JCR CAMNCC 2020
$178.21
Comprehensive Accreditation Manual for Nursing Care Centers (CAMNCC)
| Published By | Publication Date | Number of Pages |
| JCR | 2020 | 677 |
The 2020 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, 2020, 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 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. Get ready to power performance improvement and excellence in your nursing care or rehabilitation center.
Key Topics:
“Gold tab” standards requirements including the standards, National Patient Safety Goals, and Accreditation Participation Requirements effective January 1, 2020
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 action planning worksheets in every standards chapter
“What’s New” summary of changes made since the previous hard copy 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 2020 CAMNCC |
| 8 | Cover |
| 9 | Copyright |
| 10 | Contents |
| 12 | Introduction: How The Joint Commission Can Help You Move Toward High Reliability (INTRO) |
| 13 | The Value of Joint Commission Accreditation |
| 15 | The Joint Commission’s Nursing Care Center Accreditation Program |
| 17 | Table 1. Standards That Address Complex Care Issues in Nursing Care Centers |
| 19 | How Is This Manual Organized? |
| 20 | Table 2. Acronyms Used in This Manual |
| 21 | Table 2. |
| 25 | Identifying Applicable Standards |
| 27 | Understanding the Organization of the Standards Chapters |
| 29 | Understanding the Icons Used in the Manual |
| 31 | Become Familiar with the Standards Use the Standards to Improve Care, Treatment, and Services Assess Compliance with the Standards |
| 34 | Stimulate Improvement |
| 35 | Keep Current With Standards Changes via |
| 40 | Patient Safety Systems (PS) Introduction |
| 42 | What Does This Chapter Contain? Sidebar 1. Key Terms to Understand |
| 43 | Sidebar 1. Becoming a Learning Organization |
| 44 | The Role of Nursing Care Center Leaders in Patient and Resident Safety |
| 48 | Sidebar 2. Assessing Staff Accountability |
| 49 | Sidebar 2. |
| 50 | Data Use and Reporting Systems |
| 52 | Table 1. Defining and Comparing Analytical Tools |
| 53 | A Proactive Approach to Preventing Harm |
| 54 | Sidebar 3. Strategies for an Effective Risk Assessment |
| 55 | Sidebar 3. |
| 56 | Encouraging Patient or Resident Activation |
| 57 | Beyond Accreditation: The Joint Commission Is Your Patient and Resident Safety Partner |
| 59 | References |
| 61 | Appendix. Key Patient Safety Requirements |
| 62 | Standard EC.04.01.01 Elements of Performance for EC.04.01.01 Standard EC.04.01.03 Elements of Performance for EC.04.01.03 |
| 63 | Standard EC.04.01.05 Elements of Performance for EC.04.01.05 Standard IC.01.03.01 Elements of Performance for IC.01.03.01 Standard LD.03.01.01 Elements of Performance for LD.03.01.01 |
| 64 | Standard LD.03.02.01 Elements of Performance for LD.03.02.01 Standard LD.03.04.01 Elements of Performance for LD.03.04.01 Standard LD.03.07.01 Elements of Performance for LD.03.07.01 |
| 65 | Standard LD.03.09.01 Elements of Performance for LD.03.09.01 |
| 67 | Standard LD.04.01.05 Elements of Performance for LD.04.01.05 Standard MM.08.01.01 Elements of Performance for MM.08.01.01 |
| 68 | Standard PI.01.01.01 Elements of Performance for PI.01.01.01 |
| 69 | Standard PI.03.01.01 Elements of Performance for PI.03.01.01 Standard RI.01.01.01 Elements of Performance for RI.01.01.01 |
