The CAMHC manual provides you with direct digital access to the elements of performance for home care standards, National Patient Safety Goals, and Accreditation Participation Requirements (APRs) effective January 1, 2020.

Key Topics:

Standards requirements including the standards, National Patient Safety Goals, and Accreditation Participation Requirements effective January 1, 2020

Accreditation process information about Joint Commission policies and procedures and practical survey preparation information on the Early Survey Policy, documentation requirements, standards applicability, and more

Keys to successfully using the manual for survey preparedness

Key Features:

Integrated regulatory requirements for home health and hospice deemed status

Documentation checklists

Icons to help navigate documentation requirements as well as risk areas

“What’s New” summary of changes made in 2019

Standards: All home care standards

Setting: Organizations accredited under the Home Care Accreditation Program, including those that provide home health services, personal care and support services, pharmacy services including infusion services and/or mail order and specialty pharmacies, long term care pharmacies and freestanding infusion centers, durable medical equipment services, and hospice services

Key Audience: Staff working on accreditation, compliance, patient safety, or quality improvement

PDF Catalog

PDF Pages	PDF Title
1	What’s New 2020 CAMHC
10	Cover
11	Copyright
12	Contents
14	Introduction: How The Joint Commission Can Help You Move Toward High Reliability (INTRO)
15	I. Introduction to Joint Commission Accreditation
18	Table 1. Standards That Address Complex Issues in Home Care Settings
19	II. About the Comprehensive Accreditation Manual for Home Care
21	Table 2. Acronyms Used in This Manual
22	Table 2.
32	III. Steps to Achieving and Maintaining Compliance
37	IV. Get Extra Help
40	Patient Safety Systems (PS) Introduction
42	What Does This Chapter Contain? Sidebar 1. Key Terms to Understand
43	Sidebar 1. Becoming a Learning Organization
44	The Role of Home Care Organization Leaders in Patient Safety
48	Sidebar 2. Assessing Staff Accountability
50	Data Use and Reporting Systems
53	Table 1. Defining and Comparing Analytical Tools
54	Sidebar 3. Strategies for an Effective Risk Assessment Encouraging Patient Activation
56	Beyond Accreditation: The Joint Commission Is Your Patient Safety Partner
57	References
60	Appendix. Key Patient Safety Requirements
62	Standard APR.09.01.01 Elements of Performance for APR.09.01.01 Standard APR.09.02.01 Elements of Performance for APR.09.02.01
63	Standard EC.04.01.01 Elements of Performance for EC.04.01.01
64	Standard HR.01.05.03 Elements of Performance for HR.01.05.03 Standard IC.01.03.01 Elements of Performance for IC.01.03.01
65	Standard LD.02.01.01 Elements of Performance for LD.02.01.01 Standard LD.03.01.01 Elements of Performance for LD.03.01.01 Standard LD.03.02.01 Elements of Performance for LD.03.02.01
66	Standard LD.03.03.01 Elements of Performance for LD.03.03.01 Standard LD.03.04.01 Elements of Performance for LD.03.04.01
67	Standard LD.03.05.01 Elements of Performance for LD.03.05.01 Standard LD.03.06.01 Elements of Performance for LD.03.06.01
68	Standard LD.03.07.01 Elements of Performance for LD.03.07.01
71	Standard LD.03.09.01 Elements of Performance for LD.03.09.01
73	Standard LD.04.01.01 Elements of Performance for LD.04.01.01
74	Standard LD.04.01.05 Elements of Performance for LD.04.01.05
75	Standard LD.04.01.11 Elements of Performance for LD.04.01.11 Standard MM.07.01.03 Elements of Performance for MM.07.01.03
76	Standard MM.08.01.01 Elements of Performance for MM.08.01.01
77	Standard PC.03.05.19 Elements of Performance for PC.03.05.19
78	Accreditation Participation Requirements (APR) Overview
79	Chapter Outline
80	Requirements, Rationales, and Elements of Performance APR.01.01.01 Elements of Performance for APR.01.01.01 APR.01.02.01 Rationale for APR.01.02.01
81	Elements of Performance for APR.01.02.01 APR.01.03.01 Elements of Performance for APR.01.03.01
