|
Standards FAQs
Standards Frequently Asked Questions
Comprehensive Accreditation Manual for Hospitals (CAMH)
Status Definitions
Emergency ManagementEnvironment of Care
| Defibrillators - Life Support or Non-life Support Equipment | New | Jun 15, 2009 |
|
| Designating Controlled and/or Sensitive Areas | New | Jan 13, 2009 |
|
| Environment of Care Management Plans in Several Settings | Updated | Nov 24, 2008 |
|
| Eyewashes - Frequency of Flushing | Updated | Nov 24, 2008 |
|
| Hazardous Material | Updated | Nov 24, 2008 |
|
| Identification Badge Requirements | New | Jan 13, 2009 |
|
| Infant or Pediatric Abduction Drills | New | Jan 13, 2009 |
|
| Installation of Call Buttons | Revised | Aug 07, 2009 |
|
| Labeling Oxygen and other Compressed Gas Cylinders | New | Nov 24, 2008 |
|
| Locking of Electrical Panels | New | Nov 24, 2008 |
|
| Locking Soiled Utility Rooms | New | Nov 24, 2008 |
|
| Maintaining Medical Waste Manifests | New | Jan 13, 2009 |
|
| Maintaining Supplies During An Emergency | New | Mar 09, 2009 |
|
| Management Plans in Business Occupancies | Updated | Nov 24, 2008 |
|
| Material Safety Data Sheets (MSDS) Requirements | Updated | Sep 04, 2009 |
|
| Material Safety Data Sheet (MSDS) Alternatives | New | Jan 13, 2009 |
|
| Mounting Sharps Boxes/Containers | Revised | Mar 09, 2009 |
|
| Patient Owned Equipment | New | Nov 24, 2008 |
|
| Placement of Alcohol Based Hand Rub (ABHR) Dispensers | New | Nov 24, 2008 |
|
| Posting of No Smoking Signs | New | Jan 13, 2009 |
|
| Security of Syringes and Needles | Updated | Nov 24, 2008 |
|
| Smoking Distance Requirements | New | Jan 13, 2009 |
|
| Smoke-free Campus | New | Nov 24, 2008 |
|
| Staff Only Refrigerators | Updated | Nov 24, 2008 |
|
| Standpipe Fire Hose Testing | Updated | Nov 24, 2008 |
|
| SOC: PFI or Work Order? | New | Jan 06, 2009 |
|
| Undersink Storage | Updated | Jun 29, 2009 |
|
| Utility System and Acquired Illness | Updated | Nov 24, 2008 |
|
| Use of Fans | Updated | May 18, 2009 |
|
Human ResourcesInfection Prevention and ControlInformation ManagementLeadershipLife SafetyMedical Staff
| Documenting CME's | Updated | Nov 24, 2008 |
|
| Core/Bundled Privileges | Updated | Nov 24, 2008 |
|
| Credentialing Non-Medical Staff Member Licensed Independent Practitioners Who Order tests and Treatments from a Joint Commission Accredited Organization | Updated | Nov 24, 2008 |
|
| Credentialing and Privileging in Hospital-Based* Long Term Care surveyed under the Comprehensive Accreditation Manual for Long Term Care | Updated | Nov 24, 2008 |
|
| Credentialing and Privileging in Hospital-Based* Behavioral Health Care settings surveyed under the Comprehensive Accreditation Manual for Behavioral Health Care | Updated | Nov 24, 2008 |
|
| Delegation of the History and Physical Examination | Updated | Nov 24, 2008 |
|
| Expediting the MEC Function | Updated | Nov 24, 2008 |
|
| Focused Professional Practice Evaluation | Revised | Oct 13, 2008 |
|
| History And Physical For Hospital Outpatient Procedures | Updated | Nov 24, 2008 |
|
| Medical Students Doing H&P | Updated | Nov 24, 2008 |
|
| Ongoing Professional Practice Evaluation (OPPE) | Updated | Mar 15, 2010 |
|
| Ongoing Professional Practice Evaluation for Medical/Cognitive Specialties | Updated | Mar 15, 2010 |
|
| Organ Procurement Team Privileging | Updated | Nov 24, 2008 |
|
| Peer References | Updated | Nov 24, 2008 |
|
| Permission to Administer Moderate Sedation | Updated | Jul 07, 2010 |
|
| Podiatrists and Dentists Performing the Entire History and Physical for Inpatient and Outpatient Care | Updated | Nov 24, 2008 |
|
| Primary Source Verification of Education for Licensed Independent Practitioners | Updated | Nov 24, 2008 |
|
| Privileging for Tele-interpretive reading or Telemedicine for Deemed Status Organizations | New | Mar 24, 2010 |