| 70 | Standard RI.01.01.03 Elements of Performance for RI.01.01.03 |
| 71 | Standard RI.01.02.01 Elements of Performance for RI.01.02.01 |
| 72 | Standard RI.01.03.01 Elements of Performance for RI.01.03.01 |
| 73 | Standard RI.01.05.01 Elements of Performance for RI.01.05.01 |
| 74 | Standard RI.02.01.01 Elements of Performance for RI.02.01.01 |
| 76 | Accreditation Participation Requirements (APR) Overview |
| 77 | Chapter Outline |
| 78 | Requirements, Rationales, and Elements of Performance APR.01.01.01 Elements of Performance for APR.01.01.01 APR.01.02.01 Rationale for APR.01.02.01 |
| 79 | Elements of Performance for APR.01.02.01 APR.01.03.01 Elements of Performance for APR.01.03.01 APR.02.01.01 |
| 80 | Elements of Performance for APR.02.01.01 APR.03.01.01 Rationale for APR.03.01.01 Elements of Performance for APR.03.01.01 |
| 81 | APR.05.01.01 Rationale for APR.05.01.01 Elements of Performance for APR.05.01.01 APR.06.01.01 Elements of Performance for APR.06.01.01 |
| 82 | APR.07.01.01 Elements of Performance for APR.07.01.01 APR.08.01.01 Elements of Performance for APR.08.01.01 APR.09.01.01 |
| 83 | Elements of Performance for APR.09.01.01 APR.09.02.01 Rationale for APR.09.02.01 Elements of Performance for APR.09.02.01 |
| 84 | APR.09.03.01 Elements of Performance for APR.09.03.01 APR.09.04.01 Elements of Performance for APR.09.04.01 |
| 92 | Environment of Care (EC) Overview |
| 94 | Chapter Outline |
| 95 | Standards, Rationales, and Elements of Performance Standard EC.01.01.01 Rationale for EC.01.01.01 Elements of Performance for EC.01.01.01 |
| 96 | Standard EC.02.01.01 Rationale for EC.02.01.01 Elements of Performance for EC.02.01.01 Standard EC.02.01.03 |
| 97 | Elements of Performance for EC.02.01.03 Standard EC.02.02.01 Rationale for EC.02.02.01 |
| 98 | Elements of Performance for EC.02.02.01 Standard EC.02.03.01 Rationale for EC.02.03.01 |
| 99 | Elements of Performance for EC.02.03.01 Standard EC.02.03.03 Elements of Performance for EC.02.03.03 |
| 100 | Standard EC.02.03.05 Elements of Performance for EC.02.03.05 |
| 102 | Standard EC.02.04.01 Elements of Performance for EC.02.04.01 |
| 103 | Standard EC.02.04.03 Elements of Performance for EC.02.04.03 |
| 104 | Standard EC.02.05.01 Elements of Performance for EC.02.05.01 |
| 106 | Standard EC.02.05.03 Elements of Performance for EC.02.05.03 |
| 108 | Standard EC.02.05.05 Rationale for EC.02.05.05 Elements of Performance for EC.02.05.05 |
| 109 | Standard EC.02.05.07 Rationale for EC.02.05.07 |
| 110 | Elements of Performance for EC.02.05.07 |
| 112 | Standard EC.02.05.09 Rationale for EC.02.05.09 Elements of Performance for EC.02.05.09 |
| 114 | Standard EC.02.06.01 Elements of Performance for EC.02.06.01 |
| 116 | Standard EC.02.06.03 Elements of Performance for EC.02.06.03 Standard EC.02.06.05 |
| 117 | Rationale for EC.02.06.05 Elements of Performance for EC.02.06.05 |
| 118 | Standard EC.04.01.01 Elements of Performance for EC.04.01.01 Standard EC.04.01.03 Elements of Performance for EC.04.01.03 Standard EC.04.01.05 |
| 119 | Elements of Performance for EC.04.01.05 |
| 136 | Emergency Management (EM) Overview |
| 138 | Chapter Outline |
| 139 | Standards, Rationales, and Elements of Performance Standard EM.01.01.01 Rationale for EM.01.01.01 Elements of Performance for EM.01.01.01 |
| 140 | Standard EM.02.01.01 |
