{"id":390585,"date":"2024-10-20T03:55:22","date_gmt":"2024-10-20T03:55:22","guid":{"rendered":"https:\/\/pdfstandards.shop\/product\/uncategorized\/jcr-camcah-2022\/"},"modified":"2024-10-26T07:14:22","modified_gmt":"2024-10-26T07:14:22","slug":"jcr-camcah-2022","status":"publish","type":"product","link":"https:\/\/pdfstandards.shop\/product\/publishers\/joint-commission\/jcr-camcah-2022\/","title":{"rendered":"JCR CAMCAH 2022"},"content":{"rendered":"

Continuous compliance starts with staff who know what The Joint Commission requires. The 2022 Comprehensive Accreditation Manual for Critical Access Hospitals (CAMCAH) provides all the key information your organization needs to power performance improvement and maintain continuous standards compliance. It features the official Joint Commission standards, National Patient Safety Goals\u00ae, and other accreditation requirements, including standards and elements of performance for the optional Primary Care Medical Home certification. The portable CAMCAH is spiral bound with color-coded tabs that allow you to find exactly what you need for standards compliance or survey readiness when you need it. It’s lean and light, making it a perfect on-the-go reference. Keep it handy in meetings, during orientation and training, and as a practical overview of the Joint Commission\u2019s accreditation requirements for everyone in your organization, from staff to leaders. Then, get ready to power performance improvement and excellence in your organization! Please note: The CAMCAH is delivered annually. For the most up-to-date standards throughout 2022, access your E-dition\u00ae on your Joint Commission Connect\u00ae extranet site or consider purchasing the E-dition Critical Access Hospital version. Not sure if your organization is 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. This manual won’t apply unless you meet those criteria. Key Topics: “Gold tab” standards requirements including the standards, National Patient Safety Goals, and Accreditation Participation Requirements effective January 1, 2022 “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 Keys to successfully using the manual for survey preparedness Key Features: Integrated regulatory requirements for critical access hospital recognition Icons to help navigate documentation requirements as well as risk areas “What’s New” summary of changes made since the previous edition Color-coded blue and gold tabs allow you to find exactly what you need when you need it Softcover, spiral-bound book Standards: All critical access hospital standards Setting: Critical access hospitals 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.<\/p>\n

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PDF Pages<\/th>\nPDF Title<\/th>\n<\/tr>\n
1<\/td>\nWhat\u2019s New 2022 CAMCAH <\/td>\n<\/tr>\n
2<\/td>\nIntroduction: How Joint Commission Accreditation Can Help on the Road toHigh Reliability (INTRO)
Patient Safety Systems (PS) <\/td>\n<\/tr>\n
4<\/td>\nAccreditation Requirements
Accreditation Participation Requirements (APR) <\/td>\n<\/tr>\n
5<\/td>\nEnvironment of Care (EC)
Emergency Management (EM) <\/td>\n<\/tr>\n
6<\/td>\nHuman Resources (HR)
Infection Prevention and Control (IC)
Information Management (IM) <\/td>\n<\/tr>\n
