Last updated 3/3/10, 11:30 a.m. CT
The Updates
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Accreditation Participation Requirements (APR)
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Environment of Care (EC)
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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)
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Information Management (IM)
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Leadership (LD)
Staffing Effectiveness Standard Suspended (LD)
(8/09)
Staffing Effectiveness Requirements (LD, PI)
(1/10)
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Life Safety (LS)
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Medication Management (MM)
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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)
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Provision of Care, Treatment, and Services (PC)
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Performance Improvement (PI)
Staffing Effectiveness Requirements (LD, PI) (1/10)
Correction to Criticality Tiers Published in Perspectives (PI) (3/10)
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Record of Care, Treatment, and Services (RC)
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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)
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Sentinel Events (SE)
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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)
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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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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 (revised)
2008 Update 2 Table of Changes
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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)
Clarification on Details of Elimination of Four-Month Track Record Requirements Decision (1/08)
Methodology for Conducting Unannounced Surveys Within an 18-39 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)
New Accreditation Decision Rule for Long Term Care (10/08)
Corrections to a Few Accreditation Decision Rule 'Links' (11/08)
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)
Additional Unannounced Survey Exceptions and Advance Notice Provision (3/09)
Approved: Revisions to the Public Information Policy (4/09)
Approved: An Extension for Extension Surveys (5/09)
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Sentinel Events
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National Patient Safety Goals
The 2008 National Patient Safety Goals (7/07)
The Joint Commission Announces the 2009 National Patient Safety Goals and Requirements (7/08)
NPSG.07.04.01 Applies to Medicare/Medicaid Certification-Based Long Term Care (9/08)
Errata to 2009 Requirements for LS and NPSG (2/09)
NPSG 8 (Medication Reconciliation) Will Not Be Scored in 2009 (3/09)
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The Joint Commission Quality Report
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Accreditation Participation Requirements (APRs)
Requirement for Accredited Nursing Homes to Notify the Joint Commission When They Become a Special Focus Facility (APR 1, EP 3) (6/08)
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)
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Standards, Rationales, Elements of Performance, and Scoring
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Section 1: Resident-Focused Functions
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Ethics, Rights, and Responsibilities (RI)
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Provision of Care, Treatment, and Services (PC)
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Medication Management (MM)
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Surveillance, Prevention, and Control of Infection (IC)
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Section 2: Organization Functions
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Improving Organization Performance (PI)
Additional Scoring Changes for All 2009 Accreditation Manuals (LD, LS, PI) (6/09)
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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 (LD, LS, PI) (6/09)
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Management of the Environment of Care (EC)
Correction to Standard EC.4.20, EP 4 (11/07)
Revision to Note for Standard EC.4.12, EP 6 (1/08)
Revisions to Fire-Safety Equipment Maintenance Standard EC.5.40, EP 14 (1/08)
Change in Compliance Expectation for Emergency Management Standards (6/08)
Modifications to the Electronic Statement of Conditions™ for States Requiring Suspension of Testing Activities (10/08)
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Life Safety (LS)
Errata to 2009 Requirements for LS and NPSG (2/09)
Additional Scoring Changes for All 2009 Accreditation Manuals (LD, LS, PI) (6/09)
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Management of Human Resources (HR)
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Management of Information (IM)
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Medicare/Medicaid Certification-Based LTC Accreditation Standards
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Performance Measurement and the ORYX Initiative
ORYX Requirements for Three Programs Rescinded for 2010 (11/09)
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Simplifying Compliance Activities
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