| 141 | Rationale for EM.02.01.01 Elements of Performance for EM.02.01.01 |
| 142 | Standard EM.02.02.01 Rationale for EM.02.02.01 Elements of Performance for EM.02.02.01 |
| 143 | Standard EM.02.02.03 Rationale for EM.02.02.03 |
| 144 | Elements of Performance for EM.02.02.03 |
| 145 | Standard EM.02.02.05 Elements of Performance for EM.02.02.05 |
| 146 | Standard EM.02.02.07 Rationale for EM.02.02.07 Elements of Performance for EM.02.02.07 |
| 147 | Standard EM.02.02.09 Rationale for EM.02.02.09 Elements of Performance for EM.02.02.09 |
| 148 | Standard EM.02.02.11 Rationale for EM.02.02.11 Elements of Performance for EM.02.02.11 |
| 150 | Standard EM.02.02.13 Elements of Performance for EM.02.02.13 |
| 151 | Standard EM.02.02.15 |
| 152 | Elements of Performance for EM.02.02.15 |
| 153 | Standard EM.03.01.01 Rationale for EM.03.01.01 Elements of Performance for EM.03.01.01 Standard EM.03.01.03 Rationale for EM.03.01.03 Elements of Performance for EM.03.01.03 |
| 162 | Human Resources (HR) Overview |
| 163 | Chapter Outline |
| 164 | Standards, Rationales, and Elements of Performance Standard HR.01.01.01 Elements of Performance for HR.01.01.01 |
| 165 | Standard HR.01.02.05 Elements of Performance for HR.01.02.05 |
| 166 | Standard HR.01.02.07 Elements of Performance for HR.01.02.07 Standard HR.01.04.01 |
| 167 | Elements of Performance for HR.01.04.01 Standard HR.01.05.03 |
| 168 | Elements of Performance for HR.01.05.03 |
| 170 | Standard HR.01.06.01 Elements of Performance for HR.01.06.01 |
| 171 | Standard HR.01.07.01 Elements of Performance for HR.01.07.01 |
| 173 | Standard HR.02.01.04 Elements of Performance for HR.02.01.04 |
| 175 | Standard HR.02.01.05 Elements of Performance for HR.02.01.05 Standard HR.02.01.07 Elements of Performance for HR.02.01.07 |
| 176 | Standard HR.02.02.01 Elements of Performance for HR.02.02.01 |
| 190 | Infection Prevention and Control (IC) Overview |
| 192 | Chapter Outline |
| 193 | Standards, Rationales, and Elements of Performance Standard IC.01.03.01 Rationale for IC.01.03.01 |
| 194 | Elements of Performance for IC.01.03.01 Standard IC.01.04.01 Elements of Performance for IC.01.04.01 Standard IC.01.05.01 Elements of Performance for IC.01.05.01 |
| 195 | Standard IC.01.06.01 Elements of Performance for IC.01.06.01 |
| 196 | Standard IC.02.01.01 Elements of Performance for IC.02.01.01 |
| 198 | Standard IC.02.02.01 Rationale for IC.02.02.01 |
| 199 | Elements of Performance for IC.02.02.01 Standard IC.02.03.01 Elements of Performance for IC.02.03.01 |
| 201 | Standard IC.02.04.01 Elements of Performance for IC.02.04.01 |
| 202 | Standard IC.02.04.03 Rationale for IC.02.04.03 Elements of Performance for IC.02.04.03 Standard IC.02.04.05 Elements of Performance for IC.02.04.05 |
| 203 | Standard IC.03.01.01 Elements of Performance for IC.03.01.01 |
| 212 | Information Management (IM) Overview |
| 213 | Chapter Outline |
| 214 | Standards, Rationales, and Elements of Performance Standard IM.01.01.01 Elements of Performance for IM.01.01.01 |
| 215 | Standard IM.01.01.03 Elements of Performance for IM.01.01.03 |
| 216 | Standard IM.02.01.01 Elements of Performance for IM.02.01.01 |
| 217 | Standard IM.02.01.03 Elements of Performance for IM.02.01.03 Standard IM.02.02.01 |
| 218 | Rationale for IM.02.02.01 Elements of Performance for IM.02.02.01 |
