01.01 <\/td>\n<\/tr>\n
339<\/td>\nGoal 3
NPSG.03.05.01
Rationale for NPSG.03.05.01
Elements of Performance for NPSG.03.05.01 <\/td>\n<\/tr>\n
341<\/td>\nIntroduction to Reconciling Medication Information
NPSG.03.06.01 <\/td>\n<\/tr>\n
342<\/td>\nRationale for NPSG.03.06.01
Elements of Performance for NPSG.03.06.01 <\/td>\n<\/tr>\n
343<\/td>\nGoal 7
NPSG.07.01.01
Rationale for NPSG.07.01.01 <\/td>\n<\/tr>\n
344<\/td>\nElements of Performance for NPSG.07.01.01
Goal 9
NPSG.09.02.01
Rationale for NPSG.09.02.01
Elements of Performance for NPSG.09.02.01 <\/td>\n<\/tr>\n
345<\/td>\nGoal 14
NPSG.14.01.01
Rationale for NPSG.14.01.01
Elements of Performance for NPSG.14.01.01 <\/td>\n<\/tr>\n
349<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
353<\/td>\nProvision of Care, Treatment, and Services (PC)
Overview <\/td>\n<\/tr>\n
354<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
355<\/td>\nChapter Outline <\/td>\n<\/tr>\n
356<\/td>\nStandards, Rationales, and Elements of Performance
Standard PC.01.01.01
Elements of Performance for PC.01.01.01
Introduction to Standard PC.01.02.01 <\/td>\n<\/tr>\n
357<\/td>\nStandard PC.01.02.01
Elements of Performance for PC.01.02.01 <\/td>\n<\/tr>\n
360<\/td>\nStandard PC.01.02.03
Elements of Performance for PC.01.02.03 <\/td>\n<\/tr>\n
363<\/td>\nStandard PC.01.02.05
Elements of Performance for PC.01.02.05 <\/td>\n<\/tr>\n
364<\/td>\nIntroduction to Standard PC.01.02.07
Standard PC.01.02.07
Elements of Performance for PC.01.02.07 <\/td>\n<\/tr>\n
366<\/td>\nIntroduction to Standard PC.01.02.09
Standard PC.01.02.09 <\/td>\n<\/tr>\n
367<\/td>\nElements of Performance for PC.01.02.09
Standard PC.01.02.15
Elements of Performance for PC.01.02.15 <\/td>\n<\/tr>\n
368<\/td>\nIntroduction to Standard PC.01.03.01 <\/td>\n<\/tr>\n
369<\/td>\nStandard PC.01.03.01
Elements of Performance for PC.01.03.01 <\/td>\n<\/tr>\n
370<\/td>\nStandard PC.02.01.01
Elements of Performance for PC.02.01.01 <\/td>\n<\/tr>\n
371<\/td>\nStandard PC.02.01.03
Elements of Performance for PC.02.01.03 <\/td>\n<\/tr>\n
372<\/td>\nIntroduction to Standard PC.02.01.05
Standard PC.02.01.05
Rationale for PC.02.01.05
Elements of Performance for PC.02.01.05 <\/td>\n<\/tr>\n
374<\/td>\nStandard PC.02.01.07
Elements of Performance for PC.02.01.07
Standard PC.02.01.08
Rationale for PC.02.01.08 <\/td>\n<\/tr>\n
375<\/td>\nElements of Performance for PC.02.01.08 <\/td>\n<\/tr>\n
376<\/td>\nStandard PC.02.01.09
Elements of Performance for PC.02.01.09
Standard PC.02.01.13
Elements of Performance for PC.02.01.13 <\/td>\n<\/tr>\n
377<\/td>\nStandard PC.02.01.15
Elements of Performance for PC.02.01.15 <\/td>\n<\/tr>\n
378<\/td>\nStandard PC.02.01.17
Elements of Performance for PC.02.01.17
Standard PC.02.01.19
Elements of Performance for PC.02.01.19 <\/td>\n<\/tr>\n
379<\/td>\nIntroduction to Standard PC.02.02.01 <\/td>\n<\/tr>\n
