Critical Access Hospitals

Last updated 2/4/10, 1:30 p.m. CT


Comprehensive Accreditation Manual for Critical Access Hospitals (CAMCAH)

Changes to CAMCAH
The Updates
Requirements for Accreditation
Accreditation Participation Requirements (APR)
Environment of Care (EC)
Emergency Management (EM)
Human Resources (HR)
Infection Prevention and Control (IC)
Information Management (IM)
Leadership (LD)
Life Safety (LS)
Medication Management (MM)
Medical Staff (MS)
National Patient Safety Goals (NPSG)
Nursing (NR)
Provision of Care, Treatment, and Services (PC)
Performance Improvement (PI)
Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI)
Transplant Safety (TS)
Policies, Procedures, and Other Information
The Accreditation Process (ACC)
Standards Applicability Grids (SAG)
Sentinel Events (SE)
The Joint Commission Quality Report (QR)
Performance Measurement and the ORYX® Initiative (PM)
Simplifying Compliance Activities (SCA)
Required Written Documentation (RWD)
Early Survey Policy Option (ESP)
Appendix A: Medicare Requirements for Critical Access Hospitals (AXA)
Appendix B: Medicare Requirements for Critical Access Hospitals with Rhabilitation and/or Psychiatric Distinct Part Units (AXB)


The Updates

2009 Update 1 Table of Changes (6/09)

2009 Update 2 Table of Changes (10/09)

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Accreditation Participation Requirements (APR)

Errata for All 2009 Accreditation and Certification Manuals (APR, LS, RI) (5/09)

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Environment of Care (EC)

Changes to Certain EC and PC Requirements (11/08)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Errata to 2009 Requirements for EC, IC, LS, MM, NPSG, and PC (2/09)

Additional Scoring Changes for All 2009 Accreditation Manuals (EC, LD, LS, MM, PC, RI) (6/09)

Errata for 2009 Accreditation Manuals for EC and NPSG (8/09)

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Emergency Management (EM)

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Human Resources (HR)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

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Infection Prevention and Control (IC)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Errata to 2009 Requirements for EC, IC, LS, MM, NPSG, and PC (2/09)

Revised Scoring for All 2009 Accreditation Manuals (IC, LD, MM) (5/09)

Clarification on Reducing Infection Risks Associated with Medical Equipment, Devices, and Supplies (IC) (10/09)

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Information Management (IM)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

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Leadership (LD)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Revision to EP 15 of LD.04.03.01 (3/09)

Revised Scoring for All 2009 Accreditation Manuals (IC, LD, MM) (5/09)

Additional Scoring Changes for All 2009 Accreditation Manuals (EC, LD, LS, MM, PC, RI) (6/09)

Revisions to Requirements for CAHs with DPUs (LD, MS, RC) (2/10)

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Life Safety (LS)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Errata to 2009 Requirements for EC, IC, LS, MM, NPSG, and PC (2/09)

Errata for All 2009 Accreditation and Certification Manuals (APR, LS, RI) (5/09)

Additional Scoring Changes for All 2009 Accreditation Manuals (EC, LD, LS, MM, PC, RI) (6/09)

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Medication Management (MM)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Errata to 2009 Requirements for EC, IC, LS, MM, NPSG, and PC (2/09)

Revised Scoring for All 2009 Accreditation Manuals (IC, LD, MM) (5/09)

Additional Scoring Changes for All 2009 Accreditation Manuals (EC, LD, LS, MM, PC, RI) (6/09)

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Medical Staff (MS)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Revisions to Requirements for CAHs with DPUs (LD, MS, RC) (2/10)

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National Patient Safety Goals (NPSG)

Errata to 2009 Requirements for EC, IC, LS, MM, NPSG, and PC (2/09)

NPSG 8 (Medication Reconciliation) Will Not Be Scored in 2009 (3/09)

Errata for 2009 Accreditation Manuals for EC and NPSG (8/09)

2010 National Patient Safety Goals (10/09)

Revised Universal Protocol for 2010 (10/09)

Errata to NPSG and PC Chapters as Published in 2010 Comprehensive Accreditation Manuals and 2009 Update 2 (12/09)

Clarification on Site Marking Under the Universal Protocol (2/10)

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Nursing (NR)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

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Provision of Care, Treatment, and Services (PC)

Changes to Certain EC and PC Requirements (11/08)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Errata to 2009 Requirements for EC, IC, LS, MM, NPSG, and PC (2/09)

Additional Scoring Changes for All 2009 Accreditation Manuals (EC, LD, LS, MM, PC, RI) (6/09)

Errata to NPSG and PC Chapters as Published in 2010 Comprehensive Accreditation Manuals and 2009 Update 2 (12/09)

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Performance Improvement (PI)

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Record of Care, Treatment, and Services (RC)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Revisions to Requirements for CAHs with DPUs (LD, MS, RC) (2/10)

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Rights and Responsibilities of the Individual (RI)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Errata for All 2009 Accreditation and Certification Manuals (APR, LS, RI) (5/09)

Additional Scoring Changes for All 2009 Accreditation Manuals (EC, LD, LS, MM, PC, RI) (6/09)

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Transplant Safety (TS)

Additional Changes to Requirements for Rehabilitation and Psychiatric Distinct Part Units for CMS Deemed Status (1/09)

Revisions to EP 9 of TS.01.01.01 (Notification to Organ Procurement Orgs) (3/09)

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The Accreditation Process (ACC)

Corrections to a Few Accreditation Decision Rule 'Links' (11/08)

Remaining Component to the 2009 Accreditation Decision Methodology, Including Thresholds (12/08)

Additional Changes to Requirements for CAHs with Distinct Part Units (12/08)

Clarification for Pediatric Emergency Medications and Immediate Threat to Life (1/09)

Update on the 2009 Decision Process (2/09)

Updated Deposit and Fee Policies (2/09)

Approved: Revisions to the Public Information Policy (4/09)

Approved: An Extension for Extension Surveys (5/09)

The Joint Commission's Position on Steam Sterilization (7/09)

2010 Updates to Accreditation and Certification Decision Rules (8/09)

Shorter Time Frame for Second Survey Under the Early Survey Policy (9/09)

Correction to New Fraud and Abuse Accreditation Decision Rule (9/09)

Clarification on Conducting Extension Surveys (10/09)

Revision to the ESC Tool on Secure Extranet (10/09)

Decision Rule for Preliminary Denial of Accreditation Eliminated (12/09)

New Preliminary Denial of Accreditation Process (12/09)

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Standards Applicability Grids (SAG)

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Sentinel Events (SE)

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The Joint Commission Quality Report (QR)

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Performance Measurement and the ORYX® Initiative (PM)

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Simplifying Compliance Activities (SCA)

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Required Written Documentation (RWD)

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Early Survey Policy Option (ESP)

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Appendix A: Medicare Requirements for Critical Access Hospitals (AXA)

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Appendix B: Medicare Requirements for Critical Access Hospitals with Rhabilitation and/or Psychiatric Distinct Part Units (AXB)

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