| 219 | Standard IM.02.02.03 Rationale for IM.02.02.03 Elements of Performance for IM.02.02.03 Standard IM.03.01.01 Elements of Performance for IM.03.01.01 |
| 226 | Leadership (LD) Overview |
| 229 | Chapter Outline |
| 230 | Standards, Rationales, and Elements of Performance Standard LD.01.03.01 |
| 231 | Rationale for LD.01.03.01 Elements of Performance for LD.01.03.01 Standard LD.01.04.01 Elements of Performance for LD.01.04.01 Standard LD.01.06.01 Elements of Performance for LD.01.06.01 |
| 233 | Standard LD.01.07.01 Elements of Performance for LD.01.07.01 |
| 234 | Standard LD.02.03.01 Rationale for LD.02.03.01 Elements of Performance for LD.02.03.01 |
| 237 | Standard LD.03.01.01 Rationale for LD.03.01.01 Elements of Performance for LD.03.01.01 |
| 239 | Standard LD.03.01.02 Elements of Performance for LD.03.01.02 Standard LD.03.02.01 Rationale for LD.03.02.01 |
| 240 | Elements of Performance for LD.03.02.01 Standard LD.03.03.01 Rationale for LD.03.03.01 Elements of Performance for LD.03.03.01 Standard LD.03.04.01 |
| 241 | Rationale for LD.03.04.01 Elements of Performance for LD.03.04.01 Standard LD.03.05.01 Rationale for LD.03.05.01 Elements of Performance for LD.03.05.01 Standard LD.03.06.01 |
| 242 | Rationale for LD.03.06.01 Elements of Performance for LD.03.06.01 Standard LD.03.07.01 Elements of Performance for LD.03.07.01 |
| 243 | Standard LD.03.08.01 Elements of Performance for LD.03.08.01 |
| 244 | Standard LD.03.09.01 Elements of Performance for LD.03.09.01 |
| 246 | Standard LD.03.10.01 Elements of Performance for LD.03.10.01 Standard LD.04.01.01 |
| 247 | Elements of Performance for LD.04.01.01 Standard LD.04.01.03 Elements of Performance for LD.04.01.03 Standard LD.04.01.05 |
| 248 | Rationale for LD.04.01.05 Elements of Performance for LD.04.01.05 Standard LD.04.01.07 Elements of Performance for LD.04.01.07 Standard LD.04.01.11 Rationale for LD.04.01.11 |
| 249 | Elements of Performance for LD.04.01.11 Standard LD.04.02.01 Elements of Performance for LD.04.02.01 Standard LD.04.02.03 Elements of Performance for LD.04.02.03 Standard LD.04.03.01 |
| 250 | Elements of Performance for LD.04.03.01 Standard LD.04.03.07 Rationale for LD.04.03.07 Elements of Performance for LD.04.03.07 |
| 252 | Standard LD.04.03.09 Elements of Performance for LD.04.03.09 |
| 254 | Standard LD.04.03.13 Elements of Performance for LD.04.03.13 |
| 266 | Life Safety (LS) Overview |
| 268 | Chapter Outline |
| 269 | Standards, Rationales, and Elements of Performance Standard LS.01.01.01 Elements of Performance for LS.01.01.01 |
| 270 | Standard LS.01.02.01 |
| 271 | Elements of Performance for LS.01.02.01 |
| 273 | Standard LS.02.01.10 Elements of Performance for LS.02.01.10 Standard LS.02.01.20 Rationale for LS.02.01.20 |
| 274 | Elements of Performance for LS.02.01.20 |
| 275 | Standard LS.02.01.30 |
| 276 | Rationale for LS.02.01.30 Elements of Performance for LS.02.01.30 Standard LS.02.01.34 |
| 277 | Elements of Performance for LS.02.01.34 |
| 278 | Standard LS.02.01.35 Elements of Performance for LS.02.01.35 |
| 279 | Standard LS.02.01.40 Elements of Performance for LS.02.01.40 Standard LS.02.01.50 |
| 280 | Elements of Performance for LS.02.01.50 Standard LS.02.01.70 Elements of Performance for LS.02.01.70 |
| 288 | Medication Management (MM) Overview |
| 290 | Chapter Outline |