380<\/td>\nStandard PC.02.02.01
Elements of Performance for PC.02.02.01 <\/td>\n<\/tr>\n
381<\/td>\nStandard PC.02.02.02
Rationale for PC.02.02.02
Elements of Performance for PC.02.02.02 <\/td>\n<\/tr>\n
383<\/td>\nStandard PC.02.02.03
Elements of Performance for PC.02.02.03 <\/td>\n<\/tr>\n
384<\/td>\nStandard PC.02.02.07
Rationale for PC.02.02.07 <\/td>\n<\/tr>\n
385<\/td>\nElements of Performance for PC.02.02.07
Standard PC.02.02.09
Elements of Performance for PC.02.02.09 <\/td>\n<\/tr>\n
386<\/td>\nStandard PC.02.02.13
Elements of Performance for PC.02.02.13 <\/td>\n<\/tr>\n
387<\/td>\nStandard PC.02.03.01
Elements of Performance for PC.02.03.01 <\/td>\n<\/tr>\n
388<\/td>\nIntroduction to Standards PC.03.02.09 and PC.03.02.13 <\/td>\n<\/tr>\n
389<\/td>\nStandard PC.03.02.09
Elements of Performance for PC.03.02.09 <\/td>\n<\/tr>\n
390<\/td>\nStandard PC.03.02.13
Elements of Performance for PC.03.02.13 <\/td>\n<\/tr>\n
391<\/td>\nStandard PC.04.01.01
Elements of Performance for PC.04.01.01 <\/td>\n<\/tr>\n
392<\/td>\nStandard PC.04.01.03
Elements of Performance for PC.04.01.03 <\/td>\n<\/tr>\n
393<\/td>\nStandard PC.04.01.05
Elements of Performance for PC.04.01.05 <\/td>\n<\/tr>\n
394<\/td>\nStandard PC.04.01.07
Elements of Performance for PC.04.01.07 <\/td>\n<\/tr>\n
395<\/td>\nStandard PC.04.02.01
Elements of Performance for PC.04.02.01 <\/td>\n<\/tr>\n
396<\/td>\nStandard PC.04.02.02
Rationale for PC.04.02.02
Elements of Performance for PC.04.02.02 <\/td>\n<\/tr>\n
401<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
413<\/td>\nPerformance Improvement (PI)
Overview
About This Chapter <\/td>\n<\/tr>\n
415<\/td>\nChapter Outline <\/td>\n<\/tr>\n
416<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard PI.01.01.01
Standard PI.01.01.01
Elements of Performance for PI.01.01.01 <\/td>\n<\/tr>\n
418<\/td>\nStandard PI.02.01.01
Rationale for PI.02.01.01
Elements of Performance for PI.02.01.01 <\/td>\n<\/tr>\n
419<\/td>\nIntroduction to Standard PI.03.01.01
Standard PI.03.01.01
Elements of Performance for PI.03.01.01 <\/td>\n<\/tr>\n
420<\/td>\nStandard PI.04.01.01 <\/td>\n<\/tr>\n
421<\/td>\nRationale for PI.04.01.01
Elements of Performance for PI.04.01.01 <\/td>\n<\/tr>\n
425<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
431<\/td>\nRecord of Care, Treatment, and Services (RC)
Overview
About This Chapter <\/td>\n<\/tr>\n
432<\/td>\nChapter Outline <\/td>\n<\/tr>\n
433<\/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
434<\/td>\nStandard RC.01.03.01
Elements of Performance for RC.01.03.01
Standard RC.01.04.01
Elements of Performance for RC.01.04.01
Standard RC.02.01.01
Elements of Performance for RC.02.01.01 <\/td>\n<\/tr>\n
435<\/td>\nStandard RC.02.01.05 <\/td>\n<\/tr>\n
436<\/td>\nElements of Performance for RC.02.01.05
Standard RC.02.01.09
Elements of Performance for RC.02.01.09
Standard RC.02.01.11
