2008 Standards FAQs

Standards Frequently Asked Questions
Accreditation Manual for Office-Based Surgery Practices

Status Definitions

Management of Information


Confidentiality and Security

Medical Records Security After HoursUpdatedJun 13, 2007

Information Management Planning

Primary Source VerificationEffectiveApr 01, 2005

Patient Specific Information

Operative ReportsUpdatedMar 03, 2005
One LIP Signing for AnotherEffectiveFeb 14, 2002
Authentication Using A Single DocumentRevisedApr 01, 2005
Authentication of DocumentationRevisedApr 13, 2005

Medication Management


Patient Specific Information

Minimum Patient Information - MedicationEffectiveJun 29, 2005

Preparing and Dispensing

Labeling Medication For AnesthesiaEffectiveAug 15, 2005
Reordering Medications At TransferEffectiveAug 17, 2005

Storage

Medication Refrigerator Temperature LogsEffectiveAug 15, 2005
Define "Concentrated Kcl"EffectiveAug 04, 2005

Patient Safety


Planning and Implementation Activities

Security of Syringes and NeedlesEffectiveOct 13, 2005
Undersink StorageEffectiveApr 26, 2005
Staff Only RefrigeratorsEffectiveFeb 09, 2001

Practice Leadership


Planning and Directing Practice Services

Documenting CME'sRevisedOct 03, 2008
Credentialing And Privileging For Providers From Joint Commission Accredited OrganizationEffectiveJul 19, 2005
Acceptable Abbreviation ListRevisedApr 01, 2005
Annual Requirements in New StandardsRevisedFeb 15, 2005

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
Breathalyzers, Continuous Glucose Monitoring Systems, Pulse Oximeters & Transcutaneous BilirubinometersRevisedApr 01, 2005
Initial Visit Documentation - Primary Care AmbulatoryRevisedApr 01, 2005
Dictated History and PhysicalRevisedJan 01, 2004
Content of the History and PhysicalRevisedApr 01, 2005

Operative/High-Risk Procedures/Sedation/Anesthesia

Permission to Administer Moderate SedationRevisedApr 13, 2005
Follow-up Phone Calls In Outpatient SurgeryEffectiveJan 22, 2004
Procedures Requiring Surgical Site MarkingUpdatedDec 16, 2004
Sedation and AnesthesiaEffectiveMar 26, 2001
Moderate Sedation Medication and Patient MonitoringRevisedJan 22, 2004

Tissue Storage and Issuance

Applicability of the Tissue Storage & Issuance StandardsEffectiveApr 06, 2007
Autologous Bone FlapsEffectiveApr 06, 2007
Responsibility & OversightEffectiveApr 06, 2007
Tissue Source Facilities - Verification of Licensing & RegistrationEffectiveApr 06, 2007
Temperature Recording, Monitoring, Alarms and Back-Up StorageEffectiveApr 06, 2007
Verifying the Package upon ReceiptEffectiveApr 06, 2007
Tissue Redistribution to another Healthcare FacilityEffectiveApr 06, 2007
Traceability of RecordsEffectiveApr 06, 2007
Adverse Tissue Reaction PoliciesEffectiveApr 06, 2007

Waived Testing

Patient/Client Self Glucose TestingRevisedApr 01, 2005
Physician Competency For Waived & P.P.M.P. TestingUpdatedJan 10, 2007
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

Staff Development, Training and Competence


Credentialing and Privileging

Human Resource Standards Applicability to Contracted and Volunteer PersonnelUpdatedApr 01, 2005

Surveillance, Prevention and Control of Infection


The IC Program and Its Components

Infection Control Applicability To Offsite Interpretive Reading ProvidersEffectiveMay 21, 2007
Food And Drinks In Patient Care AreasEffectiveJun 13, 2007