7<\/td>\nLeadership (LD)
Life Safety (LS) <\/td>\n<\/tr>\n
8<\/td>\nMedication Management (MM) <\/td>\n<\/tr>\n
9<\/td>\nMedical Staff (MS)
National Patient Safety Goals (NPSG)
Nursing (NR) <\/td>\n<\/tr>\n
10<\/td>\nProvision of Care, Treatment, and Services (PC)
Performance Improvement (PI) <\/td>\n<\/tr>\n
11<\/td>\nRecord of Care, Treatment, and Services (RC) <\/td>\n<\/tr>\n
12<\/td>\nRights and Responsibilities of the Individual (RI)
Transplant Safety (TS)
Waived Testing (WT)
Accreditation Process Information
The Accreditation Process (ACC) <\/td>\n<\/tr>\n
13<\/td>\nStandards Applicability Grid (SAG) <\/td>\n<\/tr>\n
14<\/td>\nSentinel Event Policy (SE) <\/td>\n<\/tr>\n
15<\/td>\nThe Joint Commission Quality Report (QR) <\/td>\n<\/tr>\n
16<\/td>\nPerformance Measurement and the ORYX\u00ae Initiative (PM)
Required Written Documentation (RWD
Early Survey Policy (ESP) <\/td>\n<\/tr>\n
17<\/td>\nPrimary Care Medical Home (PCMH)
Appendix A: Medicare Requirements for Critical Access Hospitals (AXA)
Appendix B: Medicare Requirements for Critical Access Hospitals withDPUs (AXB)
Glossary <\/td>\n<\/tr>\n
18<\/td>\nIndex (IX) <\/td>\n<\/tr>\n
19<\/td>\nCover <\/td>\n<\/tr>\n
20<\/td>\nCopyright <\/td>\n<\/tr>\n
21<\/td>\nContents <\/td>\n<\/tr>\n
23<\/td>\nIntroduction: How Joint Commission Accreditation Can Help on the Road to High Reliability (INTRO) <\/td>\n<\/tr>\n
24<\/td>\nI. Introduction to Joint Commission Accreditation
The Value of Joint Commission Accreditation <\/td>\n<\/tr>\n
26<\/td>\nThe Joint Commission\u2019s Critical Access Hospital Accreditation Program <\/td>\n<\/tr>\n
27<\/td>\nII. About the <\/td>\n<\/tr>\n
28<\/td>\nHow Is This Manual Organized? <\/td>\n<\/tr>\n
31<\/td>\nAccreditation Requirements <\/td>\n<\/tr>\n
33<\/td>\nAccreditation Process Information <\/td>\n<\/tr>\n
35<\/td>\nIdentifying Applicable Standards <\/td>\n<\/tr>\n
37<\/td>\nUnderstanding the Organization of the Standards Chapters <\/td>\n<\/tr>\n
40<\/td>\nUnderstanding the Icons Used in the Manual <\/td>\n<\/tr>\n
41<\/td>\nIII. Steps to Achieving and Maintaining Compliance
Become Familiar with the Standards
Use the Standards to Improve Care, Treatment, and Services <\/td>\n<\/tr>\n
42<\/td>\nAssess Compliance with the Standards <\/td>\n<\/tr>\n
44<\/td>\nStimulate Improvement <\/td>\n<\/tr>\n
47<\/td>\nKeep Current with Standards Changes via Perspectives <\/td>\n<\/tr>\n
48<\/td>\nIV. Get Extra Help
Getting Started with Accreditation
Account Executive <\/td>\n<\/tr>\n
49<\/td>\nContacting The Joint Commission
Standards Questions
Requesting Permission to Share Content from the Manual <\/td>\n<\/tr>\n
51<\/td>\nPatient Safety Systems (PS)
Quality and Safety in Health Care <\/td>\n<\/tr>\n
53<\/td>\nGoals of This Chapter <\/td>\n<\/tr>\n
54<\/td>\nBecoming a Learning Organization <\/td>\n<\/tr>\n
55<\/td>\nThe Role of Leaders in Patient Safety
Safety Culture <\/td>\n<\/tr>\n
58<\/td>\nA Fair and Just Safety Culture <\/td>\n<\/tr>\n
60<\/td>\nData Use and Reporting Systems <\/td>\n<\/tr>\n
61<\/td>\nEffective Use of Data
Collecting Data <\/td>\n<\/tr>\n
62<\/td>\nAnalyzing Data <\/td>\n<\/tr>\n
63<\/td>\nUsing Data to Drive Improvement <\/td>\n<\/tr>\n
64<\/td>\nA Proactive Approach to Preventing Harm <\/td>\n<\/tr>\n