Elements of Performance for RC.02.01.11 <\/td>\n<\/tr>\n
437<\/td>\nStandard RC.02.01.13
Elements of Performance for RC.02.01.13
Standard RC.02.01.15
Elements of Performance for RC.02.01.15 <\/td>\n<\/tr>\n
438<\/td>\nStandard RC.02.01.17
Elements of Performance for RC.02.01.17 <\/td>\n<\/tr>\n
439<\/td>\nStandard RC.02.01.19
Elements of Performance for RC.02.01.19
Standard RC.02.01.21
Elements of Performance for RC.02.01.21
Standard RC.02.01.25
Elements of Performance for RC.02.01.25 <\/td>\n<\/tr>\n
440<\/td>\nStandard RC.02.01.27
Elements of Performance for RC.02.01.27
Standard RC.02.03.07
Elements of Performance for RC.02.03.07
Standard RC.02.04.01
Elements of Performance for RC.02.04.01 <\/td>\n<\/tr>\n
444<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
447<\/td>\nRights and Responsibilities of the Individual (RI)
Overview
About This Chapter <\/td>\n<\/tr>\n
449<\/td>\nChapter Outline <\/td>\n<\/tr>\n
450<\/td>\nStandards, Rationales, and Elements of Performance
Standard RI.01.01.01
Rationale for RI.01.01.01
Elements of Performance for RI.01.01.01 <\/td>\n<\/tr>\n
451<\/td>\nStandard RI.01.01.03
Rationale for RI.01.01.03 <\/td>\n<\/tr>\n
452<\/td>\nElements of Performance for RI.01.01.03
Standard RI.01.02.01
Rationale for RI.01.02.01 <\/td>\n<\/tr>\n
453<\/td>\nElements of Performance for RI.01.02.01 <\/td>\n<\/tr>\n
454<\/td>\nStandard RI.01.03.01
Rationale for RI.01.03.01
Elements of Performance for RI.01.03.01
Standard RI.01.03.05
Rationale for RI.01.03.05 <\/td>\n<\/tr>\n
455<\/td>\nElements of Performance for RI.01.03.05
Standard RI.01.05.01
Elements of Performance for RI.01.05.01 <\/td>\n<\/tr>\n
456<\/td>\nStandard RI.01.06.01
Elements of Performance for RI.01.06.01
Standard RI.01.06.03 <\/td>\n<\/tr>\n
457<\/td>\nElements of Performance for RI.01.06.03
Standard RI.01.06.05
Rationale for RI.01.06.05
Elements of Performance for RI.01.06.05 <\/td>\n<\/tr>\n
458<\/td>\nStandard RI.01.06.07
Elements of Performance for RI.01.06.07
Standard RI.01.06.09 <\/td>\n<\/tr>\n
459<\/td>\nElements of Performance for RI.01.06.09
Standard RI.01.06.11
Elements of Performance for RI.01.06.11
Standard RI.01.06.13
Elements of Performance for RI.01.06.13 <\/td>\n<\/tr>\n
460<\/td>\nStandard RI.01.07.01
Elements of Performance for RI.01.07.01 <\/td>\n<\/tr>\n
461<\/td>\nStandard 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
462<\/td>\nStandard RI.01.07.13
Elements of Performance for RI.01.07.13
Standard RI.02.01.01
Rationale for RI.02.01.01
Elements of Performance for RI.02.01.01 <\/td>\n<\/tr>\n
468<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
473<\/td>\nWaived Testing (WT)
Overview <\/td>\n<\/tr>\n
474<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
476<\/td>\nChapter Outline <\/td>\n<\/tr>\n
477<\/td>\nStandards, Rationales, and Elements of Performance
Standard WT.01.01.01