82	APR.02.01.01 Elements of Performance for APR.02.01.01 APR.03.01.01 Rationale for APR.03.01.01
83	Elements of Performance for APR.03.01.01 APR.04.01.01
84	Elements of Performance for APR.04.01.01 APR.05.01.01 Rationale for APR.05.01.01 Elements of Performance for APR.05.01.01 APR.06.01.01 Elements of Performance for APR.06.01.01
85	APR.07.01.01 Elements of Performance for APR.07.01.01 APR.08.01.01 Elements of Performance for APR.08.01.01 APR.09.01.01
86	Elements of Performance for APR.09.01.01 APR.09.02.01 Rationale for APR.09.02.01 Elements of Performance for APR.09.02.01
87	APR.09.03.01 Elements of Performance for APR.09.03.01 APR.09.04.01 Elements of Performance for APR.09.04.01 APR.11.01.01 Elements of Performance for APR.11.01.01 APR.11.02.01
88	Elements of Performance for APR.11.02.01 APR.11.03.01 Elements of Performance for APR.11.03.01
90	Accreditation Participation Requirements (APR)
92	Environment of Care (EC) Overview
95	Chapter Outline
96	Standards, Rationales, and Elements of Performance Standard EC.02.01.01 Rationale for EC.02.01.01 Elements of Performance for EC.02.01.01
97	Standard EC.02.01.03 Elements of Performance for EC.02.01.03
98	Standard EC.02.02.01 Rationale for EC.02.02.01 Elements of Performance for EC.02.02.01
99	Standard EC.02.03.01 Elements of Performance for EC.02.03.01 Standard EC.02.03.03
100	Rationale for EC.02.03.03 Elements of Performance for EC.02.03.03 Standard EC.02.03.05
101	Elements of Performance for EC.02.03.05
105	Standard EC.02.05.01
106	Elements of Performance for EC.02.05.01
107	Standard EC.02.05.03 Rationale for EC.02.05.03 Elements of Performance for EC.02.05.03
108	Standard EC.02.05.05
109	Elements of Performance for EC.02.05.05 Standard EC.02.05.07 Rationale for EC.02.05.07
110	Elements of Performance for EC.02.05.07
112	Standard EC.02.05.09 Elements of Performance for EC.02.05.09
115	Standard EC.02.06.01 Elements of Performance for EC.02.06.01
117	Standard EC.04.01.01 Elements of Performance for EC.04.01.01
118	Standard EC.04.01.03 Elements of Performance for EC.04.01.03
120	Environment of Care (EC)
128	Emergency Management (EM) Overview
130	Chapter Outline
131	Standards, Rationales, and Elements of Performance Standard EM.01.01.01 Rationale for EM.01.01.01 Elements of Performance for EM.01.01.01
132	Standard EM.02.01.01
133	Rationale for EM.02.01.01 Elements of Performance for EM.02.01.01
136	Standard EM.02.02.01 Rationale for EM.02.02.01 Elements of Performance for EM.02.02.01
138	Standard EM.02.02.03 Rationale for EM.02.02.03
139	Elements of Performance for EM.02.02.03 Standard EM.02.02.05 Elements of Performance for EM.02.02.05
140	Standard EM.02.02.07 Rationale for EM.02.02.07 Elements of Performance for EM.02.02.07
141	Standard EM.02.02.09 Rationale for EM.02.02.09 Elements of Performance for EM.02.02.09
142	Standard EM.02.02.11 Rationale for EM.02.02.11 Elements of Performance for EM.02.02.11
144	Exercise Scope
145	Standard EM.03.01.03 Rationale for EM.03.01.03
147	Elements of Performance for EM.03.01.03
150	Standard EM.04.01.01 Elements of Performance for EM.04.01.01
152	Emergency Management (EM)
164	Equipment Management (EQ) Overview
165	Chapter Outline
166	Standards, Rationales, and Elements of Performance Standard EQ.01.01.01 Elements of Performance for EQ.01.01.01
167	Standard EQ.01.02.01 Elements of Performance for EQ.01.02.01
169	Standard EQ.01.03.01 Elements of Performance for EQ.01.03.01
170	Standard EQ.01.04.01 Elements of Performance for EQ.01.04.01
171	Standard EQ.01.05.01 Elements of Performance for EQ.01.05.01
172	Standard EQ.02.01.01 Elements of Performance for EQ.02.01.01
174	Equipment Management (EQ)
176	Human Resources (HR) Overview
177	Chapter Outline
178	Standards, Rationales, and Elements of Performance Standard HR.01.01.01 Rationale for HR.01.01.01 Elements of Performance for HR.01.01.01
183	Standard HR.01.02.05 Elements of Performance for HR.01.02.05
184	Standard HR.01.02.07 Elements of Performance for HR.01.02.07
187	Standard HR.01.03.01 Elements of Performance for HR.01.03.01
190	Standard HR.01.04.01 Rationale for HR.01.04.01 Elements of Performance for HR.01.04.01