65<\/td>\nTools for Conducting a Proactive Risk Assessment <\/td>\n<\/tr>\n
67<\/td>\nEncouraging Patient Activation <\/td>\n<\/tr>\n
68<\/td>\nBeyond Accreditation: The Joint Commission Is Your Patient Safety Partner <\/td>\n<\/tr>\n
70<\/td>\nReferences <\/td>\n<\/tr>\n
75<\/td>\nAccreditation Participation Requirements (APR)
Overview <\/td>\n<\/tr>\n
76<\/td>\nChapter Outline <\/td>\n<\/tr>\n
77<\/td>\nRequirements, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
85<\/td>\nEnvironment of Care (EC)
Overview
About This Chapter <\/td>\n<\/tr>\n
86<\/td>\nOther Issues for Consideration <\/td>\n<\/tr>\n
88<\/td>\nChapter Outline <\/td>\n<\/tr>\n
89<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
127<\/td>\nIntroduction to Standard EC.02.06.01 <\/td>\n<\/tr>\n
133<\/td>\nEmergency Management (EM)
Overview
About This Chapter <\/td>\n<\/tr>\n
135<\/td>\nChapter Outline <\/td>\n<\/tr>\n
136<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
145<\/td>\nIntroduction to Standard EM.02.02.05 <\/td>\n<\/tr>\n
151<\/td>\nIntroduction to Standards EM.02.02.13 and EM.02.02.15 <\/td>\n<\/tr>\n
160<\/td>\nIntroduction to Standard EM.04.01.01 <\/td>\n<\/tr>\n
163<\/td>\nHuman Resources (HR)
Overview
About This Chapter <\/td>\n<\/tr>\n
164<\/td>\nChapter Outline <\/td>\n<\/tr>\n
165<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
174<\/td>\nIntroduction to Standards HR.01.06.01 and HR.01.07.01 <\/td>\n<\/tr>\n
177<\/td>\nInfection Prevention and Control (IC)
Overview <\/td>\n<\/tr>\n
178<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
179<\/td>\nChapter Outline <\/td>\n<\/tr>\n
180<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standards IC.01.01.01 Through IC.01.06.01 \u2013 Planning <\/td>\n<\/tr>\n
184<\/td>\nIntroduction to Standards IC.02.01.01 Through IC.02.04.01 \u2013 Implementation <\/td>\n<\/tr>\n
188<\/td>\nIntroduction to Standard IC.02.04.01 <\/td>\n<\/tr>\n
191<\/td>\nIntroduction to Standard IC.03.01.01\u2014 Evaluation and Improvement <\/td>\n<\/tr>\n
193<\/td>\nInformation Management (IM)
Overview
About This Chapter <\/td>\n<\/tr>\n
194<\/td>\nChapter Outline <\/td>\n<\/tr>\n
195<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard IM.01.01.01 <\/td>\n<\/tr>\n
196<\/td>\nIntroduction to Standard IM.01.01.03 <\/td>\n<\/tr>\n
197<\/td>\nIntroduction to Standard IM.02.01.01 <\/td>\n<\/tr>\n
198<\/td>\nIntroduction to Standard IM.02.01.03 <\/td>\n<\/tr>\n
200<\/td>\nIntroduction to Standard IM.02.02.03 <\/td>\n<\/tr>\n
205<\/td>\nLeadership (LD)
Overview <\/td>\n<\/tr>\n
206<\/td>\nProactive Risk Assessment <\/td>\n<\/tr>\n
207<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
209<\/td>\nChapter Outline <\/td>\n<\/tr>\n
210<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Leadership Structure, Standards LD.01.01.01 Through LD.01.05.01 <\/td>\n<\/tr>\n
214<\/td>\nIntroduction to Leadership Relationships, Standards LD.02.01.01 Through LD.02.04.01 <\/td>\n<\/tr>\n
215<\/td>\nIntroduction to Standard LD.02.04.01 <\/td>\n<\/tr>\n
217<\/td>\nIntroduction to Critical Access Hospital Culture and System Performance Expectations, Standards LD.03.01.01 Through LD.03.06.01 <\/td>\n<\/tr>\n
223<\/td>\nIntroduction to Operations, Standards LD.03.07.01 Through LD.04.03.11 <\/td>\n<\/tr>\n
225<\/td>\nIntroduction to Standard LD.03.09.01 <\/td>\n<\/tr>\n