Elements of Performance for WT.01.01.01
Standard WT.03.01.01
Elements of Performance for WT.03.01.01 <\/td>\n<\/tr>\n
478<\/td>\nStandard WT.04.01.01
Elements of Performance for WT.04.01.01
Standard WT.05.01.01
Elements of Performance for WT.05.01.01 <\/td>\n<\/tr>\n
483<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
487<\/td>\nThe Accreditation Process (ACC)
Notices
ACC Chapter Contents <\/td>\n<\/tr>\n
489<\/td>\nOverview
General Eligibility Requirements <\/td>\n<\/tr>\n
490<\/td>\nScope of Accreditation Surveys
Accreditation Policies <\/td>\n<\/tr>\n
491<\/td>\nTailored Survey Policy <\/td>\n<\/tr>\n
492<\/td>\nOrganizational and Functional Integration <\/td>\n<\/tr>\n
495<\/td>\nMultiorganization Option
Concurrent Survey Option <\/td>\n<\/tr>\n
496<\/td>\nOptional Specialty Certification for Nursing Care Centers <\/td>\n<\/tr>\n
497<\/td>\nAdditional Certification Options <\/td>\n<\/tr>\n
498<\/td>\nContracted Services <\/td>\n<\/tr>\n
499<\/td>\nInitial Surveys <\/td>\n<\/tr>\n
500<\/td>\nInformation Accuracy and Truthfulness Policy <\/td>\n<\/tr>\n
502<\/td>\nGood Faith Participation in Accreditation\/ Certification <\/td>\n<\/tr>\n
503<\/td>\nPublic Information Policy
Process for Responding to a Complaint <\/td>\n<\/tr>\n
504<\/td>\nEarly Survey Policy
Sidebar 1. Early Survey Policy <\/td>\n<\/tr>\n
505<\/td>\nSidebar 1. <\/td>\n<\/tr>\n
507<\/td>\nBefore the Survey
An Organization\u2019s Secure Joint Commission Connect Extranet Site <\/td>\n<\/tr>\n
508<\/td>\nEnsuring Joint Commission Connect Security
Role of Consultants
Role of the Account Executive <\/td>\n<\/tr>\n
509<\/td>\nElectronic Application for Accreditation (E-App) <\/td>\n<\/tr>\n
510<\/td>\nAccreditation\/Certification Contract and Business Associate Agreement <\/td>\n<\/tr>\n
511<\/td>\nAnnual and Survey Fees <\/td>\n<\/tr>\n
512<\/td>\nDuring the Survey <\/td>\n<\/tr>\n
513<\/td>\nSurvey Notification
Table 1. Exceptions to Unannounced Surveys <\/td>\n<\/tr>\n
515<\/td>\nInitial and Full Survey Team Composition
Survey Agenda <\/td>\n<\/tr>\n
520<\/td>\nTracer Methodology <\/td>\n<\/tr>\n
521<\/td>\nTable 2. Nursing Care Center\u2013Specific Tracer Applicability and Objectives <\/td>\n<\/tr>\n
523<\/td>\nImmediate Threat to Health or Safety <\/td>\n<\/tr>\n
526<\/td>\nSummary of the Accreditation Reports <\/td>\n<\/tr>\n
527<\/td>\nAfter the Survey
The Scoring Process <\/td>\n<\/tr>\n
532<\/td>\nEvidence of Standards Compliance (ESC) Process <\/td>\n<\/tr>\n
536<\/td>\nAccreditation Award Display and Use <\/td>\n<\/tr>\n
537<\/td>\nBetween Accreditation Surveys <\/td>\n<\/tr>\n
538<\/td>\nDuration of Accreditation Award
Continuous Compliance
Intracycle Monitoring (ICM) <\/td>\n<\/tr>\n
539<\/td>\nFocused Standards Assessment (FSA) <\/td>\n<\/tr>\n
540<\/td>\nSidebar 2. Focused Standards Assessment (FSA) Options <\/td>\n<\/tr>\n
541<\/td>\nSidebar 2.
