Author: Jean S. Clark

Publisher: Hcpro, a Division of Simplify Compliance

Published: 2013-12-17

Total Pages: 0

ISBN-13: 9781615693245

The Joint Commission Survey Coordinator's Handbook, 15th EditionJean S. Clark, RHIA, CSHA; Jodi L. Eisenberg, MHA, CPHQ, CPMSM, CSHA The Joint Commission Survey Coordinator's Handbook is the trusted resource thousands of accreditation professionals have relied on for years. This updated guide is the one-stop shop for new and experienced accreditation professionals. The book not only provides insider information on how to prepare for, survive, and respond to a hospital survey, it also provides historical context about the accreditation process to help new and veteran survey coordinators understand the why as well as the how. The Survey Coordinator's Handbook features practical tools to prepare your organization, useful methods to keep things running smoothly during your survey, and tips and advice on how to follow up after the surveyors have left. The book also includes tools and sample documents that hospitals can use for their accreditation survey process. Benefits: All the information survey coordinators need to get up to speed on Joint Commission preparation Chapter-by-chapter tips for survey readiness and compliance Advice from industry veterans on what to do before, during, and after your survey visit Overviews of problematic survey components Follow-up tips for post-survey actions What's New: Reviews the most recent Joint Commission and CMS requirements for hospital survey. Each year there are large and small updates to the standards and regulations hospitals have to comply with, as well as cultural and process changes to the survey itself. The 15th edition compiles and explains in no-frills language exactly how your next Joint Commission visit will differ from your last and what you need to know before surveyors arrive. Table of Contents: Chapter 1: Accreditation at a Glance Chapter 2: Standard and Element of Performance Updates Chapter 3: Problematic Standards to Meet Chapter 4: Risk Reduction Strategies to Demonstrate Compliance Chapter 5: Life Safety Code® Compliance for the Non-Engineer Chapter 6: Preparation for Survey Chapter 7: After Your On-Site Survey Chapter 8: Ongoing Compliance Readiness Chapter 9: The Clarification Process Appendix: Tools, policies, and more Appendix A: Joint Commission Survey Tracer Appendix B: Joint Commission Survey Duties Checklist Appendix C: Risk Assessment Policy Process Appendix D: Risk Assessment Form: Infection Control Appendix E: Inpatient Medical Record Review Tool Appendix F: Infection Control Monitoring Tool Appendix G: Infection Control Team Rounds Tool Appendix H: Construction Risk Tool Appendix I: Required Education Summary Appendix J: QAPI Plan Appendix K: Tracer Worksheet Survey Appendix L: Joint Commission Documentation Checklist Appendix M: Sample Pain Procedures/Outpatient Pain Management Policy Appendix N: Documentation Requirement Checklist