|
| Querying the National Practitoner Databank Using the "Proactive Disclosure Service" (PDS) | New | Mar 16, 2010 |
|
| Reappointment/Reprivileging Dates | Updated | Nov 24, 2008 |
|
| Time Periods for Completing the Credentialing Process | Updated | Nov 24, 2008 |
|
| Using Data from Outside Organizations to Accomplish the Ongoing Professional Practice Evaluation/Low Volume Practitioners | Updated | Mar 23, 2010 |
|
| Verifying Affiliations/Privlege or Work History at other Healthcare Organizations | New | Mar 24, 2010 |
|
Medication Management
| Define Concentrated KCL | Revised | Nov 24, 2008 |
|
| Diagnosis, Condition, Indication-For-Use In Order | Updated | Nov 24, 2008 |
|
| Medication Refrigeration Temperature Logs | Updated | Nov 24, 2008 |
|
| Monitoring Patient Response | Updated | Nov 24, 2008 |
|
| Multi-dose Vials | New | Jul 20, 2010 |
|
| Pharmacy Review for Licensed Independent Practitioner (LIP) Controlled Medicaton | Revised | Nov 24, 2008 |
|
| Sample Medications | Updated | Nov 24, 2008 |
|
| Security of Anesthesia Cart Medications | Updated | Nov 24, 2008 |
|
| Strength and Dosage Form Listing | Updated | Nov 24, 2008 |
|
National Patient Safety GoalsNPSG 1 - Patient IdentificationNPSG.01.01.01NPSG.01.03.01NPSG 2 - Communication Among CaregiversNPSG.02.03.01NPSG 3 - Medication SafetyNPSG.03.04.01NPSG.03.05.01NPSG 7 - Health Care-Associated InfectionsNPSG.07.01.01NPSG.07.03.01NPSG.07.04.01NPSG.07.05.01NPSG 15 - Focused Risk Assessment (Suicide; Home Fires)NPSG.15.01.01Performance ImprovementProvision of Care, Treatment, and Services
| Adverse Tissue Reaction Policies | Updated | Nov 24, 2008 |
|
| Admissions by oral and maxillofacial surgeons | New | Apr 09, 2009 |
|
| Authentication of the H&P in 24 Hours | Updated | Nov 24, 2008 |
|
| Breathalyzers, Continuous Glucose Monitoring Systems, Pulse Oximeters & Transcutaneous Bilirubinometers | Revised | Nov 24, 2008 |
|
| Content of the History and Physical | Revised | Nov 24, 2008 |
|
| Delegation of the History and Physical Examination | Updated | Nov 24, 2008 |
|
| H&P from non-credentialed practitioners | Updated | Nov 24, 2008 |
|
| LPNs Performing Assessment | Revised | Nov 24, 2008 |
|
| Medical Students Doing H&P | Updated | Nov 24, 2008 |
|
| Nutritional, Functional, And Pain Assessments And Screens | Revised | Nov 24, 2008 |
|
| Permission to Administer Moderate Sedation | Updated | Jul 07, 2010 |
|
| Podiatrists and Dentists Performing the Entire History and Physical for Inpatient and Outpatient Care | Updated | Nov 24, 2008 |
|
| Pre-Induction Assessment For Sedation And Anesthesia | Updated | Nov 24, 2008 |
|
| Preprocedure Verification | New | Jan 13, 2009 |
|
| Residents or House Staff Writing Orders and/or Evaluating a Patient for Restraint or Seclusion for Behavioral Health Reasons | Updated | Nov 24, 2008 |
|
| Restraint and Seclusion for Organizations that Do Not Use Joint Commission Accreditation for Deemed Status | Updated | Dec 29, 2009 |
|
| Restraint /Seclusion For Hospitals That Use The Joint Commission For Deemed Status Purposes | Updated | Oct 06, 2009 |
|
| Restraint Standards For Hospitals Using The Joint Comission For Non-Deemed Purposes | New | Oct 06, 2009 |
|
| Sedation and Anesthesia | Updated | Nov 24, 2008 |
|
| Special Interventions (Behavioral Health Restraints & Seclusion) | Updated | Nov 24, 2008 |
|
| Spiritual Assessment | Revised | Nov 24, 2008 |
|
| Tissue Source Facilities - Verification of Licensing & Registration | Updated | Nov 24, 2008 |
|
| Traceability of Records | Updated | Nov 24, 2008 |
|
| Using the Prenatal Record for the H&P | Revised | Nov 24, 2008 |
|
Record of Care, Treatment, and ServicesRights and Responsibilities of the IndividualWaived Testing
|