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JC PolicySource Hospital 2020

$216.13

PolicySource: P&Ps for Compliance with Joint Commission Requirements – Hospital Version

Published By Publication Date Number of Pages
Joint Commission 2020 430
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An annual subscription to PolicySource will provide access to dozens of standardized sample P&Ps for hospitals. The P&Ps will be reviewed and updated as needed alongside the twice-annual release of updated Joint Commission standards. Key Topics: • Why P&Ps are critical and how best to develop and manage them • Role of P&Ps in quality improvement and patient safety • Continuous standards compliance and survey readiness • How to improve and create consistent P&Ps across care sites following a merger or acquisition • Samples of required P&Ps for Joint Commission hospital accreditation • Samples of P&Ps identified by customers as being the most valuable, including those on infection prevention and control, the physical environment, medication management, and more Key Features: • Dozens of downloadable and customizable P&Ps on a wide range of accreditation-related topics • Trusted content reviewed by subject matter experts from The Joint Commission • Regular updates to match Joint Commission standards changes • Checklist of all Joint Commission requirements that call for written P&Ps • Standardized templates for writing and managing your own hospital P&Ps • Easy-to-navigate online portal Standards: Various accreditation standards Setting: Hospital Key Audience: • Accreditation professionals • Hospital leaders and administrators responsible for developing, managing, updating, and communicating P&Ps • Performance improvement specialists • Clinical leadership • Infection control practitioners • Medication safety officers • Patient safety officers • Human resources professionals • Health care facility managers

PDF Catalog

PDF Pages PDF Title
1 Get Started
2 Table of Contents
5 EC
EC_Active Threat Response Procedures
9 EC_Compressed Gas Cylinder Management Policy
13 EC_Emergency Backup for Medication Refrigeration Policy
17 EC_Environment of Care Management Plan Annual Evaluation Process
21 EC_Environment of Care Plan
27 EC_Fire Drill Procedures
32 EC_Fire Response Plan
36 EC_Fire Safety Equipment and Building Features Maintenance Policy
40 EC_Hazardous Material Spill Response Procedures
46 EC_Infection Control During Construction Policy
50 EC_Medical Equipment Failure Response Procedures
52 EC_Providing Emergency Power to Medication Dispensing Equipment Policy
54 EC_Smoke-Free Policy
56 EC_Utility System Disruption Response Procedures
61 EC_Ventilation in Critical Care Areas Policy
64 EM
EM_1135 Waiver Request Procedures
66 EM_Emergency Communications Plan
70 EM_Emergency Management Plan
79 EM_Hazard Vulnerability Analysis, Emergency Operations Plan, and Emergency Inventory Evaluation Process
84 EM_Integrated Emergency Preparedness Plan
94 EM_Licensed Emergency Volunteers Policy
99 EM_Nonlicensed Emergency Volunteers Policy
103 HR
HR_Staff Orientation Plan
108 IC
IC_Infection Prevention and Control Plan
116 IC_Infectious Disease Outbreak Response Procedures
120 IC_Staff Influenza Vaccination Policy
125 IM
IM_Confidentiality and Security of Health Information Policy
128 IM_Information Systems Interruption Management Plan
133 LD
LD_Code of Conduct Policy
136 LD_Conflict of Interest Policy
140 LD_Patient Flow Management Policy
147 LD_System or Process Failures Response Policy
152 LS
LS_Interim Life Safety Measures Policy
156 MM
MM_Accessibility of Patient Information Policy
159 MM_Antimicrobial Stewardship Procedures
162 MM_Automatic Dispensing Cabinets Override Review Policy
164 MM_High-Alert and Hazardous Medication Management Policy
168 MM_Investigational Medications Management Policy
174 MM_Medication Control Policy
180 MM_Medication Event Response Policy
185 MM_Medication Orders Policy
189 MM_Medication Substitution Protocols
192 MM_Recalled Medication Management Policy
195 MM_Self-Administered Medications Policy
199 MS
MS_Adverse Decision Appeal Policy
202 MS_Clinical Practice Investigations and Corrective Action Policy
207 MS_Clinical Privileges Application Processing Procedures
212 MS_Dissemination of Privileging Decisions Policy
215 MS_Emergency Appraisal Treatment and Referral Policy
218 MS_Focused Professional Practice Evaluation Policy
222 MS_Graduate Medical Education Supervision and Accountability Policy
226 MS_Medical Staff Bylaws, Rules, and Regulations Policy
229 MS_Ongoing Professional Practice Evaluation Policy
232 MS_Temporary Privileges Policy
235 NPSG
NPSG_Anticoagulation Management Policy
238 NPSG_Central Venous Catheter Management Procedures
242 NPSG_Clinical Alarm Management Policy
245 NPSG_Critical Diagnostic Test Results Management Policy
249 NPSG_Hand Hygiene Policy
255 NPSG_Multidrug-Resistant Organism Education for Patients Policy
258 NPSG_Preprocedure Verification Procedures
262 NPSG_Suicide Risk Assessment and Prevention Policy
269 NPSG_Surgical Site Marking Alternative Procedures
272 NPSG_Surgical Time-Out Procedures
275 NR
NR_Nurse Staffing Plan Development Policy
279 NR_Nursing Policies and Procedures Development Policy
282 PC
PC_Adult Electroconvulsive Therapy Policy
286 PC_Anesthesia Services Policy
290 PC_Blood Handling Policy
293 PC_Blood Transfusion Policy
298 PC_Discharge Planning Policy
302 PC_Fall Risk Assessment and Mitigation Policy
307 PC_Individualized Care Plan Development Procedures
312 PC_Initial Assessment Procedures
316 PC_Ionizing Radiation Safety Policy
321 PC_Patient Behavior Management Policy
325 PC_Restraint and Seclusion Policy
331 PC_Resuscitation Services Policy
334 PC_Specimen Management Policy
337 PI
342 RC
RC_Medical Record Entry Authentication Policy
344 RC_Medical Record Retention Policy
346 RC_Medical Record Timeliness Policy
348 RI
RI_Advance Directives Policy
357 RI_Autopsy Consent Policy
360 RI_Informed Consent Policy
364 RI_Mistreatment and Misappropriation Prohibition Policy
369 RI_Patient Responsibilities Policy
371 RI_Patient Rights Policy
375 TS
TS_Affiliated Organ Procurement Organization Policy
379 TS_Family Notification of Organ Donation Procedures
382 TS_Identifying Opportunities for Asystolic Recovery of Organs for Donation Policy
385 TS_Tissue Adverse Events Investigation Procedures
389 WT
WT_Waived Testing Competency Assessment Policy
391 Federal Register, 42 CFR Part 74 (Mar 14, 1990). Revision of Laboratory Regulations, (Clinical Laboratory Improvement Amendments of 1988). Section 493.1451 (b) (8) and Section 493.1501 (h) (1 & 2)
393 WT_Waived Testing Policy
397 WT_Waived Testing Quality Control Policy
399 Federal Register, 42 CFR Part 74 (Mar 14, 1990). Revision of Laboratory Regulations, (Clinical Laboratory Improvement Amendments of 1988). Section 493.1451 (b) (8) and Section 493.1501 (h) (1 & 2)
401 Resources
General Sources
404 Plan Template
406 Policy and Procedures Evaluation Checklist
408 Policy and Procedures Inventory Template
409 Policy Template
411 Procedures Template
413 Required Policies, Procedures, or Plans
424 Required Written Documentation Chapter
430 Scoring Rubric for Plan Assessments
JC PolicySource Hospital 2020
$216.13