240<\/td>\nIntroduction to Oversight of Care, Treatment, and Services Provided Through Contractual Agreement, Standard LD.04.03.09 <\/td>\n<\/tr>\n
245<\/td>\nIntroduction to Standard LD.04.03.13 <\/td>\n<\/tr>\n
247<\/td>\nLife Safety (LS)
Overview
About This Chapter <\/td>\n<\/tr>\n
250<\/td>\nChapter Outline <\/td>\n<\/tr>\n
251<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard LS.01.01.01 <\/td>\n<\/tr>\n
303<\/td>\nMedication Management (MM)
Overview <\/td>\n<\/tr>\n
304<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
306<\/td>\nChapter Outline <\/td>\n<\/tr>\n
307<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
314<\/td>\nIntroduction to Standard MM.04.01.01 <\/td>\n<\/tr>\n
331<\/td>\nMedical Staff (MS)
Overview <\/td>\n<\/tr>\n
332<\/td>\nMedical Staff Structure <\/td>\n<\/tr>\n
333<\/td>\nChapter Outline <\/td>\n<\/tr>\n
334<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard MS.01.01.01 <\/td>\n<\/tr>\n
340<\/td>\nIntroduction to Standard MS.03.01.01 <\/td>\n<\/tr>\n
346<\/td>\nIntroduction to Standard MS.06.01.01 <\/td>\n<\/tr>\n
348<\/td>\nIntroduction to Standard MS.06.01.03 <\/td>\n<\/tr>\n
352<\/td>\nIntroduction to Standard MS.06.01.05 <\/td>\n<\/tr>\n
358<\/td>\nIntroduction to Standard MS.08.01.01 <\/td>\n<\/tr>\n
360<\/td>\nIntroduction to Standard MS.08.01.03 <\/td>\n<\/tr>\n
362<\/td>\nIntroduction to Standard MS.13.01.01 <\/td>\n<\/tr>\n
367<\/td>\nNational Patient Safety Goals (NPSG)
Chapter Outline <\/td>\n<\/tr>\n
368<\/td>\nRequirements, Rationales, and Elements of Performance
Goal 1 <\/td>\n<\/tr>\n
369<\/td>\nGoal 2 <\/td>\n<\/tr>\n
370<\/td>\nGoal 3 <\/td>\n<\/tr>\n
373<\/td>\nIntroduction to Reconciling Medication Information <\/td>\n<\/tr>\n
376<\/td>\nGoal 6 <\/td>\n<\/tr>\n
377<\/td>\nGoal 7 <\/td>\n<\/tr>\n
378<\/td>\nGoal 15 <\/td>\n<\/tr>\n
380<\/td>\nIntroduction to the Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery\u2122 <\/td>\n<\/tr>\n
382<\/td>\nIntroduction to UP.01.02.01 <\/td>\n<\/tr>\n
387<\/td>\nNursing (NR)
Overview <\/td>\n<\/tr>\n
388<\/td>\nChapter Outline <\/td>\n<\/tr>\n
389<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
393<\/td>\nProvision of Care, Treatment, and Services (PC)
Overview <\/td>\n<\/tr>\n
394<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
395<\/td>\nChapter Outline <\/td>\n<\/tr>\n
396<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard PC.01.02.01 <\/td>\n<\/tr>\n
401<\/td>\nIntroduction to Standard PC.01.02.07 <\/td>\n<\/tr>\n
404<\/td>\nIntroduction to Standard PC.01.02.09 <\/td>\n<\/tr>\n
405<\/td>\nIntroduction to Standard PC.01.02.13 <\/td>\n<\/tr>\n
409<\/td>\nIntroduction to Standard PC.01.03.01 <\/td>\n<\/tr>\n
417<\/td>\nIntroduction to Standard PC.02.02.01 <\/td>\n<\/tr>\n
419<\/td>\nIntroduction to Standard PC.02.03.01 <\/td>\n<\/tr>\n
424<\/td>\nIntroduction to Standards PC.03.01.01 Through PC.03.01.07 <\/td>\n<\/tr>\n
445<\/td>\nPerformance Improvement (PI)
Overview
About This Chapter <\/td>\n<\/tr>\n
447<\/td>\nChapter Outline <\/td>\n<\/tr>\n
448<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard PI.01.01.01 <\/td>\n<\/tr>\n
451<\/td>\nIntroduction to Standard PI.03.01.01 <\/td>\n<\/tr>\n
455<\/td>\nRecord of Care, Treatment, and Services (RC)
Overview
About This Chapter <\/td>\n<\/tr>\n