| 291 | Standards, Rationales, and Elements of Performance Standard MM.01.01.01 Rationale for MM.01.01.01 Elements of Performance for MM.01.01.01 Standard MM.01.01.03 Rationale for MM.01.01.03 |
| 292 | Elements of Performance for MM.01.01.03 Standard MM.01.01.05 Rationale for MM.01.01.05 Elements of Performance for MM.01.01.05 |
| 293 | Standard MM.01.02.01 Elements of Performance for MM.01.02.01 Standard MM.03.01.01 |
| 294 | Rationale for MM.03.01.01 Elements of Performance for MM.03.01.01 Standard MM.03.01.03 |
| 295 | Rationale for MM.03.01.03 Elements of Performance for MM.03.01.03 Standard MM.03.01.05 Rationale for MM.03.01.05 Elements of Performance for MM.03.01.05 |
| 296 | Standard MM.04.01.01 Elements of Performance for MM.04.01.01 |
| 297 | Standard MM.05.01.01 Elements of Performance for MM.05.01.01 |
| 298 | Standard MM.05.01.07 Elements of Performance for MM.05.01.07 Standard MM.05.01.09 Rationale for MM.05.01.09 Elements of Performance for MM.05.01.09 |
| 299 | Standard MM.05.01.15 Elements of Performance for MM.05.01.15 |
| 300 | Standard MM.05.01.17 Elements of Performance for MM.05.01.17 Standard MM.05.01.19 Rationale for MM.05.01.19 |
| 301 | Elements of Performance for MM.05.01.19 Standard MM.06.01.01 Elements of Performance for MM.06.01.01 Standard MM.06.01.03 |
| 302 | Elements of Performance for MM.06.01.03 Standard MM.06.01.05 Rationale for MM.06.01.05 |
| 303 | Elements of Performance for MM.06.01.05 Standard MM.07.01.01 Elements of Performance for MM.07.01.01 |
| 304 | Standard MM.07.01.03 Rationale for MM.07.01.03 Elements of Performance for MM.07.01.03 |
| 305 | Standard MM.08.01.01 Elements of Performance for MM.08.01.01 |
| 306 | Standard MM.09.01.01 Elements of Performance for MM.09.01.01 |
| 320 | National Patient Safety Goals (NPSG) Chapter Outline National Patient Safety Goals® |
| 321 | Requirements, Rationales, and Elements of Performance NPSG.01.01.01 Rationale for NPSG.01.01.01 Elements of Performance for NPSG.01.01.01 |
| 322 | NPSG.03.05.01 Rationale for NPSG.03.05.01 Elements of Performance for NPSG.03.05.01 |
| 324 | NPSG.03.06.01 |
| 325 | Rationale for NPSG.03.06.01 Elements of Performance for NPSG.03.06.01 |
| 326 | NPSG.07.01.01 Rationale for NPSG.07.01.01 |
| 327 | Elements of Performance for NPSG.07.01.01 NPSG.07.03.01 Elements of Performance for NPSG.07.03.01 |
| 328 | NPSG.07.04.01 |
| 329 | Elements of Performance for NPSG.07.04.01 NPSG.07.06.01 Elements of Performance for NPSG.07.06.01 |
| 331 | NPSG.09.02.01 Rationale for NPSG.09.02.01 Elements of Performance for NPSG.09.02.01 |
| 332 | NPSG.14.01.01 Rationale for NPSG.14.01.01 Elements of Performance for NPSG.14.01.01 |
| 340 | Provision of Care, Treatment, and Services (PC) Overview |
| 342 | Chapter Outline |
| 343 | Standards, Rationales, and Elements of Performance Standard PC.01.01.01 Elements of Performance for PC.01.01.01 |
| 344 | Standard PC.01.02.01 Elements of Performance for PC.01.02.01 |
| 347 | Standard PC.01.02.03 Elements of Performance for PC.01.02.03 |
| 349 | Standard PC.01.02.05 Elements of Performance for PC.01.02.05 |
| 351 | Standard PC.01.02.07 Elements of Performance for PC.01.02.07 |
| 353 | Standard PC.01.02.09 Rationale for PC.01.02.09 Elements of Performance for PC.01.02.09 |
| 354 | Standard PC.01.02.15 Elements of Performance for PC.01.02.15 |
| 355 | Standard PC.01.03.01 Elements of Performance for PC.01.03.01 |