192	Standard HR.01.05.01 Elements of Performance for HR.01.05.01
195	Standard HR.01.05.03 Rationale for HR.01.05.03 Elements of Performance for HR.01.05.03
197	Standard HR.01.06.01 Elements of Performance for HR.01.06.01
201	Standard HR.01.07.01 Elements of Performance for HR.01.07.01
202	Human Resources (HR)
208	Infection Prevention and Control (IC) Overview
210	Chapter Outline
211	Standards, Rationales, and Elements of Performance Standard IC.01.01.01
212	Elements of Performance for IC.01.01.01 Standard IC.01.02.01 Elements of Performance for IC.01.02.01 Standard IC.01.03.01 Elements of Performance for IC.01.03.01 Standard IC.01.04.01
213	Elements of Performance for IC.01.04.01 Standard IC.01.05.01 Elements of Performance for IC.01.05.01
214	Standard IC.01.06.01 Elements of Performance for IC.01.06.01 Standard IC.02.01.01
215	Elements of Performance for IC.02.01.01
216	Standard IC.02.02.01 Rationale for IC.02.02.01
217	Elements of Performance for IC.02.02.01 Standard IC.02.03.01 Elements of Performance for IC.02.03.01
219	Standard IC.02.04.01 Elements of Performance for IC.02.04.01
220	Standard IC.03.01.01 Elements of Performance for IC.03.01.01
222	Infection Control (IC)
224	Information Management (IM) Overview
225	Chapter Outline
226	Standards, Rationales, and Elements of Performance Standard IM.01.01.01 Elements of Performance for IM.01.01.01
227	Standard IM.01.01.03 Elements of Performance for IM.01.01.03
228	Standard IM.02.01.01 Elements of Performance for IM.02.01.01
230	Standard IM.02.01.03 Elements of Performance for IM.02.01.03
231	Standard IM.02.02.01 Rationale for IM.02.02.01 Elements of Performance for IM.02.02.01
232	Standard IM.02.02.03 Rationale for IM.02.02.03 Elements of Performance for IM.02.02.03
234	Standard IM.03.01.01 Elements of Performance for IM.03.01.01 Standard IM.04.01.01 Rationale for IM.04.01.01 Elements of Performance for IM.04.01.01
236	Information Management (IM)
238	Leadership (LD) Overview
241	Chapter Outline
242	Standards, Rationales, and Elements of Performance Standard LD.01.01.01 Rationale for LD.01.01.01
243	Elements of Performance for LD.01.01.01 Standard LD.01.03.01 Rationale for LD.01.03.01 Elements of Performance for LD.01.03.01
244	Standard LD.01.04.01 Elements of Performance for LD.01.04.01
245	Standard LD.01.06.01 Elements of Performance for LD.01.06.01
246	Standard LD.02.01.01 Rationale for LD.02.01.01 Elements of Performance for LD.02.01.01
249	Standard LD.03.01.01 Rationale for LD.03.01.01
250	Elements of Performance for LD.03.01.01 Standard LD.03.02.01 Rationale for LD.03.02.01 Elements of Performance for LD.03.02.01
251	Standard LD.03.03.01 Rationale for LD.03.03.01 Elements of Performance for LD.03.03.01 Standard LD.03.04.01 Rationale for LD.03.04.01 Elements of Performance for LD.03.04.01
252	Standard LD.03.05.01 Rationale for LD.03.05.01 Elements of Performance for LD.03.05.01 Standard LD.03.06.01
253	Rationale for LD.03.06.01 Elements of Performance for LD.03.06.01
254	Standard LD.03.07.01 Elements of Performance for LD.03.07.01
256	Standard LD.03.08.01
257	Elements of Performance for LD.03.08.01
258	Standard LD.03.09.01 Elements of Performance for LD.03.09.01
260	Standard LD.03.10.01 Elements of Performance for LD.03.10.01
261	Standard LD.04.01.01 Elements of Performance for LD.04.01.01
262	Standard LD.04.01.03 Elements of Performance for LD.04.01.03
264	Standard LD.04.01.05 Rationale for LD.04.01.05 Elements of Performance for LD.04.01.05 Standard LD.04.01.07
265	Elements of Performance for LD.04.01.07 Standard LD.04.01.11 Rationale for LD.04.01.11 Elements of Performance for LD.04.01.11
266	Standard LD.04.02.01 Elements of Performance for LD.04.02.01 Standard LD.04.02.03 Elements of Performance for LD.04.02.03
267	Standard LD.04.02.05
268	Rationale for LD.04.02.05 Elements of Performance for LD.04.02.05 Standard LD.04.03.01 Elements of Performance for LD.04.03.01
269	Standard LD.04.03.03 Elements of Performance for LD.04.03.03
275	Standard LD.04.03.07 Rationale for LD.04.03.07
276	Elements of Performance for LD.04.03.07 Monitoring Contracted Services
