The Compliance Guide to the Joint Commission's Patient Safety Systems Chapter PDF Download
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Author: Sena Blickenstaff
Publisher: Hcpro, a Division of Simplify Compliance
ISBN: 9781556452956
Category : Health services administration
Languages : en
Pages : 0
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Book Description
Prepare for the new Patient Safety Systems chapter with The Compliance Guide to The Joint Commission's Patient Safety Systems Chapter. The Joint Commission added a new Patient Safety Systems (PS) chapter that became effective on January 1, 2015, and highlights the accreditor's patient safety requirements. The new chapter explains how to become a learning organization, the role of hospital leaders in patient safety, use of data and reporting systems, conducting proactive risk assessments, and patient involvement. This book provides insight into the existing standards that comprise this new chapter and will help you put together an integrated patient safety system in your facility.
Author: Sena Blickenstaff
Publisher: Hcpro, a Division of Simplify Compliance
ISBN: 9781556452956
Category : Health services administration
Languages : en
Pages : 0
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Book Description
Prepare for the new Patient Safety Systems chapter with The Compliance Guide to The Joint Commission's Patient Safety Systems Chapter. The Joint Commission added a new Patient Safety Systems (PS) chapter that became effective on January 1, 2015, and highlights the accreditor's patient safety requirements. The new chapter explains how to become a learning organization, the role of hospital leaders in patient safety, use of data and reporting systems, conducting proactive risk assessments, and patient involvement. This book provides insight into the existing standards that comprise this new chapter and will help you put together an integrated patient safety system in your facility.
Author: Sue Dill Calloway
Publisher: Hcpro, a Division of Simplify Compliance
ISBN: 9781556452161
Category : POLITICAL SCIENCE
Languages : en
Pages : 0
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Book Description
The Compliance Guide to The Joint Commission Leadership Standards Sue Dill Calloway, RN, MSN, JD The Compliance Guide to The Joint Commission Leadership Standards provides accreditation professionals with in-depth guidance on how to prepare leadership and staff to comply with the accreditor's Leadership standards. The book breaks down the Leadership chapter standard by standard and provides hospitals with a plethora of tools and policies to train leaders and staff on the roles they play in compliance, patient safety, and quality efforts. This book provides: Clear explanations of the Leadership standards How-to strategies for developing and implementing a leadership plan Tips for creating a culture of safety Three customizable and downloadable PowerPoint training presentations Updated tools and policies to help compliance Table of Contents: Chapter 1: The Leadership Session During the Survey and Introduction Chapter 2: The Leadership Standards Chapter 3: Leadership Relationships Chapter 4: Hospital Culture and System Performance Chapter 5: Operations Appendix: Tools and Samples Assessment of Community Health Needs Outline for a Leadership Plan Seven Steps for a Single Level of Care Scope of Services Criteria--Clinical Departments Checklist Scope of Services Criteria--Nonclinical Departments Checklist Sample Format for a Performance Improvement Plan Sample Patient Safety Plan Sample Organizational Chart Sample Bylaws of the Board of Trustees Sample Complaint/Grievance Review Sample Capital Expenditure Request Form Sample Organ, Tissue, Eye Procurement Policy and Procedure Sample Quality Management Plan Sample Quality Management Forms: Process Improvement QAPI Summary Sample Quality Management Forms: Quality Management Department Decision-Making Tools Sample Quality Management Forms: Quality Review Department Request for Consideration for a TQM Team Sample Quality Management Forms: Rapid Cycle Improvement Worksheet Patient Safety Report Card to the Board Patient Safety Plan Incident Reporting Administrative Policy Incident Reporting Administrative Policy: Incident Report Addendum Incident Reporting Administrative Policy: Adverse Drug Event--IV Infiltration Incident Report Incident Reporting Administrative Policy: Equipment Malfunction Incident Report Incident Reporting Administrative Policy: Medication Error Incident Report Incident Reporting Administrative Policy: Miscellaneous Incident Report Incident Reporting Administrative Policy: Patient/Visitor Fall Incident Report Root Cause Analysis Incident Investigation Tool Three PowerPoint presentations to help you train leadership and staff
Author: Kathy Matzka
Publisher:
ISBN: 9781601462961
Category : Hospitals
Languages : en
Pages : 0
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Book Description