Sentinel Event Follow-up <\/td>\n<\/tr>\n
542<\/td>\nNotifying The Joint Commission About Organization Changes <\/td>\n<\/tr>\n
543<\/td>\nAccreditation Status of Organizations That Cease Services After a Disaster\u2021\u2021\u2021 <\/td>\n<\/tr>\n
545<\/td>\nAccreditation Status of Organizations That Cease Services or Do Not Have Patients or Residents for a Period of Time <\/td>\n<\/tr>\n
546<\/td>\nReentering the Accreditation Process
Additional Surveys <\/td>\n<\/tr>\n
548<\/td>\nDecision Rules for Organizations Seeking Initial Accreditation <\/td>\n<\/tr>\n
549<\/td>\nAccredited
Post\u2013Acute Care Certification
Memory Care Certification <\/td>\n<\/tr>\n
550<\/td>\nLimited, Temporary Accreditation
Evidence of Standards Compliance (ESC)
Denial of Accreditation <\/td>\n<\/tr>\n
552<\/td>\nDecision Rules for Organizations Seeking Reaccreditation
Accredited
Post\u2013Acute Care Certification
Memory Care Certification <\/td>\n<\/tr>\n
553<\/td>\nEvidence of Standards Compliance (ESC)
Accreditation with Follow-up Survey <\/td>\n<\/tr>\n
554<\/td>\nPreliminary Denial of Accreditation <\/td>\n<\/tr>\n
555<\/td>\nDenial of Accreditation <\/td>\n<\/tr>\n
556<\/td>\nProcess for Organizations That Meet Decision Rule PDA02 for Patients or Residents Placed at Risk for Serious Adverse Outcomes Du <\/td>\n<\/tr>\n
558<\/td>\nProcess for Organizations That Meet Decision Rule PDA04 <\/td>\n<\/tr>\n
559<\/td>\nReview and Appeal Procedures
I. Evaluation by Joint Commission Staff <\/td>\n<\/tr>\n
560<\/td>\nII. Accreditation with Follow-up Survey
III. Review Hearings <\/td>\n<\/tr>\n
562<\/td>\nIV. Following a Review Hearing
V. Final Review &Appeal Request <\/td>\n<\/tr>\n
565<\/td>\nSentinel Event Policy (SE) <\/td>\n<\/tr>\n
566<\/td>\nGoals of the Sentinel Event Policy <\/td>\n<\/tr>\n
567<\/td>\nIdentifying Sentinel Events <\/td>\n<\/tr>\n
569<\/td>\nSidebar 1. Key Terms <\/td>\n<\/tr>\n
570<\/td>\nSidebar 1. <\/td>\n<\/tr>\n
572<\/td>\nDetermining That a Sentinel Event Is Subject to Review
Relationship to the Survey Process <\/td>\n<\/tr>\n
573<\/td>\nRequired Organization Response to a Sentinel Event <\/td>\n<\/tr>\n
575<\/td>\nReporting a Sentinel Event to The Joint Commission <\/td>\n<\/tr>\n
577<\/td>\nConducting a Comprehensive Systematic Analysis <\/td>\n<\/tr>\n
578<\/td>\nDeveloping a Corrective Action Plan <\/td>\n<\/tr>\n
579<\/td>\nSubmitting the Comprehensive Systematic Analysis and Corrective Action Plan <\/td>\n<\/tr>\n
580<\/td>\nTable 1. Options for a Joint Commission Review of an Organization\u2019s Response to a Sentinel Event <\/td>\n<\/tr>\n
581<\/td>\nTable 1. <\/td>\n<\/tr>\n
582<\/td>\nThe Joint Commission\u2019s Response
Review of Comprehensive Systematic Analyses and Corrective Action Plans <\/td>\n<\/tr>\n
583<\/td>\nFollow-up Activities <\/td>\n<\/tr>\n
585<\/td>\nDisclosable Information
Handling Sentinel Event\u2013Related Documents
The Sentinel Event Database <\/td>\n<\/tr>\n
586<\/td>\nOverseeing the Sentinel Event Policy <\/td>\n<\/tr>\n
587<\/td>\nThe Joint Commission Quality Report (QR)
Introduction
What Is The Joint Commission Quality Report? <\/td>\n<\/tr>\n
588<\/td>\nWhat Will My Quality Report Contain?