456<\/td>\nChapter Outline <\/td>\n<\/tr>\n
457<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
467<\/td>\nRights and Responsibilities of the Individual (RI)
Overview
About This Chapter <\/td>\n<\/tr>\n
469<\/td>\nChapter Outline <\/td>\n<\/tr>\n
470<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard RI.01.01.01 <\/td>\n<\/tr>\n
472<\/td>\nIntroduction to Standard RI.01.01.03 <\/td>\n<\/tr>\n
485<\/td>\nTransplant Safety (TS)
Overview <\/td>\n<\/tr>\n
486<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
487<\/td>\nChapter Outline <\/td>\n<\/tr>\n
488<\/td>\nStandards, Rationales, and Elements of Performance
Introduction to Standard TS.01.01.01 <\/td>\n<\/tr>\n
491<\/td>\nIntroduction to Standards TS.03.01.01, TS.03.02.01, and TS.03.03.01 <\/td>\n<\/tr>\n
497<\/td>\nWaived Testing (WT)
Overview <\/td>\n<\/tr>\n
498<\/td>\nAbout This Chapter <\/td>\n<\/tr>\n
500<\/td>\nChapter Outline <\/td>\n<\/tr>\n
501<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
507<\/td>\nThe Accreditation Process (ACC)
Notices
ACC Chapter Contents <\/td>\n<\/tr>\n
509<\/td>\nOverview
General Eligibility Requirements <\/td>\n<\/tr>\n
510<\/td>\nInitial Surveys <\/td>\n<\/tr>\n
511<\/td>\nScope of Accreditation Surveys
Accreditation Policies
Tailored Survey Policy <\/td>\n<\/tr>\n
512<\/td>\nComplex Organization Survey Process <\/td>\n<\/tr>\n
513<\/td>\nOrganizational and Functional Integration <\/td>\n<\/tr>\n
516<\/td>\nInclusion of Physician Practices in Survey
Multiorganization Option
Concurrent Survey Option <\/td>\n<\/tr>\n
517<\/td>\nContracted Services
Integrated Care Certification Option <\/td>\n<\/tr>\n
518<\/td>\nPrimary Care Medical Home Certification Option <\/td>\n<\/tr>\n
519<\/td>\nPatient Blood Management Certification Option <\/td>\n<\/tr>\n
520<\/td>\nSurvey Postponement Policy
Information Accuracy and Truthfulness Policy <\/td>\n<\/tr>\n
521<\/td>\nPolicy Requirements <\/td>\n<\/tr>\n
522<\/td>\nGood Faith Participation in Accreditation\/ Certification <\/td>\n<\/tr>\n
523<\/td>\nPublic Information Policy <\/td>\n<\/tr>\n
524<\/td>\nProcess for Responding to a Complaint <\/td>\n<\/tr>\n
525<\/td>\nEarly Survey Policy <\/td>\n<\/tr>\n
526<\/td>\nEligibility for Limited, Temporary Accreditation <\/td>\n<\/tr>\n
528<\/td>\nBefore the Survey
An Organization\u2019s Secure Joint Commission Connect Extranet Site
EnsuringJoint Commission Connect Security <\/td>\n<\/tr>\n
529<\/td>\nRole of Consultants
Role of the Account Executive
Electronic Application for Accreditation (E-App) <\/td>\n<\/tr>\n
530<\/td>\nAccuracy of the Application Information
Forfeiture of Survey Deposit <\/td>\n<\/tr>\n
531<\/td>\nAccreditation\/Certification Contract and Business Associate Agreement <\/td>\n<\/tr>\n
532<\/td>\nAnnual and Survey Fees <\/td>\n<\/tr>\n
533<\/td>\nDuring the Survey
Survey Notification <\/td>\n<\/tr>\n
536<\/td>\nInitial and Full Survey Team Composition
Life Safety Code
Surveyor Scope of Survey
Survey Agenda <\/td>\n<\/tr>\n
541<\/td>\nTracer Methodology
Accreditation Program\u2013Specific Tracer <\/td>\n<\/tr>\n
542<\/td>\nIndividual Tracer Activity <\/td>\n<\/tr>\n
543<\/td>\nRisk Areas <\/td>\n<\/tr>\n
544<\/td>\nSystem Tracer Activity <\/td>\n<\/tr>\n
545<\/td>\nThe Role of Staff in Tracer Methodology
