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FAQs
Standards Frequently Asked Questions
Comprehensive Accreditation Manual for Hospitals (CAMH)
Status Definitions
Ethics, Rights and ResponsibilitiesIndividual RightsProvision of CareAssessment
| Nutritional, Functional, And Pain Assessments And Screens | Effective | Feb 17, 2004 |
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| Pre-Induction Assessment For Sedation And Anesthesia | Revised | Apr 01, 2005 |
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| Updates to the Patient's Condition | Revised | Apr 04, 2008 |
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| History And Physical For Hospital Outpatient Procedures | Updated | Jan 01, 2004 |
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| H&P from Non-Credentialed Practitioners | Updated | Dec 17, 2007 |
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| History and Physical for Surgery | Revised | Jun 16, 2006 |
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| Spiritual Assessment | Revised | Jan 01, 2004 |
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| Authentication of H&P in 24 hours | Revised | Apr 18, 2005 |
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| LPNs Performing Assessment | Effective | Sep 14, 2001 |
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| Breathalyzers, Continuous Glucose Monitoring Systems, Pulse Oximeters & Transcutaneous Bilirubinometers | Revised | Apr 01, 2005 |
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| H&P Older Than 30 Days/Using the Prenatal Record | Revised | Jan 01, 2004 |
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| Dictated History and Physical | Revised | Jan 01, 2004 |
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| Content of the History and Physical | Revised | Apr 01, 2005 |
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Waived Testing
| Waived Testing & Proficiency Testing | New | Aug 20, 2008 |
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| Patient/Client Self Glucose Testing | Revised | Apr 01, 2005 |
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| Physician Competency For Waived & P.P.M.P. Testing | Updated | Jan 10, 2007 |
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| Survey Of Urine Drug Testing In A Behavioral Health Care Facility | Effective | Oct 31, 2006 |
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| Waived Testing Logs | Revised | Apr 01, 2005 |
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| Screening Vs. Definitive | Revised | Apr 01, 2005 |
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| Reference Ranges In Medical/Clinical Record | Effective | Jan 07, 2005 |
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| Reagents Stored With Medications Or Specimens | Effective | Jan 18, 2005 |
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| Professional Vs. Home Use Tests (Glucose Meters, Etc.) | Effective | Oct 12, 2004 |
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| Provider Performed Microscopy Procedures (P.P.M.P.) | Revised | Apr 01, 2005 |
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| Color-Blind Testing | Effective | May 29, 2003 |
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Operative/High-Risk Procedures/Sedation/AnesthesiaBehavioral Health Care Restraint and SeclusionTissue Storage or Issuance
| Applicability of the Tissue Storage & Issuance Standards | Effective | Apr 06, 2007 |
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| Autologous Bone Flaps | Effective | Apr 06, 2007 |
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| Responsibility & Oversight | Effective | Apr 06, 2007 |
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| Tissue Source Facilities - Verification of Licensing & Registration | Effective | Apr 06, 2007 |
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| Temperature Recording, Monitoring, Alarms and Back-Up Storage | Effective | Apr 06, 2007 |
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| Verifying the Package upon Receipt | Effective | Apr 06, 2007 |
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| Tissue Redistribution to another Healthcare Facility | Effective | Apr 06, 2007 |
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| Traceability of Records | Effective | Apr 06, 2007 |
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| Adverse Tissue Reaction Policies | Effective | Apr 06, 2007 |
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Medication ManagementPatient-Specific InformationSelection and ProcurementOrdering and TranscribingPreparing and DispensingSurveillance, Prevention and Control of InfectionThe IC Program and Its ComponentsLeadershipLeadershipManagement of Environment of CarePlanning and Implementation Activities
| Security of Syringes and Needles | Effective | Oct 13, 2005 |
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| Temporary Construction Barriers | Revised | Apr 01, 2005 |
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| Eyewashes - Frequency of Flushing | Effective | Jun 09, 2004 |
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| Trash Cans | Revised | Apr 01, 2005 |
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| Blood Warmers - Alarm Check Documentation | Effective | Sep 29, 2004 |
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| Infant Abduction Drills | Revised | Apr 01, 2005 |
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| Utility System and Acquired Illness | Revised | Jan 01, 2004 |
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| Undersink Storage | Effective | Apr 26, 2005 |
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| Tabletop Drills | Effective | Oct 31, 2005 |
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| Standpipe Fire Hose Testing | Revised | Apr 01, 2005 |
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| Staff Only Refrigerators | Effective | Feb 09, 2001 |
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| "Paper Patient" Drills | Effective | Nov 07, 2000 |
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| One-Time Extension Based on Unforeseen Conditions | Effective | Nov 07, 2000 |
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| Management Plans in Business Occupancies | Revised | Apr 01, 2005 |
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| Hazardous Material | Effective | Oct 31, 2000 |
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| Exit Maps | Effective | Oct 31, 2000 |
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| Emergency Management | Revised | Apr 01, 2005 |
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| EC Management Plans in Several Settings | Effective | Feb 09, 2001 |
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| Disaster Drills | Revised | Apr 13, 2005 |
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Management of Human ResourcesPlanningManagement of InformationConfidentiality and SecurityInformation Management ProcessesPatient Specific InformationMedical StaffContinuing EducationCredentialing and Privileging and Appointment
| Credentialing Non-Medical Staff Member Licensed Independent Practitioners Who Order tests and Treatments from a Joint Commission Accredited Organization | Revised | Jun 23, 2006 |
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| Expediting the MEC Function | Effective | Mar 11, 2002 |
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| Peer References | Revised | Apr 01, 2005 |
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| Ongoing Professional Practice Evaluation (OPPE) | New | Aug 13, 2008 |
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| Primary Source Verification of Education for Licensed Independent Practioners | Effective | Jan 04, 2008 |
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| Core/Bundled Privileges | New | Apr 01, 2008 |
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| Reappointment/Reprivileging Dates | Revised | Jan 01, 2004 |
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| Organ Procurement Team Privileging | Revised | Mar 05, 2007 |
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| Provision of a Fair Hearing | Updated | Apr 13, 2005 |
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| Credentialing and Privileging in Hospital-Based* Long Term Care surveyed under the Comprehensive Accreditation Manual for Long Term Care | Revised | Jan 01, 2004 |
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| Credentialing and Privileging in Hospital-Based* Behavioral Health Care settings surveyed under the Comprehensive Accreditation Manual for Behavioral Health Care | Updated | Mar 25, 2002 |
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| Verifying Work Experience | Revised | Apr 01, 2005 |
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| Verification of Credentials Information | Effective | Sep 14, 2001 |
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| Permission to Administer Moderate Sedation | Revised | Apr 01, 2005 |
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Management of Patient Care, Treatment and Services
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