277	Standard LD.04.03.09 Elements of Performance for LD.04.03.09
282	Standard LD.04.03.13 Elements of Performance for LD.04.03.13
284	Leadership (LD)
292	Life Safety (LS) Overview
295	Chapter Outline
296	Standards, Rationales, and Elements of Performance Standard LS.01.01.01 Elements of Performance for LS.01.01.01
297	Standard LS.01.02.01 Elements of Performance for LS.01.02.01
300	Standard LS.02.01.10 Rationale for LS.02.01.10 Elements of Performance for LS.02.01.10
303	Standard LS.02.01.20 Rationale for LS.02.01.20 Elements of Performance for LS.02.01.20
310	Standard LS.02.01.30 Rationale for LS.02.01.30 Elements of Performance for LS.02.01.30
316	Standard LS.02.01.34 Elements of Performance for LS.02.01.34
318	Standard LS.02.01.35 Elements of Performance for LS.02.01.35
320	Standard LS.02.01.40 Elements of Performance for LS.02.01.40 Standard LS.02.01.50 Elements of Performance for LS.02.01.50
323	Standard LS.02.01.70 Elements of Performance for LS.02.01.70
326	Life Safety (LS)
328	Medication Compounding (MC) Overview
330	Chapter Outline
331	Standards, Rationales, and Elements of Performance Standard MC.01.01.01 Elements of Performance for MC.01.01.01
332	Standard MC.01.01.03 Elements of Performance for MC.01.01.03
333	Standard MC.01.02.01 Elements of Performance for MC.01.02.01 Standard MC.02.01.01 Elements of Performance for MC.02.01.01
334	Standard MC.02.01.03
335	Elements of Performance for MC.02.01.03 Standard MC.02.01.05 Elements of Performance for MC.02.01.05
336	Standard MC.02.01.07 Elements of Performance for MC.02.01.07
337	Standard MC.02.01.09 Elements of Performance for MC.02.01.09
338	Standard MC.02.01.11 Elements of Performance for MC.02.01.11
339	Standard MC.02.01.13 Elements of Performance for MC.02.01.13 Standard MC.03.01.01 Elements of Performance for MC.03.01.01
340	Standard MC.03.02.01
341	Elements of Performance for MC.03.02.01 Standard MC.03.03.01 Elements of Performance for MC.03.03.01 Standard MC.03.04.01
342	Elements of Performance for MC.03.04.01 Standard MC.03.05.01 Elements of Performance for MC.03.05.01 Standard MC.03.05.03
343	Elements of Performance for MC.03.05.03
345	Standard MC.03.06.01 Elements of Performance for MC.03.06.01
346	Standard MC.03.06.03
347	Elements of Performance for MC.03.06.03 Standard MC.03.06.05 Elements of Performance for MC.03.06.05
349	Standard MC.03.06.07 Elements of Performance for MC.03.06.07
350	Standard MC.03.06.09 Elements of Performance for MC.03.06.09
351	Standard MC.03.06.11 Elements of Performance for MC.03.06.11
353	Standard MC.03.07.01 Elements of Performance for MC.03.07.01
354	Standard MC.03.08.01 Elements of Performance for MC.03.08.01
355	Standard MC.03.08.03 Elements of Performance for MC.03.08.03 Standard MC.03.08.05 Elements of Performance for MC.03.08.05 Standard MC.03.08.07 Elements of Performance for MC.03.08.07
356	Standard MC.03.08.09 Elements of Performance for MC.03.08.09 Standard MC.03.08.11
357	Elements of Performance for MC.03.08.11
358	Standard MC.04.01.01 Elements of Performance for MC.04.01.01
359	Standard MC.04.01.03 Elements of Performance for MC.04.01.03
360	Standard MC.04.02.01 Elements of Performance for MC.04.02.01
363	Standard MC.04.02.03 Elements of Performance for MC.04.02.03
364	Standard MC.05.01.01 Elements of Performance for MC.05.01.01
365	Standard MC.05.01.03 Elements of Performance for MC.05.01.03
367	Standard MC.05.02.01 Elements of Performance for MC.05.02.01
368	Standard MC.05.02.03 Elements of Performance for MC.05.02.03
370	Standard MC.05.03.01 Elements of Performance for MC.05.03.01
371	Standard MC.05.04.01 Elements of Performance for MC.05.04.01
372	Standard MC.05.05.01 Elements of Performance for MC.05.05.01
374	Standard MC.05.06.01 Elements of Performance for MC.05.06.01
376	Medication Management (MM) Overview
379	Chapter Outline
380	Standards, Rationales, and Elements of Performance Standard MM.01.01.01 Rationale for MM.01.01.01 Elements of Performance for MM.01.01.01 Standard MM.01.01.03 Rationale for MM.01.01.03
381	Elements of Performance for MM.01.01.03 Standard MM.01.02.01
