Office-Based Surgery Practices

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


Comprehensive Accreditation Manual for Office-Based Surgery (CAMOBS)

Changes to CAMOBS
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)
Transplant Safety (TS)
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)
Required Written Documentation (RWD)
Early Survey Policy Option (ESP)


The Updates

2010 Replacement Pages Table of Changes (10/09)

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)

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

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

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Environment of Care (EC)

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

Deleted MOS and Scoring Categories (EC, MM, PI, RC) (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)

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

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)

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Leadership (LD)

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

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

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

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

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Life Safety (LS)

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

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

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

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Medication Management (MM)

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

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

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

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

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National Patient Safety Goals (NPSG)

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

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

2010 National Patient Safety Goals (10/09)

Revised Universal Protocol for 2010 (10/09)

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

Correction to NPSG on Medication Labeling (NPSG) (3/10)

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

Modification to NPSG.01.03.01, EP 1, Re: The Use of Automated ID Tech in Blood Transfusions (NPSG) (11/10)

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

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Provision of Care, Treatment, and Services (PC)

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Performance Improvement (PI)

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

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Record of Care, Treatment, and Services (RC)

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

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Rights and Responsibilities of the Individual (RI)

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

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Transplant Safety (TS)

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Waived Testing (WT)

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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)

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)

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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Required Written Documentation (RWD)

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Early Survey Policy Option (ESP)

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