| 357 | Standard PC.02.01.01 Elements of Performance for PC.02.01.01 Standard PC.02.01.03 Elements of Performance for PC.02.01.03 |
| 358 | Standard PC.02.01.05 Rationale for PC.02.01.05 Elements of Performance for PC.02.01.05 |
| 360 | Standard PC.02.01.07 Elements of Performance for PC.02.01.07 Standard PC.02.01.08 |
| 361 | Rationale for PC.02.01.08 Elements of Performance for PC.02.01.08 |
| 362 | Standard PC.02.01.09 Elements of Performance for PC.02.01.09 Standard PC.02.01.13 Elements of Performance for PC.02.01.13 |
| 363 | Standard PC.02.01.15 Elements of Performance for PC.02.01.15 Standard PC.02.01.17 |
| 364 | Elements of Performance for PC.02.01.17 Standard PC.02.01.19 Elements of Performance for PC.02.01.19 |
| 365 | Standard PC.02.02.01 |
| 366 | Elements of Performance for PC.02.02.01 Standard PC.02.02.02 Rationale for PC.02.02.02 |
| 367 | Elements of Performance for PC.02.02.02 |
| 368 | Standard PC.02.02.03 Elements of Performance for PC.02.02.03 |
| 370 | Standard PC.02.02.07 Rationale for PC.02.02.07 Elements of Performance for PC.02.02.07 Standard PC.02.02.09 Elements of Performance for PC.02.02.09 |
| 372 | Standard PC.02.02.13 Elements of Performance for PC.02.02.13 Standard PC.02.03.01 Elements of Performance for PC.02.03.01 |
| 374 | Standard PC.03.02.09 Elements of Performance for PC.03.02.09 Standard PC.03.02.13 Elements of Performance for PC.03.02.13 |
| 375 | Standard PC.04.01.01 Elements of Performance for PC.04.01.01 |
| 376 | Standard PC.04.01.03 Elements of Performance for PC.04.01.03 |
| 377 | Standard PC.04.01.05 Elements of Performance for PC.04.01.05 |
| 378 | Standard PC.04.01.07 Elements of Performance for PC.04.01.07 |
| 379 | Standard PC.04.02.01 Elements of Performance for PC.04.02.01 |
| 380 | Standard PC.04.02.02 Rationale for PC.04.02.02 Elements of Performance for PC.04.02.02 |
| 396 | Performance Improvement (PI) Overview |
| 398 | Chapter Outline |
| 399 | Standards, Rationales, and Elements of Performance Standard PI.01.01.01 Elements of Performance for PI.01.01.01 |
| 401 | Standard PI.02.01.01 Elements of Performance for PI.02.01.01 |
| 402 | Standard PI.03.01.01 Elements of Performance for PI.03.01.01 |
| 410 | Record of Care, Treatment, and Services (RC) Overview |
| 411 | Chapter Outline |
| 412 | Standards, Rationales, and Elements of Performance Standard RC.01.01.01 Elements of Performance for RC.01.01.01 Standard RC.01.02.01 Elements of Performance for RC.01.02.01 |
| 413 | Standard RC.01.03.01 Elements of Performance for RC.01.03.01 Standard RC.01.04.01 Elements of Performance for RC.01.04.01 Standard RC.02.01.01 Elements of Performance for RC.02.01.01 |
| 414 | Standard RC.02.01.05 Elements of Performance for RC.02.01.05 |
| 415 | Standard RC.02.01.09 Elements of Performance for RC.02.01.09 Standard RC.02.01.11 Elements of Performance for RC.02.01.11 |
| 416 | Standard RC.02.01.13 Elements of Performance for RC.02.01.13 Standard RC.02.01.15 Elements of Performance for RC.02.01.15 |
| 417 | Standard RC.02.01.17 Elements of Performance for RC.02.01.17 Standard RC.02.01.19 |
| 418 | Elements of Performance for RC.02.01.19 Standard RC.02.01.21 Elements of Performance for RC.02.01.21 Standard RC.02.01.25 Elements of Performance for RC.02.01.25 Standard RC.02.01.27 |
| 419 | Elements of Performance for RC.02.01.27 Standard RC.02.03.07 Elements of Performance for RC.02.03.07 Standard RC.02.04.01 Elements of Performance for RC.02.04.01 |