382	Elements of Performance for MM.01.02.01 Standard MM.02.01.01 Elements of Performance for MM.02.01.01
383	Standard MM.03.01.01 Rationale for MM.03.01.01 Elements of Performance for MM.03.01.01
385	Standard MM.03.01.03
386	Rationale for MM.03.01.03 Elements of Performance for MM.03.01.03 Standard MM.03.01.05 Rationale for MM.03.01.05 Elements of Performance for MM.03.01.05
387	Standard MM.04.01.01 Elements of Performance for MM.04.01.01
389	Standard MM.05.01.01 Elements of Performance for MM.05.01.01
390	Standard MM.05.01.07 Elements of Performance for MM.05.01.07 Standard MM.05.01.09 Rationale for MM.05.01.09 Elements of Performance for MM.05.01.09
391	Standard MM.05.01.11 Elements of Performance for MM.05.01.11
392	Standard MM.05.01.13 Rationale for MM.05.01.13 Elements of Performance for MM.05.01.13 Standard MM.05.01.15 Elements of Performance for MM.05.01.15
393	Standard MM.05.01.17 Elements of Performance for MM.05.01.17 Standard MM.05.01.19 Rationale for MM.05.01.19 Elements of Performance for MM.05.01.19
394	Standard MM.06.01.01 Elements of Performance for MM.06.01.01
395	Standard MM.06.01.03
396	Elements of Performance for MM.06.01.03 Standard MM.06.01.05 Rationale for MM.06.01.05
397	Elements of Performance for MM.06.01.05 Standard MM.07.01.01 Elements of Performance for MM.07.01.01 Standard MM.07.01.03
398	Rationale for MM.07.01.03 Elements of Performance for MM.07.01.03 Standard MM.08.01.01 Elements of Performance for MM.08.01.01
402	Medication Management (MM)
406	National Patient Safety Goals (NPSG) Chapter Outline National Patient Safety Goals
407	Requirements, Rationales, and Elements of Performance NPSG.01.01.01 Rationale for NPSG.01.01.01 Elements of Performance for NPSG.01.01.01
409	NPSG.03.06.01 Rationale for NPSG.03.06.01 Elements of Performance for NPSG.03.06.01
410	NPSG.07.01.01 Rationale for NPSG.07.01.01
411	Elements of Performance for NPSG.07.01.01 NPSG.09.02.01 Rationale for NPSG.09.02.01 Elements of Performance for NPSG.09.02.01
412	NPSG.15.02.01 Rationale for NPSG.15.02.01 Elements of Performance for NPSG.15.02.01
414	National Patient Safety Goals (NPSG)
416	Provision of Care, Treatment, and Services (PC) Overview
418	Chapter Outline
419	Standards, Rationales, and Elements of Performance Standard PC.01.01.01 Elements of Performance for PC.01.01.01
421	Standard PC.01.02.01 Rationale for PC.01.02.01
422	Elements of Performance for PC.01.02.01
428	Standard PC.01.02.03 Elements of Performance for PC.01.02.03
430	Standard PC.01.02.05 Elements of Performance for PC.01.02.05
431	Standard PC.01.02.07
432	Elements of Performance for PC.01.02.07 Standard PC.01.02.09
433	Rationale for PC.01.02.09 Elements of Performance for PC.01.02.09
434	Standard PC.01.03.01 Elements of Performance for PC.01.03.01
440	Standard PC.02.01.01 Elements of Performance for PC.02.01.01
441	Standard PC.02.01.03
442	Elements of Performance for PC.02.01.03
443	Standard PC.02.01.05 Rationale for PC.02.01.05 Elements of Performance for PC.02.01.05
446	Standard PC.02.01.07 Elements of Performance for PC.02.01.07
448	Standard PC.02.02.01 Elements of Performance for PC.02.02.01
451	Standard PC.02.02.03 Elements of Performance for PC.02.02.03
452	Standard PC.02.02.05 Elements of Performance for PC.02.02.05
453	Standard PC.02.02.13 Elements of Performance for PC.02.02.13 Standard PC.02.03.01 Elements of Performance for PC.02.03.01
457	Standard PC.03.05.01 Elements of Performance for PC.03.05.01
458	Standard PC.03.05.03 Elements of Performance for PC.03.05.03 Standard PC.03.05.05 Elements of Performance for PC.03.05.05
459	Standard PC.03.05.07 Elements of Performance for PC.03.05.07 Standard PC.03.05.11
460	Elements of Performance for PC.03.05.11 Standard PC.03.05.13 Elements of Performance for PC.03.05.13 Standard PC.03.05.15
461	Elements of Performance for PC.03.05.15 Standard PC.03.05.17 Elements of Performance for PC.03.05.17
462	Standard PC.03.05.19
463	Elements of Performance for PC.03.05.19 Standard PC.04.01.01 Elements of Performance for PC.04.01.01
465	Standard PC.04.01.03 Elements of Performance for PC.04.01.03 Standard PC.04.01.05 Elements of Performance for PC.04.01.05
