JCR CAMNCC 2021

$178.21

Comprehensive Accreditation Manual for Nursing Care Centers (CAMNCC)

Published By	Publication Date	Number of Pages
Joint Commission	2021	682

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Category: Joint Commission

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Description

The 2021 Comprehensive Accreditation Manual for Nursing Care Centers (CAMNCC) provides the key information your organization needs to power performance improvement and maintain continuous standards compliance. It features all standards, elements of performance (EPs), and scoring applicable January 1, 2021, to all nursing homes and rehabilitation centers, along with the standards and EPs for the Post–Acute Care Certification and Memory Care Certification options. The portable CAMNCC provides everything you need to successfully achieve and maintain compliance with Joint Commission accreditation and optional specialty certification standards. Inside you’ll find descriptions of the survey and decision process, questions to prompt discussion in your organization about compliance with the standards, checklists of the elements of performance that require written documentation, and action planning worksheets to address any issues of noncompliance. It’s lean and light, making it a perfect on-the-go reference. Keep it handy in meetings, during orientation and training, and as a practical overview of the Joint Commission’s accreditation requirements for everyone in your organization, from staff to leaders. Then, get ready to power performance improvement and excellence in your nursing care or rehabilitation center. Please note: The CAMNCC is delivered annually. For the most up-to-date standards throughout 2020, access your E-dition on your Joint Commission ConnectTM extranet site or consider purchasing the E-dition Nursing Care Center version. Key Topics: • “Gold tab” standards requirements including the standards, National Patient Safety Goals, and Accreditation Participation Requirements effective January 1, 2021 • Standards and elements of performance for optional post-acute care and memory care certifications • “Blue tab” accreditation process information about Joint Commission policies and procedures and practical survey preparation information on the Early Survey Policy, documentation requirements, and more • Keys to successfully using the manual for survey preparedness Key Features: • Survey readiness tools including compliance prompts, documentation checklists, and newly rewamped action planning worksheets in every standards chapter • “What’s New” summary of changes made since the previous print edition • Icons to help navigate documentation requirements as well as risk areas Standards: All standards for nursing care centers and rehabilitation centers Setting: Organizations accredited under the Nursing Care Center Accreditation Program, including those that provide specialized services to patients or residents, which may include rehabilitative care, dementia-specific memory care, and long-term nursing care Key Audience: Staff responsible for accreditation, compliance, patient safety, or quality improvement

PDF Catalog

PDF Pages	PDF Title
1	What’s New 2021 CAMNCC
9	Cover
10	The Joint Commission Mission
11	Contents
13	Introduction: How The Joint Commission Can Help You Move Toward High Reliability (INTRO)
14	The Value of Joint Commission Accreditation
16	The Joint Commission’s Nursing Care Center Accreditation Program
20	How Is This Manual Organized?
26	Identifying Applicable Standards
28	Understanding the Organization of the Standards Chapters
30	Understanding the Icons Used in the Manual
32	Become Familiar with the Standards Use the Standards to Improve Care, Treatment, and Services Assess Compliance with the Standards
35	Stimulate Improvement
36	Accelerate PI™
38	Keep Current with Standards Changes via
43	Patient Safety Systems (PS) Introduction
45	What Does This Chapter Contain?
46	Becoming a Learning Organization
47	The Role of Nursing Care Center Leaders in Patient and Resident Safety
53	Data Use and Reporting Systems
57	A Proactive Approach to Preventing Harm
60	Encouraging Patient or Resident Activation
61	Beyond Accreditation: The Joint Commission Is Your Patient and Resident Safety Partner
63	References
66	Appendix. Key Patient Safety Requirements
79	Accreditation Participation Requirements (APR) Overview
80	Chapter Outline
81	Requirements, Rationales, and Elements of Performance
95	Environment of Care (EC) Overview
97	Chapter Outline
98	Standards, Rationales, and Elements of Performance
141	Emergency Management (EM) Overview
143	Chapter Outline
144	Standards, Rationales, and Elements of Performance
169	Human Resources (HR) Overview
170	Chapter Outline
171	Standards, Rationales, and Elements of Performance
197	Infection Prevention and Control (IC) Overview
199	Chapter Outline
200	Standards, Rationales, and Elements of Performance
221	Information Management (IM) Overview
222	Chapter Outline
223	Standards, Rationales, and Elements of Performance
235	Leadership (LD) Overview
238	Chapter Outline
239	Standards, Rationales, and Elements of Performance
275	Life Safety (LS) Overview
277	Chapter Outline
278	Standards, Rationales, and Elements of Performance
297	Medication Management (MM) Overview
299	Chapter Outline
300	Standards, Rationales, and Elements of Performance
329	National Patient Safety Goals (NPSG) Chapter Outline
330	Requirements, Rationales, and Elements of Performance
345	Provision of Care, Treatment, and Services (PC) Overview
347	Chapter Outline
348	Standards, Rationales, and Elements of Performance
401	Performance Improvement (PI) Overview
403	Chapter Outline
404	Standards, Rationales, and Elements of Performance
415	Record of Care, Treatment, and Services (RC) Overview
416	Chapter Outline
417	Standards, Rationales, and Elements of Performance
431	Rights and Responsibilities of the Individual (RI) Overview
433	Chapter Outline
434	Standards, Rationales, and Elements of Performance
457	Waived Testing (WT) Overview
460	Chapter Outline
461	Standards, Rationales, and Elements of Performance
471	The Accreditation Process (ACC) Notices ACC Chapter Contents
473	Overview
474	Accreditation Policies
494	Before the Survey
499	During the Survey
514	After the Survey
524	Between Accreditation Surveys
536	Decision Rules for Organizations Seeking Initial Accreditation
539	Decision Rules for Organizations Seeking Reaccreditation
543	Process for Organizations That Meet Decision Rule PDA02 for Patients or Residents Placed at Risk for Serious Adverse Outcomes Du
545	Process for Organizations That Meet Decision Rule PDA04
546	Review and Appeal Procedures
553	Sentinel Events (SE) I. Sentinel Events
557	II. Goals of the Sentinel Event Policy
558	III. Responding to Sentinel Events
566	IV. The Sentinel Event Database V. Determination That a Sentinel Event Is Subject to Review VI. Optional On-Site Review of a Sentinel Event
567	VII. Disclosable Information VIII. The Joint Commission’s Response
568	IX. Sentinel Event Measures of Success (SE MOS) X. Handling Sentinel Event–Related Documents
569	XI. Oversight of the Sentinel Event Policy XII. Survey Process
570	Appendix. Accreditation Requirements Related to Sentinel Events
573	The Joint Commission Quality Report (QR) Introduction What Is The Joint Commission Quality Report?
574	What Will My Quality Report Contain? What Is Quality Check?
575	Can My Nursing Care Center Comment On Its Quality Report?
576	What Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality?
579	Early Survey Policy (ESP)
583	Post–Acute Care Certification (PAC) Overview
609	Memory Care Certification (MCC) Overview
623	Appendix A: Reference Guide of Selected Medicare Requirements to Relevant Joint Commission Requirements (AXA)
625	Glossary (GL)
657	Index (IX)