What Is Quality Check? <\/td>\n<\/tr>\n
589<\/td>\nIs a Quality Report Available for My Accredited Nursing Care Center?
Can My Nursing Care Center Comment On Its Quality Report? <\/td>\n<\/tr>\n
590<\/td>\nHow Does My Nursing Care Center Submit a Commentary?
Are There Any Criteria That Must Be Met in a Commentary?
What Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality? <\/td>\n<\/tr>\n
591<\/td>\nGuidelines for Publicizing Compliance with the National Patient Safety Goals <\/td>\n<\/tr>\n
593<\/td>\nRequired Written Documentation (RWD) <\/td>\n<\/tr>\n
594<\/td>\nList of EPs Requiring Written Documentation for Nursing Care Centers
Accreditation Participation Requirements (APR)
Environment of Care (EC)
Emergency Management (EM)
Human Resources(HR) <\/td>\n<\/tr>\n
595<\/td>\nInfection Prevention and Control (IC)
Information Management (IM)
Leadership (LD)
Life Safety (LS)
Medication Management (MM)
National Patient Safety Goals (NPSG) <\/td>\n<\/tr>\n
596<\/td>\nProvisions of Care, Treatment, and Services (PC)
Performance Improvement (PI)
Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI)
Waived Testing (WT) <\/td>\n<\/tr>\n
597<\/td>\nEarly Survey Policy (ESP)
Accreditation Participation Requirements (APR)
Environment of Care (EC)
Emergency Management (EM) <\/td>\n<\/tr>\n
598<\/td>\nHuman Resources (HR)
Infection Prevention and Control (IC)
Information Management (IM)
Leadership (LD) <\/td>\n<\/tr>\n
599<\/td>\nLife Safety (LS)
Medication Management (MM)
National Patient Safety Goals (NPSG)
Provision of Care, Treatment, and Services (PC)
Performance Improvement (PI) <\/td>\n<\/tr>\n
600<\/td>\nRecord of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI) <\/td>\n<\/tr>\n
601<\/td>\nPost\u2013Acute Care Certification (PAC)
Overview <\/td>\n<\/tr>\n
602<\/td>\nHuman Resources (HR)
Standard HR.01.02.05
Elements of Performance for HR.01.02.05
Standard HR.01.05.03
Elements of Performance for HR.01.05.03 <\/td>\n<\/tr>\n
603<\/td>\nStandard HR.01.06.01
Elements of Performance for HR.01.06.01
Leadership (LD)
Standard LD.01.06.01
Elements of Performance for LD.01.06.01 <\/td>\n<\/tr>\n
604<\/td>\nStandard LD.03.10.01
Elements of Performance for LD.03.10.01 <\/td>\n<\/tr>\n
605<\/td>\nProvision of Care, Treatment, and Services (PC)
Standard PC.01.01.01
Elements of Performance for PC.01.01.01
Standard PC.01.02.01
Elements of Performance for PC.01.02.01 <\/td>\n<\/tr>\n
606<\/td>\nStandard PC.01.02.03
Elements of Performance for PC.01.02.03 <\/td>\n<\/tr>\n
607<\/td>\nStandard PC.01.02.07
Elements of Performance for PC.01.02.07 <\/td>\n<\/tr>\n
608<\/td>\nStandard PC.01.02.15
Elements of Performance for PC.01.02.15 <\/td>\n<\/tr>\n
609<\/td>\nStandard PC.01.03.01
Elements of Performance for PC.01.03.01
Standard PC.02.01.05
Rationale for PC.02.01.05 <\/td>\n<\/tr>\n
610<\/td>\nElements of Performance for PC.02.01.05 <\/td>\n<\/tr>\n
611<\/td>\nStandard PC.02.01.09
Elements of Performance for PC.02.01.09
Standard PC.02.01.19
Elements of Performance for PC.02.01.19 <\/td>\n<\/tr>\n
612<\/td>\nStandard PC.02.02.02
Rationale for PC.02.02.02
Elements of Performance for PC.02.02.02 <\/td>\n<\/tr>\n
613<\/td>\nStandard PC.04.01.01
Elements of Performance for PC.04.01.01 <\/td>\n<\/tr>\n
614<\/td>\nStandard PC.04.01.05