| 426 | Rights and Responsibilities of the Individual (RI) Overview |
| 428 | Chapter Outline |
| 429 | Standards, Rationales, and Elements of Performance Standard RI.01.01.01 Rationale for RI.01.01.01 Elements of Performance for RI.01.01.01 |
| 430 | Standard RI.01.01.03 Rationale for RI.01.01.03 |
| 431 | Elements of Performance for RI.01.01.03 Standard RI.01.02.01 Rationale for RI.01.02.01 Elements of Performance for RI.01.02.01 |
| 432 | Standard RI.01.03.01 |
| 433 | Rationale for RI.01.03.01 Elements of Performance for RI.01.03.01 Standard RI.01.03.05 |
| 434 | Rationale for RI.01.03.05 Elements of Performance for RI.01.03.05 Standard RI.01.05.01 |
| 435 | Elements of Performance for RI.01.05.01 Standard RI.01.06.01 Elements of Performance for RI.01.06.01 |
| 436 | Standard RI.01.06.03 Elements of Performance for RI.01.06.03 Standard RI.01.06.05 Rationale for RI.01.06.05 |
| 437 | Elements of Performance for RI.01.06.05 Standard RI.01.06.07 Elements of Performance for RI.01.06.07 Standard RI.01.06.09 Elements of Performance for RI.01.06.09 |
| 438 | Standard RI.01.06.11 Elements of Performance for RI.01.06.11 Standard RI.01.06.13 Elements of Performance for RI.01.06.13 |
| 439 | Standard RI.01.07.01 Elements of Performance for RI.01.07.01 Standard RI.01.07.05 |
| 440 | Elements of Performance for RI.01.07.05 Standard RI.01.07.07 Elements of Performance for RI.01.07.07 Standard RI.01.07.13 |
| 441 | Elements of Performance for RI.01.07.13 Standard RI.02.01.01 Rationale for RI.02.01.01 Elements of Performance for RI.02.01.01 |
| 452 | Waived Testing (WT) Overview |
| 455 | Chapter Outline |
| 456 | Standards, Rationales, and Elements of Performance Standard WT.01.01.01 Elements of Performance for WT.01.01.01 Standard WT.03.01.01 Elements of Performance for WT.03.01.01 |
| 457 | Standard WT.04.01.01 Elements of Performance for WT.04.01.01 Standard WT.05.01.01 Elements of Performance for WT.05.01.01 |
| 466 | The Accreditation Process (ACC) Notices ACC Chapter Contents |
| 468 | Overview |
| 469 | Accreditation Policies |
| 486 | Sidebar 1. Early Survey Policy |
| 487 | Sidebar 1. |
| 489 | Before the Survey |
| 494 | During the Survey |
| 495 | Table 1. Exceptions to Unannounced Surveys |
| 503 | Table 2. Nursing Care Center–Specific Tracer Applicability and Objectives |
| 509 | After the Survey |
| 519 | Between Accreditation Surveys |
| 522 | Sidebar 2. Focused Standards Assessment (FSA) Options |
| 523 | Sidebar 2. |
| 531 | Decision Rules for Organizations Seeking Initial Accreditation |
| 534 | Decision Rules for Organizations Seeking Reaccreditation |
| 538 | Process for Organizations That Meet Decision Rule PDA02 for Patients or Residents Placed at Risk for Serious Adverse Outcomes Du |
| 541 | Process for Organizations That Meet Decision Rule PDA04 Review and Appeal Procedures |
| 548 | Post–Acute Care Certification (PAC) Overview |
| 549 | Standard HR.01.02.05 Elements of Performance for HR.01.02.05 Standard HR.01.05.03 Elements of Performance for HR.01.05.03 |
| 550 | Standard HR.01.06.01 Elements of Performance for HR.01.06.01 Standard LD.01.06.01 Elements of Performance for LD.01.06.01 Standard LD.03.10.01 |
| 551 | Elements of Performance for LD.03.10.01 |
| 552 | Standard PC.01.01.01 Elements of Performance for PC.01.01.01 Standard PC.01.02.01 Elements of Performance for PC.01.02.01 |
