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The Joint Commission Survey Coordinator's Handbook, Fifteenth Edition

The Joint Commission Survey Coordinator's Handbook, Fifteenth Edition


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About the Book

The Joint Commission Survey Coordinator's Handbook, 15th EditionJean S. Clark, RHIA, CSHA; Jodi L. Eisenberg, MHA, CPHQ, CPMSM, CSHA The Joint Commission Survey Coordinator's Handbook is the trusted resource thousands of accreditation professionals have relied on for years. This updated guide is the one-stop shop for new and experienced accreditation professionals. The book not only provides insider information on how to prepare for, survive, and respond to a hospital survey, it also provides historical context about the accreditation process to help new and veteran survey coordinators understand the why as well as the how. The Survey Coordinator's Handbook features practical tools to prepare your organization, useful methods to keep things running smoothly during your survey, and tips and advice on how to follow up after the surveyors have left. The book also includes tools and sample documents that hospitals can use for their accreditation survey process. Benefits: All the information survey coordinators need to get up to speed on Joint Commission preparation Chapter-by-chapter tips for survey readiness and compliance Advice from industry veterans on what to do before, during, and after your survey visit Overviews of problematic survey components Follow-up tips for post-survey actions What's New: Reviews the most recent Joint Commission and CMS requirements for hospital survey. Each year there are large and small updates to the standards and regulations hospitals have to comply with, as well as cultural and process changes to the survey itself. The 15th edition compiles and explains in no-frills language exactly how your next Joint Commission visit will differ from your last and what you need to know before surveyors arrive. Table of Contents: Chapter 1: Accreditation at a Glance Chapter 2: Standard and Element of Performance Updates Chapter 3: Problematic Standards to Meet Chapter 4: Risk Reduction Strategies to Demonstrate Compliance Chapter 5: Life Safety Code(R) Compliance for the Non-Engineer Chapter 6: Preparation for Survey Chapter 7: After Your On-Site Survey Chapter 8: Ongoing Compliance Readiness Chapter 9: The Clarification Process Appendix: Tools, policies, and more Appendix A: Joint Commission Survey Tracer Appendix B: Joint Commission Survey Duties Checklist Appendix C: Risk Assessment Policy Process Appendix D: Risk Assessment Form: Infection Control Appendix E: Inpatient Medical Record Review Tool Appendix F: Infection Control Monitoring Tool Appendix G: Infection Control Team Rounds Tool Appendix H: Construction Risk Tool Appendix I: Required Education Summary Appendix J: QAPI Plan Appendix K: Tracer Worksheet Survey Appendix L: Joint Commission Documentation Checklist Appendix M: Sample Pain Procedures/Outpatient Pain Management Policy Appendix N: Documentation Requirement Checklist

About the Author :
Jodi Eisenberg, MHA, CPHQ, CPMSM, CSHA, is the program manager of accreditation and clinical compliance at Northwestern Memorial Hospital in Chicago. She is responsible for leading the full range of Joint Commission and other accreditation and regulatory compliance activities, including organization of continuous compliance activities for Joint Commission and other regulatory agencies. Jean S. Clark, RHIA, CSHA, has been a leader in the field of accreditation and regulatory compliance and health information management (HIM) for more than 30 years. She graduated with honors from the Medical University of South Carolina School of Health Related Sciences. She served as the president of the American Health Information Management Association (AHIMA), the International Health Information Management Association, and the Southeastern Medical Record Association, and served two terms for the South Carolina Health Information Management Association (SCHIMA). She also received AHIMA's Distinguished Member, Literary, and Volunteer awards and the Southeastern Medical Record Association and SCHIMA Distinguished Member award. She is a consultant in HIM and accreditation and regulatory compliance.


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Product Details
  • ISBN-13: 9781615693245
  • Publisher: Hcpro, a Division of Simplify Compliance
  • Publisher Imprint: Hcpro, a Division of Simplify Compliance
  • Height: 279 mm
  • No of Pages: 280
  • Weight: 658 gr
  • ISBN-10: 1615693246
  • Publisher Date: 17 Dec 2013
  • Binding: Paperback
  • Language: English
  • Returnable: N
  • Width: 216 mm


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