Elements of Performance for PC.04.01.05
Standard PC.04.02.01 <\/td>\n<\/tr>\n
615<\/td>\nElements of Performance for PC.04.02.01
Standard PC.04.02.02
Rationale for PC.04.02.02
Elements of Performance for PC.04.02.02 <\/td>\n<\/tr>\n
616<\/td>\nPerformance Improvement (PI)
Standard PI.01.01.01
Elements of Performance for PI.01.01.01 <\/td>\n<\/tr>\n
619<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
627<\/td>\nMemory Care Certification (MCC)
Overview <\/td>\n<\/tr>\n
628<\/td>\nEnvironment of Care (EC)
Standard EC.02.06.01
Elements of Performance for EC.02.06.01 <\/td>\n<\/tr>\n
629<\/td>\nEmergency Management (EM)
Standard EM.02.01.01
Rationale for EM.02.01.01 <\/td>\n<\/tr>\n
630<\/td>\nElements of Performance for EM.02.01.01
Human Resources (HR)
Standard HR.01.05.03
Elements of Performance for HR.01.05.03
Information Management (IM)
Standard IM.03.01.01 <\/td>\n<\/tr>\n
631<\/td>\nElements of Performance for IM.03.01.01
Leadership (LD)
Standard LD.03.10.01
Elements of Performance for LD.03.10.01
Provision of Care, Treatment, and Services (PC)
Standard PC.01.02.01 <\/td>\n<\/tr>\n
632<\/td>\nElements of Performance for PC.01.02.01
Standard PC.01.02.03
Elements of Performance for PC.01.02.03
Standard PC.02.01.01
Elements of Performance for PC.02.01.01
Standard PC.02.01.15
Elements of Performance for PC.02.01.15 <\/td>\n<\/tr>\n
633<\/td>\nStandard PC.02.02.01
Elements of Performance for PC.02.02.01
Standard PC.02.02.02
Rationale for PC.02.02.02 <\/td>\n<\/tr>\n
634<\/td>\nElements of Performance for PC.02.02.02 <\/td>\n<\/tr>\n
635<\/td>\nStandard PC.02.02.03
Elements of Performance for PC.02.02.03
Standard PC.02.02.09
Elements of Performance for PC.02.02.09 <\/td>\n<\/tr>\n
636<\/td>\nStandard PC.02.03.01
Elements of Performance for PC.02.03.01 <\/td>\n<\/tr>\n
637<\/td>\nStandard PC.04.01.01
Elements of Performance for PC.04.01.01 <\/td>\n<\/tr>\n
641<\/td>\nWritten Documentation Checklist <\/td>\n<\/tr>\n
645<\/td>\nAppendix A: Reference Guide of Selected Medicare Requirements to Relevant Joint Commission Requirements (AXA) <\/td>\n<\/tr>\n
647<\/td>\nGlossary (GL) <\/td>\n<\/tr>\n
664<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

Comprehensive Accreditation Manual for Nursing Care Centers (CAMNCC)<\/b><\/p>\n\n\n\n\n
Published By<\/td>\nPublication Date<\/td>\nNumber of Pages<\/td>\n<\/tr>\n
Joint Commission<\/b><\/a><\/td>\n2023<\/td>\n680<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"featured_media":411635,"template":"","meta":{"rank_math_lock_modified_date":false,"ep_exclude_from_search":false},"product_cat":[2851],"product_tag":[],"class_list":{"0":"post-411628","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-joint-commission","8":"first","9":"instock","10":"sold-individually","11":"shipping-taxable","12":"purchasable","13":"product-type-simple"},"_links":{"self":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product\/411628","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\/411635"}],"wp:attachment":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/media?parent=411628"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_cat?post=411628"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_tag?post=411628"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}