Long Term Care

Last updated 1/23/12, 12:30 p.m. CT


Comprehensive Accreditation Manual for Long Term Care (CAMLTC)

Changes to CAMLTC
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)
National Patient Safety Goals (NPSG)
Provision of Care, Treatment, and Services (PC)
Performance Improvement (PI)
Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI)
Waived Testing (WT)
Policies, Procedures, and Other Information
The Accreditation Process (ACC)
Sentinel Events (SE)
The Joint Commission Quality Report (QR)
Simplifying Compliance Activities (SCA)
Medicare/Medicaid Certification-Based Long Term Care Accreditation Standards (MC)
Required Written Documentation (RWD)
Early Survey Policy Option (ESP)
Staffing Effectiveness Indicators (SEI)


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)

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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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Environment of Care (EC)

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

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Emergency Management (EM)

New Standard Regarding Credentialing and Privileging Requirements for Licensed Independent Practitioners (7/11)

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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)

Revision to Note Regarding Level of Disinfection (IC) (4/11)

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, MM, PC, PI, RC) (6/10)

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

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Leadership (LD)

Staffing Effectiveness Standard Suspended (LD) (8/09)

Staffing Effectiveness Requirements (LD, PI) (1/10)

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


Life Safety (LS)

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Medication Management (MM)

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

Clarification on Expiration of Multi-dose Vials (6/10)

Deletion of Requirement for Pharmacist Review of Off-Label Medication Use (MM) (3/11)

Correction to Standard MM.05.01.09, EPs 7-9 (6/11)

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National Patient Safety Goals (NPSG)

2010 National Patient Safety Goals (10/09)

Errata to NPSG Chapter as Published in 2010 Comprehensive Accreditation Manual (12/09)

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

Modifications to Goal on Reconciling Medication Information (1/11)

Assessing Baseline Coagulation Status Under NPSG.03.05.01 (NPSG) (5/11)

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Provision of Care, Treatment, and Services (PC)

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

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Performance Improvement (PI)

Staffing Effectiveness Requirements (LD, PI) (1/10)

Correction to Criticality Tiers Published in Perspectives (PI) (3/10)

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

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Record of Care, Treatment, and Services (RC)

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

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Rights and Responsibilities of the Individual (RI)

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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)

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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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Medicare/Medicaid Certification-Based Long Term Care Accreditation Standards (MC)

New Standard Regarding Credentialing and Privileging Requirements for Licensed Independent Practitioners (7/11)

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

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Required Written Documentation (RWD)

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Early Survey Policy Option (ESP)

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Staffing Effectiveness Indicators (SEI)

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