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The Compliance Guide to the Joint Commission Leadership Standards

The Compliance Guide to the Joint Commission Leadership Standards
Author: Sue Dill Calloway
Publisher: Hcpro, a Division of Simplify Compliance
Total Pages: 0
Release: 2014-12-22
Genre: POLITICAL SCIENCE
ISBN: 9781556452161

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The Compliance Guide to The Joint Commission Leadership Standards Sue Dill Calloway, RN, MSN, JD The Compliance Guide to The Joint Commission Leadership Standards provides accreditation professionals with in-depth guidance on how to prepare leadership and staff to comply with the accreditor's Leadership standards. The book breaks down the Leadership chapter standard by standard and provides hospitals with a plethora of tools and policies to train leaders and staff on the roles they play in compliance, patient safety, and quality efforts. This book provides: Clear explanations of the Leadership standards How-to strategies for developing and implementing a leadership plan Tips for creating a culture of safety Three customizable and downloadable PowerPoint training presentations Updated tools and policies to help compliance Table of Contents: Chapter 1: The Leadership Session During the Survey and Introduction Chapter 2: The Leadership Standards Chapter 3: Leadership Relationships Chapter 4: Hospital Culture and System Performance Chapter 5: Operations Appendix: Tools and Samples Assessment of Community Health Needs Outline for a Leadership Plan Seven Steps for a Single Level of Care Scope of Services Criteria--Clinical Departments Checklist Scope of Services Criteria--Nonclinical Departments Checklist Sample Format for a Performance Improvement Plan Sample Patient Safety Plan Sample Organizational Chart Sample Bylaws of the Board of Trustees Sample Complaint/Grievance Review Sample Capital Expenditure Request Form Sample Organ, Tissue, Eye Procurement Policy and Procedure Sample Quality Management Plan Sample Quality Management Forms: Process Improvement QAPI Summary Sample Quality Management Forms: Quality Management Department Decision-Making Tools Sample Quality Management Forms: Quality Review Department Request for Consideration for a TQM Team Sample Quality Management Forms: Rapid Cycle Improvement Worksheet Patient Safety Report Card to the Board Patient Safety Plan Incident Reporting Administrative Policy Incident Reporting Administrative Policy: Incident Report Addendum Incident Reporting Administrative Policy: Adverse Drug Event--IV Infiltration Incident Report Incident Reporting Administrative Policy: Equipment Malfunction Incident Report Incident Reporting Administrative Policy: Medication Error Incident Report Incident Reporting Administrative Policy: Miscellaneous Incident Report Incident Reporting Administrative Policy: Patient/Visitor Fall Incident Report Root Cause Analysis Incident Investigation Tool Three PowerPoint presentations to help you train leadership and staff


The Chapter Leader's Guide to Leadership

The Chapter Leader's Guide to Leadership
Author: Jodi L. Eisenberg
Publisher: HC Pro, Inc.
Total Pages: 113
Release: 2011-02-11
Genre: Medical
ISBN: 1601468075

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Quick, concise standard explanations for LD chapter leaders The Chapter Leader's Guide to Leadership breaks down the Joint Commission's leadership requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes a downloadable PowerPointr presentation highlighting key compliance takeaways. Also, receive bonus tools which include: * A document requirement checklist * Proactive risk assessment tool * Contract monitoring tool


The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition

The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition
Author: Kathy Matzka
Publisher:
Total Pages: 0
Release: 2008-11-20
Genre: Hospitals
ISBN: 9781601462961