466	Standard PC.04.02.01 Elements of Performance for PC.04.02.01
468	Provision of Care, Treatment, and Services (PC)
484	Performance Improvement (PI) Overview
486	Chapter Outline
487	Standards, Rationales, and Elements of Performance Standard PI.01.01.01 Elements of Performance for PI.01.01.01
490	Standard PI.02.01.01 Elements of Performance for PI.02.01.01 Standard PI.03.01.01 Elements of Performance for PI.03.01.01
492	Performance Improvement (PI)
494	Record of Care, Treatment, and Services (RC) Overview
495	Chapter Outline
496	Standards, Rationales, and Elements of Performance Standard RC.01.01.01 Elements of Performance for RC.01.01.01
497	Standard RC.01.02.01 Elements of Performance for RC.01.02.01
498	Standard RC.01.03.01 Elements of Performance for RC.01.03.01 Standard RC.01.04.01 Elements of Performance for RC.01.04.01 Standard RC.01.05.01 Elements of Performance for RC.01.05.01
499	Standard RC.02.01.01 Elements of Performance for RC.02.01.01
503	Standard RC.02.02.01 Elements of Performance for RC.02.02.01 Standard RC.02.03.07 Elements of Performance for RC.02.03.07
504	Record of Care, Treatment, and Services (RC)
508	Rights and Responsibilities of the Individual (RI) Overview
510	Chapter Outline
511	Standards, Rationales, and Elements of Performance Standard RI.01.01.01 Elements of Performance for RI.01.01.01
514	Standard RI.01.01.03 Elements of Performance for RI.01.01.03
515	Standard RI.01.02.01 Rationale for RI.01.02.01 Elements of Performance for RI.01.02.01
518	Standard RI.01.02.03 Elements of Performance for RI.01.02.03 Standard RI.01.03.01 Rationale for RI.01.03.01
519	Elements of Performance for RI.01.03.01
520	Standard RI.01.03.05 Elements of Performance for RI.01.03.05
521	Standard RI.01.04.01 Elements of Performance for RI.01.04.01 Standard RI.01.05.01 Elements of Performance for RI.01.05.01
522	Standard RI.01.06.03 Rationale for RI.01.06.03 Elements of Performance for RI.01.06.03
523	Standard RI.01.06.05 Elements of Performance for RI.01.06.05
524	Standard RI.01.06.09 Elements of Performance for RI.01.06.09 Standard RI.01.07.01 Elements of Performance for RI.01.07.01
526	Standard RI.01.07.05 Elements of Performance for RI.01.07.05
527	Standard RI.02.01.01 Elements of Performance for RI.02.01.01
530	Rights and Responsibilities of the Individual (RI)
534	Waived Testing (WT) Overview
537	Chapter Outline
538	Standards, Rationales, and Elements of Performance Standard WT.01.01.01 Elements of Performance for WT.01.01.01
540	Standard WT.02.01.01 Elements of Performance for WT.02.01.01 Standard WT.03.01.01 Elements of Performance for WT.03.01.01
541	Standard WT.04.01.01 Elements of Performance for WT.04.01.01
542	Standard WT.05.01.01 Elements of Performance for WT.05.01.01
544	Waived Testing (WT)
548	The Accreditation Process (ACC) Notices ACC Chapter Contents
550	Overview
560	Accreditation Policies
566	Table 1. Sampling for System Surveys by Risk
567	Table 2. Sampling for System Surveys by Size
584	Sidebar 1. Early Survey Policy
585	Sidebar 1.
587	Before the Survey
592	During the Survey
593	Table 3. Exceptions to Unannounced Surveys††
594	Table 3.
602	Table 4. Home Care–Specific Tracer Applicability and Objectives
603	Table 4.
611	After the Survey
623	Between Accreditation Surveys
626	Sidebar 2. Focused Standards Assessment (FSA) Options
627	Sidebar 2.
637	Decision Rules for Organizations Seeking Initial Accreditation
641	Decision Rules for Organizations Seeking Reaccreditation
646	Process for Organizations That Meet Decision Rule PDA02 for Patients Placed at Risk for Serious Adverse Outcomes Due to Signific
648	Process for Organizations That Meet Decision Rule PDA04
649	Review and Appeal Procedures
656	Standards Applicability Grid (SAG) Abbreviations Used for Services in Applicability Grid
712	Sentinel Events (SE) I. Sentinel Events
718	II. Goals of the Sentinel Event Policy III. Responding to Sentinel Events
726	IV. The Sentinel Event Database V. Determination That a Sentinel Event Is Subject to Review VI. Optional On-Site Review of a Sentinel Event
727	VII. Disclosable Information VIII. The Joint Commission’s Response
