2008 Standards FAQs

Standards Frequently Asked Questions
Accreditation Manual for Critical Access Hospitals (AMCAH)


Ethics, Rights and Responsibilities


Individual Rights

Organ DonationEffectiveJan 17, 2006
Patient Rights and Informed Consent When Videotaping or FilmingUpdatedMar 15, 2002

Provision of Care, Treatment and Services


Assessment

Delegation of the History and Physical ExaminationRevisedApr 01, 2005
Pre-Induction Assessment For Sedation And AnesthesiaRevisedApr 01, 2005
Patient/Client Self Glucose TestingRevisedApr 01, 2005
Physician Competency For Waived & P.P.M.P. TestingUpdatedJan 10, 2007
History and Physical for SurgeryRevisedJun 16, 2006
Waived Testing LogsRevisedApr 01, 2005
Screening Vs. DefinitiveRevisedApr 01, 2005
Reference Ranges In Medical/Clinical RecordEffectiveJan 07, 2005
Reagents Stored With Medications Or SpecimensEffectiveJan 18, 2005
Professional Vs. Home Use Tests (Glucose Meters, Etc.)EffectiveOct 12, 2004
Provider Performed Microscopy Procedures (P.P.M.P.)RevisedApr 01, 2005
Color-Blind TestingEffectiveMay 29, 2003
Breathalyzers, Continuous Glucose Monitoring Systems, Pulse Oximeters & Transcutaneous BilirubinometersRevisedApr 01, 2005
H&P From Non-Medical Staff MemberRevisedApr 01, 2005

Operative/High-Risk Procedures/Sedation/Anesthesia

Permission to Administer Moderate SedationRevisedApr 13, 2005
Procedures Requiring Surgical Site MarkingUpdatedDec 16, 2004
Moderate Sedation Medication and Patient MonitoringRevisedJan 22, 2004

Control of Infection


The IC Program and Its Components

Infection Control Applicability To Offsite Interpretive Reading ProvidersEffectiveMay 21, 2007
Licensed Independent Practitioner Health ScreeningEffectiveAug 02, 2006
Food And Drinks In Patient Care AreasEffectiveJun 13, 2007

Leadership


Leadership

Annual Requirements in New StandardsRevisedFeb 15, 2005

Management of Environment of Care


Planning and Implementation Activities

Security of Syringes and NeedlesEffectiveOct 13, 2005
Eyewashes - Frequency of FlushingEffectiveJun 09, 2004
Undersink StorageEffectiveApr 26, 2005
Staff Only RefrigeratorsEffectiveFeb 09, 2001
Disaster DrillsRevisedApr 13, 2005

Management of Human Resources


Planning

Credentialing Non-Medical Staff Member Licensed Independent Practitioners Who Order tests and Treatments from a Joint Commission Accredited OrganizationRevisedJun 23, 2006
Peer ReferencesRevisedApr 01, 2005
Human Resource Standards Applicability to Contracted and Volunteer PersonnelUpdatedApr 01, 2005
Primary Source VerificationEffectiveApr 01, 2005
Verification of Credentials InformationEffectiveSep 14, 2001

Management of Information


Confidentiality and Security

Medical Records Security After HoursUpdatedJun 13, 2007

Information Management Planning

Acceptable Abbreviation ListRevisedApr 01, 2005

Patient/Resident Specific Information

One LIP Signing for AnotherEffectiveFeb 14, 2002
Authentication Using A Single DocumentRevisedApr 01, 2005
Authentication of DocumentationRevisedApr 13, 2005

Medical Staff


Credentialing, Privileging and Appointment

Primary Source Verification of Education for Licensed Independent PractionersEffectiveJan 04, 2008
Core/Bundled PrivilegesNewApr 01, 2008