Immediate Threat to Health or Safety <\/td>\n<\/tr>\n
549<\/td>\nImmediate Threat to Health or Safety During Initial Survey
Summary of the Accreditation Reports <\/td>\n<\/tr>\n
550<\/td>\nAfter the Survey
The Scoring Process <\/td>\n<\/tr>\n
551<\/td>\nHow Accreditation Decisions Are Made <\/td>\n<\/tr>\n
553<\/td>\nAccreditation Decisions for Organizations Seeking Renewal <\/td>\n<\/tr>\n
554<\/td>\nDecision Outcomes for Organizations Seeking Initial Accreditation <\/td>\n<\/tr>\n
555<\/td>\nAccreditation Effective Dates <\/td>\n<\/tr>\n
556<\/td>\nWithdrawing or Closing After Undergoing a Resurvey
Evidence of Standards Compliance (ESC) Process <\/td>\n<\/tr>\n
557<\/td>\nClarifying ESC <\/td>\n<\/tr>\n
558<\/td>\nCorrective ESC <\/td>\n<\/tr>\n
559<\/td>\nAccreditation Award Display and Use <\/td>\n<\/tr>\n
561<\/td>\nRecommendation Letter for Critical Access Hospitals That Use Joint Commission Accreditation for Deemed Status Purposes
Between Accreditation Surveys
Duration of Accreditation Award <\/td>\n<\/tr>\n
562<\/td>\nContinuous Compliance
Intracycle Monitoring (ICM) <\/td>\n<\/tr>\n
563<\/td>\nFocused Standards Assessment (FSA) <\/td>\n<\/tr>\n
565<\/td>\nPlan of Action (POA)
Sentinel Event Follow-up
Notifying The Joint Commission About Organization Changes <\/td>\n<\/tr>\n
566<\/td>\nChanges Affecting E-App Information <\/td>\n<\/tr>\n
567<\/td>\nChanges to the Site of Care, Treatment, or Services
Mergers, Consolidations, and Acquisitions
Accreditation Status of Organizations That Cease Services After a Disaster|||||||||||| <\/td>\n<\/tr>\n
569<\/td>\nAccreditation Status of Organizations That Cease Services or Do Not Have Patients for a Period of Time <\/td>\n<\/tr>\n
570<\/td>\nReentering the Accreditation Process
Additional Surveys
Extension Surveys <\/td>\n<\/tr>\n
571<\/td>\nFor-Cause Surveys <\/td>\n<\/tr>\n
572<\/td>\nRandom Validation of Evidence of Standards Compliance
Follow-up Survey for a Condition-level Deficiency <\/td>\n<\/tr>\n
573<\/td>\nDecision Rules for Organizations Seeking Initial Accreditation
Accredited <\/td>\n<\/tr>\n
574<\/td>\nPrimary Care Medical Home Certification
Limited, Temporary Accreditation
Evidence of Standards Compliance (ESC) <\/td>\n<\/tr>\n
575<\/td>\nOne-Month Survey
Medicare Deficiency Follow-up Survey
Denial of Accreditation <\/td>\n<\/tr>\n
577<\/td>\nDecision Rules for Organizations Seeking Reaccreditation
Accredited
Primary Care Medical Home Certification <\/td>\n<\/tr>\n
578<\/td>\nEvidence of Standards Compliance (ESC)
One-Month Survey
Medicare Deficiency Follow-up Survey
Accreditation with Follow-up Survey <\/td>\n<\/tr>\n
580<\/td>\nPreliminary Denial of Accreditation <\/td>\n<\/tr>\n
581<\/td>\nDenial of Accreditation <\/td>\n<\/tr>\n
582<\/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
584<\/td>\nProcess for Organizations That Meet Decision Rule PDA04 <\/td>\n<\/tr>\n
585<\/td>\nReview and Appeal Procedures
I. Evaluation by Joint Commission Staff <\/td>\n<\/tr>\n
586<\/td>\nII. Accreditation with Follow-up Survey <\/td>\n<\/tr>\n
587<\/td>\nIII. Review Hearings <\/td>\n<\/tr>\n
588<\/td>\nIV. Following a Review Hearing <\/td>\n<\/tr>\n
589<\/td>\nV. Final Review &Appeal Request <\/td>\n<\/tr>\n
591<\/td>\nStandards Applicability Grid (SAG) <\/td>\n<\/tr>\n