728	IX. Sentinel Event Measures of Success (SE MOS) X. Handling Sentinel Event–Related Documents
729	XI. Oversight of the Sentinel Event Policy XII. Survey Process
730	Appendix. Accreditation Requirements Related to Sentinel Events Standard LD.03.09.01 Elements of Performance for LD.03.09.01
734	The Joint Commission Quality Report (QR) Introduction What Is The Joint Commission Quality Report?
735	What Will My Quality Report Contain? What Is Quality Check?
736	Can My Home Care Organization Comment on Its Quality Report?
737	What Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality?
740	Required Written Documentation (RWD)
741	List of EPs Requiring Written Documentation for Home Care by Service Delivery Mode Accreditation Participation Requirements (APR) Environment of Care (EC) Emergency Management (EM) Equipment Management (EQ) Human Resources (HR)
742	Infection Prevention and Control (IC) Information Management (IM) Leadership (LD) Medication Management (MM) National Patient Safety Goals (NPSG) Provision of Care, Treatment, and Services (PC)
743	Performance Improvement (PI) Record of Care, Treatment, and Services (RC) Rights and Responsibilities of the Individual (RI) Waived Testing (WT) Accreditation Participation Requirements (APR)
744	Environment of Care (EC) Emergency Management (EM) Human Resources (HR) Infection Prevention and Control (IC) Information Management (IM) Leadership (LD)
745	Provision of Care, Treatment, and Services (PC) Record of Care, Treatment, and Services (RC) Rights and Responsibilities of the Individual (RI) Accreditation Participation Requirements (APR) Environment of Care (EC) Emergency Management (EM) Equipment Management (EQ)
746	Human Resources (HR) Infection Prevention and Control (IC) Information Management (IM) Leadership (LD) Medication Management (MM) National Patient Safety Goals (NPSG)
747	Provision of Care, Treatment, and Services (PC) Record of Care, Treatment, and Services (RC) Rights and Responsibilities of the Individual (RI) Waived Testing (WT) Accreditation Participation Requirements (APR) Environment of Care (EC)
748	Emergency Management (EM)
750	Equipment Management (EQ) Human Resources (HR) Infection Prevention and Control (IC) Information Management (IM) Leadership (LD) Medication Management (MM)
751	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) Waived Testing (WT)
752	Accreditation Participation Requirements (APR) Environment of Care (EC) Emergency Management (EM) Equipment Management (EQ) Human Resources (HR)
753	Infection Prevention and Control (IC) Information Management (IM) Leadership (LD) Life Safety (LS) Medication Management (MM)
754	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) Waived Testing (WT)
755	Accreditation Participation Requirements (APR) Environment of Care (EC) Emergency Management (EM) Equipment Management (EQ) Human Resources (HR) Infection Prevention and Control (IC) Information Management (IM)
756	Leadership (LD) Medication Compounding (MC) Medication Management (MM) Provision of Care, Treatment, and Services (PC)
757	Record of Care, Treatment, and Services (RC) Rights and Responsibilities of the Individual (RI) Accreditation Participation Requirements (APR) Emergency Management (EM) Equipment Management (EQ) Human Resources (HR) Infection Prevention and Control (IC)
758	Information Management (IM) Leadership (LD) Medication Management (MM) National Patient Safety Goals (NPSG) Provision of Care, Treatment, and Services (PC) Record of Care, Treatment, and Services (RC)
759	Rights and Responsibilities of the Individual (RI) Accreditation Participation Requirements (APR) Environment of Care (EC) Emergency Management (EM) Equipment Management (EQ) Human Resources (HR)
760	Infection Prevention and Control (IC) Information Management (IM) Leadership (LD) Medication Compounding (MC) Medication Management (MM)
761	National Patient Safety Goals (NPSG) Provision of Care, Treatment, and Services (PC) Record of Care, Treatment, and Services (RC) Rights and Responsibilities of the Individual (RI) Accreditation Participation Requirements (APR) Environment of Care (EC)