Don't skip a beat with medical staff compliance! The Joint Commission has made significant changes to its standards for medical staff. Effective January 1, 2009, these changes include a complete renumbering of the credentialing and privileging standards. Since the last edition of The Compliance Guide to the Joint Commission Medical Staff Standards published in 2006, the landscape of Joint Commission standards has changed significantly, due mostly to the new numbering and scoring systems. The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition, will save you hours of time rifling through hundreds of pages of documents, trying to decipher ways to comply. This resource provides: - Completely updated information, tools, and insights that will help guide you in understanding and preparing your medical staff for survey under the new 2009 standards - Each element of performance includes a box for you to score your facility's compliance with the standard and easily identify those areas in which additional work is needed. - A comparison of the 2009 standards to the old standards and highlights all the new requirements Who should read The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition? - Medical services professionals and credentialing coordinators - VPMAs - Medical executive committee and credentials committee members - Department chairs - Quality managers and quality/performance improvement professionals - Survey coordinators This book is a practical tool to help hospitals meet the Joint Commission's expectations, a tough and time-consuming challenge. Add The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition to your compliance library and feel confident when Joint Commission shows up unannounced at your door! Take a look at the Table of Contents - Chapter 1: Understanding the standards and survey process - Chapter 2: LD.01.05.01, MS.01.01.01, MS.01.01.03, and MS.02.01.01--Medical staff structure and medical staff bylaws - Chapter 3: MS.03.01.01, MS.03.01.03, and MS.04.01.01--Management and oversight of patient care, treatment and services, and oversight of graduate medical education programs - Chapter 4: MS.05.01.01 and MS.05.01.03--Performance improvement - Chapter 5: MS.06.01.01--MS.06.01.09, MS.07.01.01, HR.01.02.05, and HR.01.07.01--Credentialing, recredentialing, privileging, and appointment - Chapter 6: MS.07.01.03, MS.08.01.01, MS.08.01.03, MS.09.01.01, MS.10.01.01, and MS.11.01.01, LD.03.01.01--Focused and ongoing professional practice evaluation, peer recommendations, fair hearing, and LIP health - Appendix A: 2009 National Patient Safety Goals - Appendix B: Tips for a successful survey
Author: Fay A. Rozovsky
Publisher: John Wiley & Sons
ISBN: 1119386357
Category : Medical
Languages : en
Pages : 288
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Book Description
Written for virtually every professional and leader in the health care field, as well as students who are preparing for careers in health services delivery, this book presents a framework for developing a patient safety program, shows how best to examine events that do occur, and reveals how to ensure that appropriate corrective and preventative actions are reviewed for effectiveness. The book covers a comprehensive selection of topics including The link between patient safety and legal and regulatory compliance The role of accreditation and standard-setting organizations in patient safety Failure modes and effect analysis Voluntary and regulatory oversight of medical error Evidence-based outcomes and standards of care Creation and preservation of reports, data, and device evidence in medical error situations Claims management when dealing with patient safety events Full disclosure Patient safety in human research Managing confidentiality in the face of litigation Managing patient safety compliance through accountability-based credentialing for health care professionals Planning for the future
Author: Thomas J. Huser
Publisher: HC Pro, Inc.
ISBN: 1601462956
Category :
Languages : en
Pages : 145
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Book Description
Emergency Management Compliance Manual: A Guide to the Joint Commission Standards Thomas J. Huser, MS, CHSP Over the last decade, catastrophic events such as 9/11 and Hurricane Katrina have turned the spotlight on how healthcare organizations prepare for disasters. Today, from tornados and power outages to pandemic flu, the pressure is on safety officers and emergency management coordinators to protect their facility, staff, and patients from emergencies, no matter what the size. The Joint Commission's emergency management standards require hospitals not only to be prepared to protect their facility, staff, and patients, but also to demonstrate compliance. The Emergency Management Compliance Manual: A Guide to the Joint Commission Standards helps you cut through the confusion and provides best practices to help you meet these provisions. The Emergency Management Compliance Manual helps you to: Develop emergency management and operations plans that work (e.g., EM.01.01.01 and EM.02.01.01) Define an emergency and complete a hazard vulnerability analysis (e.g., EM.01.01.01) Address The Joint Commission's six critical areas (e.g., EM.02.01.01 through EM.02.02.15) Understand disaster privileging and assigning responsibilities during an emergency (e.g., EM.02.02.13 and EM.02.02.15) Evaluate the effectiveness of your planning (e.g., EM.03.01.01 and EM.03.01.03) Recognize hotspots and take action before they happen This manual and CD-ROM set has the answers you need to be prepared for the challenges that lie ahead. Trusted safety professional and author Thomas J. Huser, MS, CHSP, strategically provides compliance tips and advice for emergency management compliance success. Safety officers and emergency management coordinators alike use this reference on a daily basis to create policies and procedures to comply with Joint Commission requirements. Bonus CD-ROM included with your binder The accompanying CD-ROM contains electronic versions of all the forms and tools, making it easy to download and customize them to meet your facility's unique needs. A customizable tool that you'll refer to daily This manual is packaged in a portable 10 x 11 binder, making it easy to snap it open and add your own documents and policies.