629<\/td>\nSentinel Event Policy (SE) <\/td>\n<\/tr>\n
630<\/td>\nGoals of the Sentinel Event Policy <\/td>\n<\/tr>\n
631<\/td>\nIdentifying Sentinel Events <\/td>\n<\/tr>\n
635<\/td>\nDetermining That a Sentinel Event Is Subject to Review <\/td>\n<\/tr>\n
636<\/td>\nRelationship to the Survey Process <\/td>\n<\/tr>\n
637<\/td>\nRequired Organization Response to a Sentinel Event <\/td>\n<\/tr>\n
638<\/td>\nReporting a Sentinel Event to The Joint Commission <\/td>\n<\/tr>\n
640<\/td>\nConducting a Comprehensive Systematic Analysis <\/td>\n<\/tr>\n
641<\/td>\nDeveloping a Corrective Action Plan <\/td>\n<\/tr>\n
642<\/td>\nSubmitting the Comprehensive Systematic Analysis and Corrective Action Plan <\/td>\n<\/tr>\n
645<\/td>\nThe Joint Commission\u2019s Response
Review of Comprehensive Systematic Analyses and Corrective Action Plans <\/td>\n<\/tr>\n
646<\/td>\nFollow-up Activities <\/td>\n<\/tr>\n
647<\/td>\nSentinel Event Measures of Success
Optional On-Site Review of a Sentinel Event <\/td>\n<\/tr>\n
648<\/td>\nDisclosable Information
Handling Sentinel Event\u2013Related Documents
The Sentinel Event Database <\/td>\n<\/tr>\n
649<\/td>\nOverseeing the Sentinel Event Policy <\/td>\n<\/tr>\n
651<\/td>\nThe Joint Commission Quality Report (QR)
Introduction
What Is The Joint Commission Quality Report? <\/td>\n<\/tr>\n
652<\/td>\nWhat Will My Quality Report Contain? <\/td>\n<\/tr>\n
653<\/td>\nWhat Is Quality Check? <\/td>\n<\/tr>\n
654<\/td>\nIs a Quality Report Available for My Accredited Critical Access Hospital?
Can My Critical Access Hospital Comment on Its Quality Report?
How Does My Critical Access Hospital Submit a Commentary?
Are There Any Criteria That Must Be Met in a Commentary? <\/td>\n<\/tr>\n
655<\/td>\nWhat Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality? <\/td>\n<\/tr>\n
656<\/td>\nGuidelines for Publicizing Compliance with the National Patient Safety Goals <\/td>\n<\/tr>\n
657<\/td>\nInformation Released by The Joint Commission
Guidelines for Publication <\/td>\n<\/tr>\n
659<\/td>\nPerformance Measurement and the ORYX Initiative (PM)
Overview
The Continued Role of ORYX <\/td>\n<\/tr>\n
660<\/td>\nAccelerate PI\u2122 <\/td>\n<\/tr>\n
661<\/td>\nUse of Performance Measure Data
Current Requirements for Critical Access Hospitals <\/td>\n<\/tr>\n
663<\/td>\nRequired Written Documentation (RWD) <\/td>\n<\/tr>\n
664<\/td>\nList of EPs Requiring Written Documentation for Critical Access Hospitals by Service
Acute <\/td>\n<\/tr>\n
667<\/td>\nInpatient Rehab Distinct Part Unit <\/td>\n<\/tr>\n
668<\/td>\nPsychiatric Distinct Part Unit <\/td>\n<\/tr>\n
670<\/td>\nSwing Beds <\/td>\n<\/tr>\n
671<\/td>\nEarly Survey Policy (ESP) <\/td>\n<\/tr>\n
683<\/td>\nPrimary Care Medical Home Certification Option (PCMH)
Overview
Primary Care Medical Home Model <\/td>\n<\/tr>\n
684<\/td>\nI. Patient-Centered Care
II. Comprehensive Care <\/td>\n<\/tr>\n
685<\/td>\nIII. Coordinated Care <\/td>\n<\/tr>\n
686<\/td>\nIV. Superb Access to Care
V. Systems-Based Approach to Quality and Safety <\/td>\n<\/tr>\n
687<\/td>\nStandards, Rationales, Elements of Performance, and Scoring Specific to the Primary Care Medical Home Certification Option
I. Patient-Centered Care
Leadership (LD) <\/td>\n<\/tr>\n
689<\/td>\nProvision of Care, Treatment, and Services (PC) <\/td>\n<\/tr>\n