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Don't skip a beat with medical staff compliance! The Joint Commission has made significant changes to its standards for medical staff. Effective January 1, 2009, these changes include a complete renumbering of the credentialing and privileging standards. Since the last edition of The Compliance Guide to the Joint Commission Medical Staff Standards published in 2006, the landscape of Joint Commission standards has changed significantly, due mostly to the new numbering and scoring systems. The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition, will save you hours of time rifling through hundreds of pages of documents, trying to decipher ways to comply. This resource provides: - Completely updated information, tools, and insights that will help guide you in understanding and preparing your medical staff for survey under the new 2009 standards - Each element of performance includes a box for you to score your facility's compliance with the standard and easily identify those areas in which additional work is needed. - A comparison of the 2009 standards to the old standards and highlights all the new requirements Who should read The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition? - Medical services professionals and credentialing coordinators - VPMAs - Medical executive committee and credentials committee members - Department chairs - Quality managers and quality/performance improvement professionals - Survey coordinators This book is a practical tool to help hospitals meet the Joint Commission's expectations, a tough and time-consuming challenge. Add The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition to your compliance library and feel confident when Joint Commission shows up unannounced at your door! Take a look at the Table of Contents - Chapter 1: Understanding the standards and survey process - Chapter 2: LD.01.05.01, MS.01.01.01, MS.01.01.03, and MS.02.01.01--Medical staff structure and medical staff bylaws - Chapter 3: MS.03.01.01, MS.03.01.03, and MS.04.01.01--Management and oversight of patient care, treatment and services, and oversight of graduate medical education programs - Chapter 4: MS.05.01.01 and MS.05.01.03--Performance improvement - Chapter 5: MS.06.01.01--MS.06.01.09, MS.07.01.01, HR.01.02.05, and HR.01.07.01--Credentialing, recredentialing, privileging, and appointment - Chapter 6: MS.07.01.03, MS.08.01.01, MS.08.01.03, MS.09.01.01, MS.10.01.01, and MS.11.01.01, LD.03.01.01--Focused and ongoing professional practice evaluation, peer recommendations, fair hearing, and LIP health - Appendix A: 2009 National Patient Safety Goals - Appendix B: Tips for a successful survey


Leadership

Leadership
Author: Lynn Menashian
Publisher:
Total Pages: 158
Release: 2002-01-01
Genre: Hospitals
ISBN: 9781578391806

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The Compliance Guide to the JCAHO Medical Staff Standards

The Compliance Guide to the JCAHO Medical Staff Standards
Author: Kathy Matzka
Publisher: HC Pro, Inc.
Total Pages: 197
Release: 2006
Genre: Medical
ISBN: 1578398835

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Now in its fifth edition, this book features completely updated information, tools, and insights that will help in understanding and preparing medical staff for survey under the new 2007 standards. with the Compliance Guide to the JCAHO Medical Staff Standards, Fifth Edition in your library, you'll save hours rifling through hundreds of pages of documents, trying to decipher ways to comply. All the standards that relate to you and all the procedures you need to implement are consolidated into this one convenient, easy-to-understand resource.


Advances in Patient Safety

Advances in Patient Safety
Author: Kerm Henriksen
Publisher:
Total Pages: 526
Release: 2005
Genre: Medical
ISBN:

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v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.


The Compliance Guide to the Joint Commission's Patient Safety Systems Chapter

The Compliance Guide to the Joint Commission's Patient Safety Systems Chapter
Author: Sena Blickenstaff
Publisher: Hcpro, a Division of Simplify Compliance
Total Pages: 0
Release: 2015-04-13
Genre: Health services administration
ISBN: 9781556452956

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Prepare for the new Patient Safety Systems chapter with The Compliance Guide to The Joint Commission's Patient Safety Systems Chapter. The Joint Commission added a new Patient Safety Systems (PS) chapter that became effective on January 1, 2015, and highlights the accreditor's patient safety requirements. The new chapter explains how to become a learning organization, the role of hospital leaders in patient safety, use of data and reporting systems, conducting proactive risk assessments, and patient involvement. This book provides insight into the existing standards that comprise this new chapter and will help you put together an integrated patient safety system in your facility.


Comprehensive Accreditation Manual

Comprehensive Accreditation Manual
Author: Joint Commission
Publisher:
Total Pages: 0
Release: 2010-04
Genre: Medical
ISBN: 9781599403304

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Integrates standards, rationales, elements of performance, scoring, decision rules, National Patient Safety Goals, and policies and procedures for the hospital accreditation program. This title features the comprehensive resource for continuous standards compliance and operational improvement for hospitals.