Laboratories

Last updated 3/30/12, 4:20 p.m. CT


Comprehensive Accreditation Manual for Laboratories and Point-of-Care Testing (CAMLAB)

Changes to CAMLAB
The Updates
Requirements for Accreditation
Accreditation Participation Requirements (APR)
Document and Process Control (DC)
Environment of Care (EC)
Emergency Management (EM)
Human Resources (HR)
Infection Prevention and Control (IC)
Information Management (IM)
Leadership (LD)
National Patient Safety Goals (NPSG)
Performance Improvement (PI)
Quality System Assessment for Nonwaived Testing (QSA)
Transplant Safety (TS)
Waived Testing (WT)
Policies, Procedures, and Other Information
The Accreditation Process (ACC)
Standards Applicability Grid (SAG)
Sentinel Events (SE)
The Joint Commission Quality Report (QR)
Simplifying Compliance Activities (SCA)
Required Written Documentation (RWD)
Early Survey Policy Option (ESP)
Appendix A: Retention Times for Records, Reports, and Specimens (AXA)


The Updates

2010 Update 1 Table of Changes (6/10)

2010 Update 2 Table of Changes (9/10)

2011 Update 1 Table of Changes (3/11)

2011 Update 2 Table of Changes (9/11)

2012 Update 1 Table of Changes (3/12)

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Accreditation Participation Requirements (APR)

New Method to Record an Immediate Threat to Health or Safety Situation (APR) (9/11)

No PPr Submission Required in Year of the Triennial or Biennial Survey (APR) (10/11)

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Document and Process Control (DC)

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Environment of Care (EC)

Deleted MOS and Scoring Categories (EC, IM, PI) (6/10)

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Emergency Management (EM)

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Human Resources (HR)

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Infection Prevention and Control (IC)

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

Revised Influenze Vaccination Standard IC.02.04.01 (IC) (12/11)

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Information Management (IM)

Deleted MOS and Scoring Categories (EC, IM, PI) (6/10)

Correction: Approved Abbreviations List Is Not Required Under IM.02.02.01 (6/10)

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Leadership (LD)

Leadership Standard Clarified to Address Behaviors That Undermine a Safety Culture (LD) (1/12)

Accepted: New and Revised Laboratory Requirements to Meet Relevant CLIA Regulations (LD, QSA) (3/12)

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National Patient Safety Goals (NPSG)

2010 National Patient Safety Goals (10/09)

No New National Patient Safety Goals, Only Minor Revisions for 2011 (NPSG) (8/10)

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Performance Improvement (PI)

Deleted MOS and Scoring Categories (EC, IM, PI) (6/10)

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Quality System Assessment for Nonwaived Testing (QSA)

Revision to Lab Proficiency Testing Requirement (QSA) (4/11)

Accepted: New and Revised Laboratory Requirements to Meet Relevant CLIA Regulations (LD, QSA) (3/12)

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Transplant Safety (TS)

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Waived Testing (WT)

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The Accreditation Process (ACC)

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)

2011 Accreditation and Certification Decision Rules (11/10)

Refined Accreditation and Certification Decision Categories (11/10)

Modification to Policy on Conducting a Full Survey Within 3 Years of a Full Survey (12/10)

Policy for Accreditation Status of Orgs That Temporarily Cease Provision of Services (12/10)

Revised Public Information Policy (1/11)

Revisions to the Review and Appeal Procedures for Adverse Decisions (8/11)

2012 Accreditation and Certification Decision Rules (9/11)

Revisions to 2012 Decision Rules for Contingent Accrediation (1/12)

Errata: Reinstated Decision Rule for Accreditation with Follow-Up Survey in 2012 (2/12)

Clarification re: Approved Laboratory Services in a Joint Commission-Accredited Primary Program (4/12)

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Standards Applicability Grid (SAG)

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Sentinel Events (SE)

Suspension of "Automatic" Sentinel Event Adverse Decision (5/10)

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The Joint Commission Quality Report (QR)

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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: Retention Times for Records, Reports, and Specimens (AXA)

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