692<\/td>\nRecord of Care, Treatment, and Services (RC) <\/td>\n<\/tr>\n
693<\/td>\nRights and Responsibilities of the Individual (RI) <\/td>\n<\/tr>\n
701<\/td>\nII. Comprehensive Care
Leadership (LD)
Medical Staff (MS) <\/td>\n<\/tr>\n
702<\/td>\nProvision of Care, Treatment, and Services (PC) <\/td>\n<\/tr>\n
704<\/td>\nIII. Coordinated Care
Human Resources (HR)
Medical Staff (MS)
Provision of Care, Treatment, and Services (PC) <\/td>\n<\/tr>\n
709<\/td>\nRecord of Care, Treatment, and Services (RC) <\/td>\n<\/tr>\n
710<\/td>\nIV. Superb Access to Care
Provision of Care, Treatment, and Services (PC) <\/td>\n<\/tr>\n
711<\/td>\nV. Systems-Based Approach to Quality and Safety
Leadership (LD) <\/td>\n<\/tr>\n
715<\/td>\nMedication Management (MM) <\/td>\n<\/tr>\n
716<\/td>\nProvision of Care, Treatment, and Services (PC)
Performance Improvement (PI) <\/td>\n<\/tr>\n
719<\/td>\nAppendix A: Medicare Requirements for Critical Access Hospitals (AXA)
485.610 Condition of Participation: Status and Location <\/td>\n<\/tr>\n
720<\/td>\n485.616 Condition of Participation: Agreements <\/td>\n<\/tr>\n
723<\/td>\n485.627 Condition of Participation: Organizational Structure
485.635 Condition of Participation: Provision of Services <\/td>\n<\/tr>\n
724<\/td>\n485.641 Condition of Participation: Periodic Evaluation and Quality Assurance Review <\/td>\n<\/tr>\n
725<\/td>\nAppendix B: Medicare Requirements for Critical Access Hospitals with DPUs (AXB)
Part 409 Subpart B\u2014Inpatient Hospital Services and Inpatient Critical Access Hospital Services <\/td>\n<\/tr>\n
726<\/td>\n409.17: Physical Therapy, Occupational Therapy, and Speech-Language Pathology Services <\/td>\n<\/tr>\n
727<\/td>\n412.25 Excluded Hospital Units: Common Requirements <\/td>\n<\/tr>\n
729<\/td>\n412.29 Excluded Rehabilitation Units: Additional Requirements <\/td>\n<\/tr>\n
730<\/td>\n412.30 Exclusion of New Rehabilitation Units and Expansion of Units Already Excluded <\/td>\n<\/tr>\n
732<\/td>\n482.12 Condition of Participation: Governing Body <\/td>\n<\/tr>\n
733<\/td>\n482.22 Condition of Participation: Medical Staff <\/td>\n<\/tr>\n
735<\/td>\n482.24 Condition of Participation: Medical Record Services <\/td>\n<\/tr>\n
736<\/td>\n482.27 Condition of Participation: Laboratory Services <\/td>\n<\/tr>\n
740<\/td>\n482.30 Condition of Participation: Utilization Review <\/td>\n<\/tr>\n
743<\/td>\n482.51 Condition of Participation: Surgical Services <\/td>\n<\/tr>\n
745<\/td>\nGlossary (GL) <\/td>\n<\/tr>\n
787<\/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
Joint Commission<\/b><\/a><\/td>\n2022<\/td>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"featured_media":390591,"template":"","meta":{"rank_math_lock_modified_date":false,"ep_exclude_from_search":false},"product_cat":[2851],"product_tag":[],"class_list":{"0":"post-390585","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\/390585","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\/390591"}],"wp:attachment":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/media?parent=390585"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_cat?post=390585"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_tag?post=390585"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}