Author: Jean S. Clark
Publisher: HC Pro, Inc.
ISBN: 1601465726
Category : Medical
Languages : en
Pages : 193
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Book Description
The new, fully updated Information Management and Record of Care, Seventh Edition, is a comprehensive guide to the most current Joint Commission standards, elements of performance for information management and record of care, and the survey process.
Author:
Publisher: Joint Commission on
ISBN: 9781599402840
Category : Medical
Languages : en
Pages : 181
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Book Description
A guide to the Joint Commission's safety standards for ambulatory care, behavioral health care, critical access hospitals, home care, hospitals, and long term care organizations. It discusses the Joint Commission's program-specific 2009 National Patient Safety Goals, and offers compliance and monitoring suggestions.
Author: Jean S. Clark
Publisher: HC Pro, Inc.
ISBN: 1601468113
Category : Law
Languages : en
Pages : 93
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Book Description
The Chapter Leader's Guide to Patient Rights: Practical Insight on Joint Commission Standards Jean S. Clark, RHIA, CSHA Quick, concise standard explanations for patient rights chapter leaders The Chapter Leader's Guide to Patient Rights breaks down the Joint Commission's patient rights requirements into easy to understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Also, receive bonus tools which include: Rights and Responsibilities of the Individual and Key Player Outline Rights and Responsibilities of the Individual Tracer Tool Patient Rights Direct Impact Standards List Chapter Captain Checklist Benefits ofThe Chapter Leader's Guide to Patient Rights: Keys to creating a culture of providing patient care, treatment, and services in a way that is collaborative with the individual patient Tips and suggestions for developing and implementing policies for selected elements of performance Guidance on communication techniques to inform patients of their individual rights and responsibilities Tools for proper delegation of roles and responsibilities to appropriate staff A responsibility checklist for chapter leaders to ensure compliance with patient rights standards What's inside: Interpretation of the newly revised Joint Commission patient-centered communication standard Simplified explanation of the requirements under the patient rights chapter Strategies to help patients participate in their own care decisions Description of informed consent, who participates and how to gain it from patients in a compliant way Easy-to-implement services your organization can provide for patients to inform them of their rights Table of Contents Part I: Patient Rights in the Organization The Rights and Responsibilities of the Individual How Does this Chapter Affect the Organization as a Whole? What is Its Impact on Leadership and Administration? Who Owns the Requirements of this Chapter? Part II: Communication and Impact of Patient Rights Getting Organized Duties of the Chapter Captain Communication to Physicians and Staff Communication to Patients The Impact of this Chapter Part III: Implementing Patient Rights Designing and Implementing Policies The Patient Handbook The Medical Staff Other Caregivers, Nurses, and Staff The Board and Senior Leadership Tracers and Chart Reviews Impact on Patient Care Who will benefit? CPHQ, CSHA, accreditation coordinators, accreditation specialists, survey coordinators, Joint Commission survey coordinators Earn Continuing Education Credits National Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.
Author: Thomas J. Huser
Publisher: HC Pro, Inc.
ISBN: 1601468148
Category : Medical
Languages : en
Pages : 149
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Book Description
The Chapter Leader's Guide to Environment of Care: Practical Insight on Joint Commission Standards Thomas J. Huser, MS, CHPS Quick, concise standard explanations for Environment of Care chapter leaders "This book has significant daily use and will prepare and support facility professionals. The author candidly describes how to make difficult things happen even when other people may not be immediately on board...and the survey preparation is thorough and very user intuitive. I like the easy-to-follow format. The policy and procedure forms and examples are excellent." --Stephen J. Thurston, Safety Officer, Emergency Managment Coordinator, Indiana University Health The Chapter Leader's Guide to Environment of Care breaks down the Joint Commission's Environment of Care requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator, chapter leader and staff of all levels. Plus, to make staff training easy, this guide includes two downloadable PowerPoint(R) presentations highlighting key compliance takeaways. Benefits of The Chapter Leader's Guide to Environment of Care: Build an interdisciplinary team to ensure Environment of Care compliance Achieve buy-in and support from leadership Educate staff of all levels on compliance utilizing ready-made tools and strategies Use practical advice from a seasoned expert in the field to avoid RFIs on your next survey What's inside: Standard-by-standard breakdowns and explanation by hospital safety veteran and expert Practical advice for successfully communicating with multiple levels of staff to better gain buy-in and compliance Quick tip sheets, checklists, and PowerPoint presentations for educating staff Sample mock tracer observations and questions in all areas of EOC Hospital safety and construction risk assessments Dozens of EOC