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Wednesday 3:29 CST, September 2, 2015

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Standards FAQ

Security cameras

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Is informed consent from individuals being served in an organization required when the organization uses security cameras?

05/08/2015
Standards FAQ

Hand hygiene

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NPSG.07.01.01 in the BHC accreditation manual states that it is only applicable if physical care is provided. What would be considered physical care?

05/08/2015
Standards FAQ

Content of medical history and physical examination

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What specific data must be included in the history and physical examination?

05/08/2015
Content Page

Resources for Maintaining Behavioral Health Accreditation

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Research Resources added.

05/07/2015
News

The Joint Commission Selected as Official Accrediting Organization for U.S. Air Force Ambulatory Health Care Facilities

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The Joint Commission today announced that it has been selected as the official accrediting organization for U.S. Air Force ambulatory health care facilities, effective July 2015 through December 2019. The recognition will impact more than 8 million service members and their families who receive health care at one of the Air Force’s 62 ambulatory facilities worldwide.

Related Items: Ambulatory Health Care , Accreditation

05/07/2015
Topics Library

The Joint Commission and NCQA: A Comparison of PCMH Requirements for Ambulatory Care Organizations - 2014

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Comparison of NCQA 2014 Medical Home Recognition to 2014 Joint Commission Primary Care Medical Home Certification for Ambulatory Care Organizations.

Related Items: Ambulatory Health Care , Primary Care Medical Home

05/07/2015
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