| 553 | Standard PC.01.02.03 Elements of Performance for PC.01.02.03 |
| 554 | Standard PC.01.02.07 Elements of Performance for PC.01.02.07 |
| 555 | Standard PC.01.02.15 Elements of Performance for PC.01.02.15 |
| 556 | Standard PC.01.03.01 Elements of Performance for PC.01.03.01 Standard PC.02.01.05 Rationale for PC.02.01.05 |
| 557 | Elements of Performance for PC.02.01.05 |
| 558 | Standard PC.02.01.09 Elements of Performance for PC.02.01.09 Standard PC.02.01.19 Elements of Performance for PC.02.01.19 |
| 559 | Standard PC.02.02.02 Rationale for PC.02.02.02 Elements of Performance for PC.02.02.02 |
| 560 | Standard PC.04.01.01 Elements of Performance for PC.04.01.01 |
| 561 | Standard PC.04.01.05 Elements of Performance for PC.04.01.05 Standard PC.04.02.01 |
| 562 | Elements of Performance for PC.04.02.01 Standard PC.04.02.02 Rationale for PC.04.02.02 Elements of Performance for PC.04.02.02 |
| 563 | Standard PI.01.01.01 Elements of Performance for PI.01.01.01 |
| 574 | Sentinel Events (SE) I. Sentinel Events |
| 578 | II. Goals of the Sentinel Event Policy |
| 579 | III. Responding to Sentinel Events |
| 586 | IV. The Sentinel Event Database |
| 587 | V. Determination That a Sentinel Event Is Subject to Review VI. Optional On-Site Review of a Sentinel Event VII. Disclosable Information |
| 588 | VIII. The Joint Commission’s Response IX. Sentinel Event Measures of Success (SE MOS) |
| 589 | X. Handling Sentinel Event–Related Documents XI. Oversight of the Sentinel Event Policy |
| 590 | XII. Survey Process |
| 591 | Appendix. Accreditation Requirements Related to Sentinel Events Standard LD.03.09.01 Elements of Performance for LD.03.09.01 |
| 594 | The Joint Commission Quality Report (QR) Introduction What Is The Joint Commission Quality Report? |
| 595 | What Will My Quality Report Contain? What Is Quality Check? |
| 596 | Can My Nursing Care Center Comment On Its Quality Report? |
| 597 | What Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality? |
| 600 | Early Survey Policy (ESP) Accreditation Participation Requirements (APR) Environment of Care (EC) Emergency Management (EM) |
| 601 | Human Resources (HR) Infection Prevention and Control (IC) Information Management (IM) Leadership (LD) |
| 602 | Life Safety (LS) Medication Management (MM) National Patient Safety Goals (NPSG) Provision of Care, Treatment, and Services (PC) Performance Improvement (PI) |
| 603 | Record of Care, Treatment, and Services (RC) Rights and Responsibilities of the Individual (RI) |
| 604 | Memory Care Certification (MCC) Overview |
| 605 | Standard EC.02.06.01 Elements of Performance for EC.02.06.01 |
| 606 | Standard HR.01.05.03 Elements of Performance for HR.01.05.03 Standard IM.03.01.01 |
| 607 | Elements of Performance for IM.03.01.01 Standard PC.02.01.01 Elements of Performance for PC.02.01.01 Standard PC.02.02.02 |
| 608 | Rationale for PC.02.02.02 Elements of Performance for PC.02.02.02 |
| 609 | Standard PC.02.02.03 Elements of Performance for PC.02.02.03 |
| 610 | Standard PC.02.02.09 Elements of Performance for PC.02.02.09 |
| 611 | Standard PC.02.03.01 Elements of Performance for PC.02.03.01 |
| 618 | Appendix A: Reference Guide of Selected Medicare Requirements to Relevant Joint Commission Requirements (AXA) |
| 620 | Glossary (GL) |
| 652 | Index (IX) |
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