policies, procedures, reports, and maintenance logs Department EOC report card and simplified scoring sheet to better communicate current compliance to department leaders and board members Table of Contents Part I: Organization and Accountabilities Board of Directors CEO Medical Staff Management Staff Key Players Part 2: Communication and Culture Hospital Staff Departmental Leadership Board of Directors Senior Leadership Part 3: Policy and Procedures Plan (EC.01.01.01) Safety and Security (EC.02.01.01, EC.02.01.03) Hazardous Materials and Waste (EC.02.02.01) Fire Safety (EC.02.03.01, EC.02.03.03, EC.02.03.05) Medical Equipment (EC.02.04.01, EC.02.04.03) Utilities (EC.02.05.01, EC.02.05.03, EC.02.05.05, EC.02.05.07, EC.02.05.09) Other Physical Environment Requirements (EC.02.06.01, EC.02.06.05) Staff Competence (EC.03.01.01) Monitor and Improve (EC.04.01.01, EC.04.01.03, EC.04.01.05) Part 4: Effective Survey Preparation Education and Training Organization Preparation Data Collection List of tools: Sample Board of Directors Report Survey Preparation for Physicians: Emergency Management Information Environment of Care Compliance: Sample Observations and Questions Survey Preparation for Staff: Emergency Management Information Security Quick Tips Temperature Logs Quick Tips Maintaining a Safe Environment Quick Tips Emergency Medical Equipment Quick Tips Fire Response Quick Tips Hazardous Materials Quick Tips Medical Equipment Failure Quick Tips Utility Failure Quick Tips Environment of Care Report Card Scoring Worksheet Safety Inspection Report Environment of Care Report Card for Department Leaders Safety Officer Statement of Authority Safety Risk Assessment Tool Officer's Report of Fall/Injury Forensic Patient Policy and Procedure Smoking Interventions Log Life Safety System Preventative Maintenance Grid Life Safety Equipment Repairs Log Interim Life Safety Management Implementation Worksheet Safe Medical Device Reporting Policy Emergency Generator Test Log and Report Construction Risk Assessment Form Employee Environment of Care Survey Plus: EOC Power Point Presentations: What You Need to Know to Train Your Staff Annual Education for Staff Who will benefit? Accreditation coordinator, accreditation specialist, survey coordinator, Joint Commission survey coordinator, Environment of Care chapter leader, safety officer, safety director, facility manager, and facility director Earn Continuing Education CreditsNational Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.
Author: Cynthia Barnard
Publisher: HC Pro, Inc.
ISBN: 1601468083
Category : Medical
Languages : en
Pages : 115
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Book Description
The Chapter Leader's Guide to Performance Improvement Cynthia Barnard, MBA, MSJS, CPHQ Quick, concise standard explanations for performance improvement chapter leaders The Chapter Leader's Guide to Performance Improvement breaks down The Joint Commission's performance improvement requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Also, receive bonus tools which include: Annual performance improvement program assessment worksheet Sample performance improvement team charter Critical information checklist Templates for quality plans Samples for compliance with required measurements Samples for compliance with measurements to be considered Checklist for survey readiness Benefits of The Chapter Leader's Guide to Performance Improvement: Empower your PI chapter leaders to successfully navigate the survey process Communicate the impact the PI chapter has on the entire leadership team, management, and caregivers Create a culture of accountability by delegating survey-related responsibilities to staff members Go beyond standard numbers and understand the true meaning of The Joint Commission's PI requirements Get everyone in your facility on board with compliance Save time training PI chapter leaders with the customizable PowerPoint presentation What's inside: Simplified explanation of The Joint Commission's performance improvement chapter Tools for data collection and analysis to measure the performance of processes Strategies for analyzing data to implement better care, improve compliance, and promote positive change Best practices in designing, implementing, and presenting performance improvement programs with reference to accreditation requirements Table of Contents Introduction: How This Handbook Can Help You Part I: Performance Improvement in the Organization Leadership Roles in Performance Improvement Successful Management of Performance Improvement Key Take-Away Points Part II: Planning and Coordinating Performance Improvement Communicating and Integrating Performance Improvement Throughout the Organization Do You Need a Dashboard? Impact of Performance Improvement on Patients, Clinicians, and Staff Teams, Charters, and Leadership Physician Roles and Responsibilities in Performance Improvement Key Take-Away Points Part III: Implementing Performance Improvement The Performance Improvement Cycle Data Collection and Analysis Process Improvement Documentation and "Telling the Story" Sustaining Change Key Take-Away Points Part IV: Effective PI Survey Preparation Critical Information at Your Fingertips The PI Presentation to Surveyors The Data Tracer and the Leadership Interview Key Take-Away Points Who will benefit? Accreditation coordinators, accreditation specialists, survey coordinators, Joint Commission survey coordinators, performance improvement chapter leaders, quality directors, quality improvement professionals Earn Continuing Education Credits National Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.
