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 |
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 |