Helping Health Care Organizations Help Patients

FAQs

Standards Frequently Asked Questions
Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC)

Status Definitions

Provision of Care

Operative/High Risk Procedures/Sedation/Anesthesia

Pre-Induction Assessment For Sedation And Anesthesia	Revised	Apr 01, 2005

Restraint and Seclusion

Restraint and Seclusion	Revised	Apr 01, 2005

Screening/Assessment

Medical Students Doing H&P	Revised	May 13, 2008

H&P from Non-Credentialed LIPs	Updated	Dec 17, 2007

Authentication of H&P in 24 hours	Revised	Apr 18, 2005

LPNs Performing Assessment	Effective	Sep 14, 2001

Breathalyzers, Continuous Glucose Monitoring Systems, Pulse Oximeters & Transcutaneous Bilirubinometers	Revised	Apr 01, 2005

Delegation of the History and Physical Examination	Revised	Apr 01, 2005

Content of the History and Physical	Revised	Apr 01, 2005

Waived Testing

Waived Testing & Proficiency Testing	New	Aug 20, 2008

Patient/Client Self Glucose Testing	Revised	Apr 01, 2005

Physician Competency For Waived & P.P.M.P. Testing	Updated	Jan 10, 2007

Survey Of Urine Drug Testing In A Behavioral Health Care Facility	Effective	Oct 31, 2006

Waived Testing Logs	Revised	Apr 01, 2005

Screening Vs. Definitive	Revised	Apr 01, 2005

Reference Ranges In Medical/Clinical Record	Effective	Jan 07, 2005

Reagents Stored With Medications Or Specimens	Effective	Jan 18, 2005

Professional Vs. Home Use Tests (Glucose Meters, Etc.)	Effective	Oct 12, 2004

Provider Performed Microscopy Procedures (P.P.M.P.)	Revised	Apr 01, 2005

Medication Management

Selection and Procurement

Annual Review of Formulary or Drug List	Effective	Aug 02, 2005

Ordering and Transcribing

Diagnosis, Condition, Indication-For-Use In Order	Effective	Aug 08, 2005

Strength And Dosage Form Listing	Effective	Aug 24, 2005

Reordering Medications At Transfer	Effective	Aug 17, 2005

High Risk Medication

Define "Concentrated Kcl"	Effective	Aug 04, 2005

Client-Specific Information

Minimum Patient Information - Medication	Effective	Jun 29, 2005

Monitoring

Monitoring Patient Response	Effective	Aug 15, 2005

Storage

Medication Refrigerator Temperature Logs	Effective	Aug 15, 2005

Leadership

Credentialing And Privileging For Providers From Joint Commission Accredited Organization	Effective	Jul 19, 2005

Annual Requirements in New Standards	Revised	Feb 15, 2005

Management of Environment of Care

Measuring and Improving Activities

Undersink Storage	Effective	Apr 26, 2005

Tabletop Drills	Effective	Oct 31, 2005

Standpipe Fire Hose Testing	Revised	Apr 01, 2005

One-Time Extension Based on Unforeseen Conditions	Effective	Nov 07, 2000

Planning and Implementation Activities

Security of Syringes and Needles	Effective	Oct 13, 2005

Temporary Construction Barriers	Revised	Apr 01, 2005

Trash Cans	Revised	Apr 01, 2005

Use of Consultants	Effective	Feb 09, 2001

Utility System and Acquired Illness	Revised	Jan 01, 2004

Staff Only Refrigerators	Effective	Feb 09, 2001

Management Plans in Business Occupancies	Revised	Apr 01, 2005

Hazardous Material	Effective	Oct 31, 2000

Exit Maps	Effective	Oct 31, 2000

Emergency Management	Revised	Apr 01, 2005

EC Management Plans in Several Settings	Effective	Feb 09, 2001

Management of Human Resources

Credentialing and Assignment of Clinical Responsibilities

Primary Source Verification of Education for Licensed Independent Practioners	Effective	Jan 04, 2008

Reappointment Assigned Clinical Responsibilities Dates	Revised	Apr 01, 2005

Credentialing and Privileging in Hospital-Based* Behavioral Health Care settings surveyed under the Comprehensive Accreditation Manual for Behavioral Health Care	Updated	Mar 25, 2002

Verifying Work Experience	Revised	Apr 01, 2005

Verification of Credentials Information	Effective	Sep 14, 2001

Time Periods for Completing the Credentialing Process	Revised	Apr 01, 2005

Permission to Administer Moderate Sedation	Revised	Apr 01, 2005

Peer References	Revised	Apr 01, 2005

Planning

Human Resource Standards Applicability to Contracted and Volunteer Personnel	Updated	Apr 01, 2005

Primary Source Verification	Effective	Apr 01, 2005

Requirements for Criminal Background Checks	Revised	Apr 01, 2005

Management of Information

Client-Specific Information

One LIP Signing for Another	Effective	Feb 14, 2002

Authentication Using A Single Document	Revised	Apr 01, 2005

Authentication of Documentation	Revised	Apr 13, 2005

Clinical Data and Information

Authentication of the H&P in 24 Hours	Updated	Mar 14, 2002

Confidentiality and Security

Medical Records Security After Hours	Updated	Jun 13, 2007

Information Management Processes

Acceptable Abbreviation List	Revised	Apr 01, 2005

Standards Frequently Asked Questions Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC)

Provision of Care

Operative/High Risk Procedures/Sedation/Anesthesia

Restraint and Seclusion

Screening/Assessment

Waived Testing

Medication Management

Selection and Procurement

Ordering and Transcribing

High Risk Medication

Client-Specific Information

Monitoring

Storage

Leadership

Leadership

Management of Environment of Care

Measuring and Improving Activities

Planning and Implementation Activities

Management of Human Resources

Credentialing and Assignment of Clinical Responsibilities

Planning

Management of Information

Client-Specific Information

Clinical Data and Information

Confidentiality and Security

Information Management Processes

Standards Frequently Asked Questions
Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC)