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Saturday 7:22 CST, May 30, 2015

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Content Page

Prepublication Standards

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New Prepublication Standards are now available.

Related Items: Prepublication Standards

04/23/2015
Topics Library

Prepublication Standards – Requirements for Hospice Deeming

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The Joint Commission recently revised several standards and elements of performance (EPs) for the Home Care accreditation program. The revisions are designed to demonstrate Joint Commission equivalency to the current Medicare Hospice Conditions of Participation (CoPs).

Related Items: Prepublication Standards , Home Care

04/23/2015
Content Page

Seeking Ambulatory Health Care Accreditation

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Seeking Ambulatory Health Care Accreditation

04/22/2015
Topics Library

Free Webinar: Joint Commission Accreditation for Ambulatory Care; Just the Basics

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The Joint Commission is offering a free 20-minute webinar to help you learn more about the Ambulatory Care Accreditation Program.

Related Items: Ambulatory , Webinar

04/22/2015
Standards FAQ

Filming And Recording

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Q: Standard RI.01.03.03, EP 7 states "Before engaging in the production of recordings, films, or other images of patients, anyone who is not already bound by the hospital's confidentiality policy signs a confidentiality statement to protect the patient's identity and confidential information. "  Does this mean that we need to have media sign a confidentiality agreement even if the patient has consented to be filmed/recorded?

04/22/2015
Standards FAQ

Texting Orders

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Is it acceptable for physicians and licensed independent practitioners (and other practitioners allowed to write orders) to text orders for patients to the hospital or other healthcare setting?

Related Items: Behavioral Health Care , Laboratory Accreditation Program , Disease-Specific Care , Home Care , Critical Access Hospital , Ambulatory Health Care , Hospital , Nursing Care Center

04/22/2015
Standards FAQ

Minimum Patient Information - Medication

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Q. Does the minimum required patient information for medication management need to be documented in a single form?

04/22/2015
Standards FAQ

Authentication of Documentation

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Q. Do the standards specify the time frame for authentication of documentation?    

04/22/2015
Standards FAQ

Special Interventions (Behavioral Health Restraints & Seclusion)

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Q. Is the use of a telemedicine link allowed for use by the LIP who conducts the in-person evaluations of an individual in restraint or seclusion?  

04/22/2015
Standards FAQ

Residents or House Staff Writing Orders and/or Evaluating a Patient for Restraint or Seclusion for Behavioral Health Reasons

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Q: Can residents or house staff write orders and/or evaluate a patient for restraint or seclusion for behavioral health reasons?  

04/22/2015
Standards FAQ

H&P from non-credentialed practitioners

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Q.  Can the organization utilize a history and physical that has been performed by someone who is not authorized/privileged by the organization? 

04/22/2015
Standards FAQ

Delegation of the History and Physical Examination

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Q: Can the responsibility for performing the admission history and physical examination be delegated to a practitioner such as an advanced practice nurse, physician's assistant, or registered nurse who are not licensed independent practitioners?  

04/22/2015
Standards FAQ

Opioid Treatment Program Performance Improvement

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Q. What treatment outcomes and processes is my Opioid Treatment Program (OTP) required to collect data on?

04/22/2015
Standards FAQ

Multi-dose Vials

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Q. What types of vials are considered to be “multi-dose?'

04/22/2015
Standards FAQ

Medication Refrigeration Temperature Logs

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Q:  Are we required to maintain temperature logs for medication storage refrigerators and freezers?    

04/22/2015
Standards FAQ

Use of Consultants

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Q. We have been told by other sources that the Joint Commission wants behavioral health care organizations to use one or two consultants, every three years. Where is the documentation on this and what is your stance?   .

04/22/2015
Standards FAQ

Contracted Services

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Q: Do the standards for contracted services apply if the contracted organization is Joint Commission accredited or certified?

04/22/2015
Standards FAQ

Acceptable Abbreviation List

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Q:  Is a list of acceptable abbreviations required?    

04/22/2015
Standards FAQ

Influenza vaccination for licensed independent practitioners and staff

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Where can I find more information about Influenza vaccination for licensed independent practitioners and staff?

Related Items: Vaccination , Influenza

04/22/2015
Standards FAQ

Requirements for Criminal Background Checks

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Q:  What is the Joint Commission requirement for criminal background checks and for which type of individual must it be performed?    

04/22/2015
Standards FAQ

Peer References

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Q. Who can provide a peer reference for independent or non-independent allied health practitioners such as nurse practitioners, physician assistants, and psychologists, midwives, and social workers when there is no other similar practitioner on staff?  

04/22/2015
Standards FAQ

Credentialing and Privileging in Hospital-Based* Behavioral Health Care settings surveyed under the Comprehensive Accreditation Manual for Behavioral Health Care

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Q. Can Hospital-Based Behavioral Health settings surveyed under the Comprehensive Accreditation Manual for Behavioral Health Care have a separate verification of competence/approval of clinical responsibilities process or must they be integrated with the hospital’s medical staff and credentialing and privileging process?  

04/22/2015
Standards FAQ

Querying the National Practitoner DatabankUsing the "Proactive Disclosure Service" (PDS)?

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Q. Can organizations use the National Practitioner Data Bank's (NPDB) "Proactive Disclosure Service" (PDS)for reprivileging?

04/22/2015
Standards FAQ

Primary Source Verification of Education for Licensed Independent Practitioners

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Q.  When credentialing licensed independent practitioners, can verification of a current licensure suffice for verification of the education in lieu of performing primary source verification of the education since a defined level of education is required to receive the license, e.g., a medical license requires completion of medical school, a dental license requires completion of dental school, a podiatric license requires completion of podiatric school, etc?

04/21/2015