762	Emergency Management (EM) Equipment Management (EQ) Human Resources (HR) Infection Prevention and Control (IC)
790	Early Survey Policy (ESP) Accreditation Participation Requirements (APR) Environment of Care (EC) Emergency Management (EM)
791	Equipment Management (EQ) Human Resources (HR) Infection Prevention and Control (IC) Information Management (IM)
792	Leadership (LD) Life Safety (LS) Medication Compounding (MC)
793	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)
794	Waived Testing (WT)
796	Community-Based Palliative Care Certification (CBPC) Overview
797	Standard APR.01.02.01 Element of Performance for APR.01.02.01 Standard APR.01.03.01 Element of Performance for APR.01.03.01
798	Standard APR.06.01.01 Element of Performance for APR.06.01.01
799	Standard APR.11.01.01 Elements of Performance for APR.11.01.01 Standard APR.11.02.01 Elements of Performance for APR.11.02.01
800	Standard APR.11.03.01 Elements of Performance for APR.11.03.01 Standard HR.01.01.01 Elements of Performance for HR.01.01.01
801	Standard HR.01.02.07 Elements of Performance for HR.01.02.07
803	Standard HR.01.04.01 Elements of Performance for HR.01.04.01
804	Standard HR.01.05.03 Elements of Performance for HR.01.05.03 Standard HR.01.06.01 Elements of Performance for HR.01.06.01 Standard IM.02.01.03
805	Elements of Performance for IM.02.01.03 Standard IM.02.02.01 Elements of Performance for IM.02.02.01 Standard IM.03.01.01 Elements of Performance for IM.03.01.01 Standard LD.01.03.01 Elements of Performance for LD.01.03.01
806	Standard LD.02.01.01 Elements of Performance for LD.02.01.01
807	Standard LD.03.02.01 Elements of Performance for LD.03.02.01 Standard LD.03.04.01 Elements of Performance for LD.03.04.01 Standard LD.03.06.01 Elements of Performance for LD.03.06.01
808	Standard LD.03.07.01 Elements of Performance for LD.03.07.01
809	Standard LD.03.08.01 Elements of Performance for LD.03.08.01 Standard LD.03.10.01 Elements of Performance for LD.03.10.01 Standard LD.04.01.05 Elements of Performance for LD.04.01.05
810	Standard LD.04.01.07 Elements of Performance for LD.04.01.07 Standard LD.04.01.11 Elements of Performance for LD.04.01.11 Standard LD.04.03.03 Elements of Performance for LD.04.03.03
811	Standard LD.04.03.09 Elements of Performance for LD.04.03.09 Standard PC.01.01.01 Elements of Performance for PC.01.01.01 Standard PC.01.02.01 Elements of Performance for PC.01.02.01
815	Standard PC.01.02.03 Elements of Performance for PC.01.02.03 Standard PC.01.03.01 Elements of Performance for PC.01.03.01
816	Standard PC.02.01.01 Elements of Performance for PC.02.01.01
817	Standard PC.02.01.05 Elements of Performance for PC.02.01.05
818	Standard PC.02.02.01 Elements of Performance for PC.02.02.01
819	Standard PC.02.02.05 Elements of Performance for PC.02.02.05
820	Standard PC.02.03.01 Elements of Performance for PC.02.03.01 Standard PC.04.01.01 Elements of Performance for PC.04.01.01 Standard PC.04.02.01 Elements of Performance for PC.04.02.01 Standard PI.01.01.01
821	Elements of Performance for PI.01.01.01 Standard PI.02.01.01 Elements of Performance for PI.02.01.01
822	Standard PI.03.01.01 Elements of Performance for PI.03.01.01 Standard RC.02.01.01 Elements of Performance for RC.02.01.01 Standard RI.01.01.01 Elements of Performance for RI.01.01.01
823	Standard RI.01.01.03 Elements of Performance for RI.01.01.03 Standard RI.01.02.01 Elements of Performance for RI.01.02.01
824	Standard RI.01.05.01 Elements of Performance for RI.01.05.01 Standard RI.01.07.01 Elements of Performance for RI.01.07.01
826	Standard RI.02.01.01 Elements of Performance for RI.02.01.01
828	Appendix A: Medicare Requirements for Hospice (AXA) Subpart I Advance Directives
854	Glossary (GL)
908	Index (IX)

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JCR	2020	981


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Standard Title	Comprehensive Accreditation Manual for Home Care (CAMHC)
Published Code	JCR
Publication Date	2020
Pages Count	981

JCR CAMHC 2020

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