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Thursday 11:08 CST, July 30, 2015

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Topics Library

The Joint Commission and NCQA: A Comparison of Requirements for Ambulatory Care Organizations - 2011

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This tool, prepared by The Joint Commission, compares the National Committee for Quality Assurance (NCQA) general standard areas for its 2011 version of the Patient-Centered Medical Home to the specific Joint Commission requirements for its Primary Care Medical Home.

Related Items: Ambulatory Health Care , Primary Care Medical Home

05/07/2015
Content Page

Strategies for Improving Rapid Influenza Testing and Treatment in Ambulatory Settings (SIRAS)

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Strategies for Improving Rapid Influenza Testing and Treatment in Ambulatory Settings (SIRAS)- Updated free course offering for the current Flu season. Enroll in the course. Download the inforgraphic. Listen to Podcast.

Related Items: Laboratory Accreditation Program , Disease-Specific Care , Research Resources , Home Care , Hospital , Nursing Care Center , Ambulatory Health Care , Influenza

05/05/2015
Topics Library

Most Challenging Primary Care Medical Home Requirements

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Most Challenging Primary Care Medical Home Requirements - 2011 to 2014.

Related Items: Ambulatory Health Care , Primary Care Medical Home , Most Challenging Standards

05/04/2015
Topics Library

Accreditation Process Overview

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The Joint Commission’s accreditation process seeks to help organizations identify and resolve problems and to inspire them to improve the safety and quality of care, treatment and services.

Related Items: Fact Sheets , Accreditation Process , Behavioral Health Care , Accreditation

05/01/2015
Topics Library

Facts about the Board of Commissioners

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The Board of Commissioners is The Joint Commission’s governing body, providing policy leadership and oversight.

Related Items: Fact Sheets , Hospital , About The Joint Commission , Board of Commissioners , Advisory Group Fact Sheets

04/30/2015
Standards FAQ

Sample Medications

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What issues must our organization consider relating to sample medications?

04/28/2015
Standards FAQ

Food storage

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If a digital minimum/maximum thermometer with an alarm is used to monitor the refrigerator and freezer temperatures, does there need to be daily documentation of the temperature?

04/28/2015
Standards FAQ

Reappointment of assigned clinical responsiblities

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Do licensed independent practitioners (LIP) need to continue to request clinical responsibilities from the governing body every two years?

04/28/2015
Standards FAQ

Primary source verification of education for licensed practitioners including LIP

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When credentialing licensed practitioners including licensed independent practitioners, can verification of current licensure suffice for verification of education in lieu of performing primary source verification of the education?

04/28/2015
Standards FAQ

Contracted services from a Joint Commission accredited organization

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If contracted services are provided by the staff of another Joint Commission accredited organization what are the expectations for human resource requirements?

04/28/2015
Standards FAQ

Perception of Care

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Q. How many patients do we need to evaluate for patient perception of care to meet the standard DSPM.5 EP.1 if we do not have this requirement as one of our performance measures?

04/28/2015
Standards FAQ

Hypoglycemia

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Q. What is the definition of hypoglycemia? DSPM.1 EP.2.a

04/28/2015
Standards FAQ

Nutritional Screening Documentation

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Q. Who is supposed to perform the nutritional screening and document results to meet standard DSCT.5 EP.4.a?

04/28/2015
Standards FAQ

Protocols and Orders

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Q. Can hypoglycemia and hyperglycemia pre-printed protocols/orders be used for meeting DSDF.4 EP.2.b “plans for the treatment of hypoglycemia and hyperglycemia are established for each patient?”

04/28/2015
Standards FAQ

Nutritional Assessment

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Q. Explain further what the following statement means: “nutritional assessments are conducted for patients not consistently reaching glucose targets”. Who does the assessment? What type of glucose targets are you referring too? DSDF.3 EP.2.a

04/28/2015
Standards FAQ

Discharge Documentation

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Q. What type of communication is acceptable for meeting DSCT.3 EP.2.a? Can the nurse give the discharge papers to the patient and tell them to take this to the health care provider when they go for their visit?

04/28/2015
Standards FAQ

Diabetic Educator

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Q. Does a Certified Diabetic Educator have to be on the staff/multidisciplinary team in order to achieve certification? DSPR.1 EP.1

04/28/2015
Standards FAQ

A1C Requirement

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Q. Are women with GDM included in the A1C requirement? DSDF.2 EP.5.a

04/28/2015
Standards FAQ

Follow-up Appointment

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Q. If the patient already has an appointment with the physician managing their diabetes, do you need to make another appointment? DSDF.6 EP.1.a

04/28/2015
Standards FAQ

Staff Education

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Q. How much diabetes specific education must the identified members demonstrate? DSDF.1 EP.1

04/28/2015
Standards FAQ

Eligibility

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Q. What types of patients are included in this program? Are only those patients that the diabetes team is consulted on, included?

Related Items: Inpatient Diabetes

04/28/2015
Standards FAQ

Primary Care Medical Home

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The Joint Commission recently approved several revisions to the PCMH requirements applicable to ambulatory care organizations. Some of the revisions pertain to the participation of physicians in team-based care by requiring that a physician always be available to be part of the interdisciplinary team when a physician’s involvement is required to meet the needs of individual patients. It is expected that health care providers work collaboratively together to meet the needs of the patient. The Joint Commission has received several questions about these standards changes and the following FAQs were developed to address them:

Related Items: Care Treatment and Services , Leadership , Primary Care Medical Home

04/28/2015
Standards FAQ

Competence of Independent Practitioners to Perform Waived Tests

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Are competency assessments required for licensed independent practitioners (LIP's) performing waived testing?

Related Items: Licensed Independent Practitioner , Waived Test

04/28/2015
Standards FAQ

Collecting the Patient’s Preferred Language

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Are organizations required to use the term “preferred” language in order to comply with Standards RC.02.01.01, EP 1 (medical record contains the patient’s communication needs, including preferred language for discussing health care) and PC.02.01.21, EP 1 (identification of the patient’s communication needs, including the patient’s preferred language for discussing health care)? My organization is collecting the patient’s “primary” language – does this meet The Joint Commission’s requirement for the collection of “preferred” language?

Related Items: CMS , Hospital, Language, & Culture

04/28/2015
04/28/2015