JC EBTNAP 2017
$86.13
Toolkit for New Accreditation Professionals, 2nd Edition
| Published By | Publication Date | Number of Pages |
| Joint Commission | 2017 | 226 |
Presents key accreditation concepts in a clear, concise manner with easy-to-understand language and an easy-to-follow format.
PDF Catalog
| PDF Pages | PDF Title |
|---|---|
| 1 | Toolkit for New Accreditation Professionals |
| 3 | Table of Contents |
| 9 | Introduction |
| 13 | PART 1 Chapter 1: Survival Skills The Big Idea Key Concepts |
| 14 | Getting Oriented |
| 16 | Building Relationships |
| 18 | Finding a Mentor Communication and Teamwork |
| 21 | Gaining Skills and Confidence |
| 23 | Chapter 2: The Accreditation Cycle and the Survey Process The Big Idea Key Concepts |
| 24 | The Application Process |
| 26 | Survey Readiness |
| 28 | The On-Site Survey Process |
| 32 | Deemed Status |
| 33 | After the Survey |
| 36 | Continuous Compliance |
| 40 | Tools of the Trade • E-App Checklist • On-Site Survey Readiness Checklist • How to Conduct a Mock Tracer • Mock Tracer Worksheet • Comprehensive Organization Assessment • Mock Tracer Worksheet: Emergency Department • Daily Compliance Checklist |
| 41 | Chapter 3: Working with Data The Big Idea Key Concepts |
| 42 | Accessing Data |
| 43 | Reporting Data |
| 44 | Tracking Data |
| 45 | Performance Measurement |
| 47 | Understanding Data Displays |
| 48 | Tools of the Trade • Data Reporting Chart • Data Display |
| 49 | PART 2 Chapter 4: Performance Improvement The Big Idea Key Concepts |
| 50 | Improvement Process |
| 52 | Improvement Infrastructure |
| 53 | Improvement Team |
| 55 | Improvement Opportunities |
| 58 | Improvement Interventions |
| 60 | Improvement Recognition |
| 61 | It’s a Challenge |
| 64 | Tools of the Trade • Proposed PI Projects Decision Checklist • Classification Codes for PI and Reporting • RPI Data Collection Template |
| 65 | Chapter 5: Leadership The Big Idea Key Concepts |
| 66 | Leadership Structure and Responsibilities |
| 67 | Safety Culture |
| 69 | Leadership and Performance Improvement |
| 70 | Operations and Change Management |
| 72 | It’s a Challenge |
| 73 | Tools of the Trade • Safety Culture: Organizational Assessment • Proactive Risk Assessment |
| 75 | Chapter 6: Staffing The Big Idea Key Concepts |
| 76 | Sufficient and Well-Trained Staff |
| 77 | Staff Qualifications and Competencies |
| 78 | Credentialing and Privileging |
| 80 | Nursing Services |
| 81 | It’s a Challenge |
| 85 | Tools of the Trade • Education Assessment Survey for Managers • Education and Attendance Documentation • Credentials Review Tracking Worksheet • Orientation Competency Assessment and Validation Tool |
| 87 | Chapter 7: Care of the Patient The Big Idea Key Concepts |
| 89 | Planning and Coordinating Care |
| 91 | Assessment and Reassessment |
| 92 | Restraint and Seclusion |
| 94 | Operative or High-Risk Procedures |
| 96 | Patient Rights and Responsibilities |
| 98 | It’s a Challenge |
| 99 | Tools of the Trade • Joint Commission Standards Summary Form • Discharge Summary Checklist • Surgical Safety Procedure Checklist • Mock Tracer Worksheet: Patient/Family Education |
| 101 | Chapter 8: Records and Information Technology The Big Idea Key Concepts |
| 102 | The Medical Record |
| 105 | Health Information Security |
| 108 | Verbal Orders |
| 109 | Informed Consent |
| 111 | It’s a Challenge |
| 112 | Tools of the Trade • Health Information Policy Checklist • Verbal Order (VO) Policy and Procedure Audit Form • Mock Tracer Worksheet: Verbal Orders • Informed Consent Form Checklist |
| 113 | Chapter 9: Infection Prevention and Control The Big Idea Key Concepts |
| 114 | IPC Program and Plan |
| 116 | Hand Hygiene |
| 118 | Transmission of Infections |
| 121 | Health Care–Associated Infections |
| 123 | IPC and EC |
| 124 | It’s a Challenge |
| 126 | Tools of the Trade • Hand Hygiene / Glove Use Observation Form • TST for Hand Hygiene • Environmental Services Checklist: Cleaning of Patient Rooms • Infection Control Risk Assessment (ICRA): Matrix of Precautions for Construction and Renovation • Endoscope Reprocessing Checklist |
| 127 | Chapter 10: Medication Management The Big Idea Key Concepts |
| 128 | A System of Processes |
| 129 | MM Standards and Other Standards |
| 130 | Medication Errors |
| 131 | Medication Reconciliation |
| 133 | Medication Orders |
| 135 | Medication Equipment and Technology |
| 136 | High-Alert and Hazardous Medications |
| 138 | It’s a Challenge |
| 139 | Tools of the Trade • Medication Management System: Stakeholder Analysis Form • Medication Errors Data Review • Medication Event Huddle Data Collection Form • Medication Reconciliation Card • Medication Storage and Security Checklist |
| 141 | Chapter 11: The Physical Environment The Big Idea Key Concepts |
| 142 | Management Plans and Risk Assessments |
| 145 | Safety and Security |
| 148 | Hazardous Materials and Waste |
| 150 | Medical Equipment and Utilities |
| 152 | Fire Safety and Life Safety |
| 156 | It’s a Challenge |
| 160 | Emergency Management |
| 162 | Tools of the Trade • EC Management Plan Evaluation Checklist • EC Management Plans and Risk Management • EC Assessment Checklist • Health Care Workplace Violence Overview • Environmental Risks for Suicide Checklist • Hazardous Materials Inventory Checklist • AEM Program Checklist • Mock Tracer Worksheet: Life Safety |
| 163 | Chapter 12: Testing and Transplants The Big Idea Key Concepts |
| 164 | Waived Testing |
| 165 | Quality Control Checks |
| 168 | It’s a Challenge |
| 170 | Nonwaived Testing |
| 171 | Transplants |
| 172 | Tools of the Trade • Mock Tracer Worksheet: Point-of-Care Testing (POCT) • Mock Tracer Worksheet: Tissue Handling • Using FMEA to Improve the Organ Procurement and Transplantation Process |
| 173 | Appendixes Appendix A: Resources |
| 190 | Appendix B: FSA Risk Charts |
| 191 | Appendix C: Orientation, Training, and Education Requirements |
| 192 | Appendix D: Credentialing, Privileging, Qualifications, and Competencies |
| 193 | Appendix E: National Patient Safety Goals |
| 199 | Glossary |
| 213 | Index |
