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2020 Hospital Compliance Assessment Workbook
All levels
U.S. Standards

2020 Hospital Compliance Assessment Workbook

Equip your hospital staff with a tool to quickly and efficiently assess compliance with the 2020 standards!

Release Date: February 1, 2020. Softcover. Approximately 770 pages.

  • site license allows this ebook to be shared among unlimited users but only within one facility or site, either by posting to a secure intranet site or by providing other means of secure access. 
  • system license allows this ebook to be shared among unlimited users within all facilities or sites within a health care system, either by posting to a secure intranet site or by providing other means of secure access. Please contact JCR Customer Service (877.223.6866 option 1) for pricing of a system license.

$205.00 - $308.00
Product Description

Product Description

This title was completely reimagined for 2020! A straightforward, hands-on resource, the 2020 Hospital Compliance Assessment Workbook engages staff and leadership in accreditation activities with questions, templates, and tracer tools to identify areas of noncompliance. This self-assessment workbook is designed to help your hospital maintain continuous standards compliance and survey readinessto assess standards compliance and survey readiness. The simplified workbook includes ALL hospital standards and EPs, including those used for deemed status purposes and primary care medical home certification in the hospital setting. Downloadable, adaptable tools and templates provide compliance help.
Buy one for each member of your accreditation team, or a site license for all to share!
Key Topics
•  Assessment of standards compliance
•  Application of the SAFERTM Matrix
•  Tracer methodology
•  Risk assessment
Key Features
•  High-level surveyor prompts to help stimulate staff discussion and cultivate compliance strategies
•  Questions to assess each element of performance in the E-dition®/Comprehensive Accreditation Manual for Hospitals as of January 1, 2020
•  Downloadable, adaptable tools and templates for standards compliance
•  Tracer questions and worksheets to help with mock tracers and promote survey readiness
•  Writable PDFs (e-book only)
•  Available site license to allow accreditation prep team to share learnings and data
Standards: All hospital standards effective January 1, 2020
Setting: Organizations accredited under the Hospital Accreditation Program, including general, acute psychiatric, pediatric, medical/surgical specialty, long term acute care, and rehabilitation hospitals
Key Audience
  • Accreditation managers
  • Quality improvement managers
  • Physician and nurse leaders
  • Chapter leaders and department heads
Table of Contents

Table of Contents

Part 1: Joint Commission Standards Compliance Assessment

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)

Medical Staff (MS)

National Patient Safety Goals® (NPSG)

Nursing (NR)

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)

Part 2: Compliance Assessment Tools and Templates

Mock Tracer

SAFER Matrix

Risk Assessment

Additional Compliance Assessment Tools and Templates

Payment Options

Payment Options

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