Laboratories

Last updated 11/17/09, 4:15 p.m. CT


Comprehensive Accreditation Manual for Laboratories and Point-of-Care Testing (CAMLAB)
Standards Improvement Initiative (SII): Changes to 2010 CAMLAB
Changes Made to the 2009 CAMLAB


Standards Improvement Initiative (SII): Changes to 2010 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

Back to Top


Accreditation Participation Requirements (APR)

Back to Top


Document and Process Control (DC)

Back to Top


Environment of Care (EC)

Back to Top


Emergency Management (EM)

Back to Top


Human Resources (HR)

Back to Top


Infection Prevention and Control (IC)

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

Back to Top


Information Management (IM)

Back to Top


Leadership (LD)

Back to Top


National Patient Safety Goals (NPSG)

2010 National Patient Safety Goals (10/09)

Back to Top


Performance Improvement (PI)

Back to Top


Quality System Assessment for Nonwaived Testing (QSA)

Back to Top


Transplant Safety (TS)

Back to Top


Waived Testing (WT)

Back to Top


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)

Back to Top


Standards Applicability Grid (SAG)

Back to Top


Sentinel Events (SE)

Back to Top


The Joint Commission Quality Report (QR)

Back to Top


Simplifying Compliance Activities (SCA)

Back to Top


Required Written Documentation (RWD)

Back to Top


Early Survey Policy Option (ESP)

Back to Top


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

Back to Top


   
Changes Made to the 2009 CAMLAB (see above for changes made after implementation of the 2010 manual)
The Updates
The Accreditation Process
Sentinel Events
National Patient Safety Goals
The Joint Commission Quality Report
Accreditation Participation Requirements (APRs)
Standards, Rationales, Elements of Performance, and Scoring
 Section 1: Organization Functions
  Improving Organization Performance (PI)
  Leadership (LD)
  Management of the Environment of Care (EC)
  Management of Human Resources (HR)
  Management of Information (IM)
  Surveillance, Prevention, and Control of Infection (IC)
 Section 2: Technical Functions
  Quality Control QC)
  Waived Testing (WT)
Simplifying Compliance Activities
Appendix A: Point-of-Care Testing and Physician Office Laboratories
Appendix B: Standards by Laboratory Specialty/Subspecialty
Appendix C: Reference Laboratories
Appendix D: Assisted Reproductive Technology Laboratories
Appendix E: Retention Times for Records, Reports, and Specimens
Appendix F: Examples of Tissue and Cell Products


The Updates

2006 Update (published in Fall 2005) Table of Changes

2006 Update 1 Table of Changes

2006 Update 2 Table of Changes

2007 Update 1 Table of Changes

2007 Update 2 Table of Changes

2008 Update 2 Table of Changes

Back to Top


The Accreditation Process

2008 Accreditation Decision Rules for All Programs (8/07)

2008 Thresholds for Conditional Accreditation/Certification and Preliminary Denial of Accreditation/Certification (12/07)

Continuation of Track Record Requirements for Initial Laboratory Surveys (12/07)

Methodology for Conducting Unannounced Surveys Within an 18-39 (18-24 for Labs) Month Window (4/08)

Inclusion of a Clarification Validation Survey as Part of the Appeal Process (5/08)

Time Limits Approved for Organizations to Eliminate an Immediate Threat to Life Situation (5/08)

Improvements to the Decision Process (8/08)

10-Day Clarification Time Frame (8/08)

2009 Accreditation Decision Rules (8/08)

Correction to Accreditation Decision Rule CON02 (9/08)

How SII May Affect Your PPR (10/08)

Modifications to the Electronic Statement of Conditions™ for States Requiring Suspension of Testing Activities (10/08)

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

Laboratory Accreditation Decisions Will Not Affect Hospital Decisions (12/08)

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

Back to Top


Sentinel Events

Back to Top


National Patient Safety Goals

The 2008 National Patient Safety Goals (7/07)

Correction to Goal 1, Requirement 1A, IE 1 (3/08)

The Joint Commission Announces the 2009 National Patient Safety Goals and Requirements (7/08)

Errata to 2009 Requirements for NPSG (2/09)

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

Back to Top


The Joint Commission Quality Report

Back to Top


Accreditation Participation Requirements (APRs)

The Joint Commission Suspends Standard MS.1.20 Implementation Date; Implementation Task Force to Continue Work on Medical Staff Standard Revision (7/08)

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

Back to Top


Standards, Rationales, Elements of Performance, and Scoring

Back to Top


Section 1: Organization Functions

Back to Top


Improving Organization Performance (PI)

Back to Top


Leadership (LD)

Revisions to Contracted Services Standard LD.3.50 (7/07)

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

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

Back to Top


Environmental Safety and Equipment Management (EC)

Modifications to the Electronic Statement of Conditions™ for States Requiring Suspension of Testing Activities (10/08)

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

Back to Top


Management of Human Resources (HR)

Back to Top


Management of Information (IM)

Back to Top


Surveillance, Prevention, and Control of Infection (IC)

Back to Top


Section 2: Technical Functions

Back to Top


Quality Control (QC)

Back to Top


Waived Testing (WT)

Back to Top


Simplifying Compliance Activities

Back to Top


Appendix A: Point-of-Care Testing and Physician Office Laboratories

Back to Top


Appendix B: Standards by Laboratory Specialty/Subspecialty

Back to Top


Appendix C: Reference Laboratories

Back to Top


Appendix D: Assisted Reproductive Technology Laboratories

Back to Top


Appendix E: Retention Times for Records, Reports, and Specimens

Back to Top


Appendix F: Examples of Tissue and Cell Products

Back to Top


Service & Resource Finder

 


  
Calendar5.jpg