JC EBTNAP 2020
$86.13
Toolkit for New Accreditation Professionals, 3rd Edition
Published By | Publication Date | Number of Pages |
Joint Commission | 2020 | 334 |
The Toolkit for New Accreditation Professionals, 3rd Edition will lead accreditation professionals through the Joint Commission accreditation cycle and survey process—from the Electronic Application for Accreditation to the survey and accreditation decision and beyond into continuous compliance. It introduces you to Key Concepts, with activities to get you started applying those concepts in your everyday responsibilities. It also provides more than 40 ready-to-use tools linked from those activities. The toolkit is divided into four parts: • Part 1 introduces readers to The Joint Commission and explains accreditation and certification • Part 2 breaks down the accreditation cycle and survey process to better understand what readers should expect • Part 3 discusses collecting, reporting, understanding, and using Joint Commission–related performance measure data • Part 4 covers topics corresponding to core concepts addressed by the standards in each manual chapter, including challenging standards: • Performance improvement • Leadership • Staffing • Care of the patient • Records and information technology • Infection prevention and control • Medication management • The physical environment • Testing and transplants New accreditation professionals will find a wealth of information to help them understand how Joint Commission accreditation works and focus compliance activities on the core concepts embedded in the standards. Veteran professionals also can use this book to educate and mentor staff and teams about The Joint Commission. This third edition of the toolkit has been fully updated and expanded with more information about The Joint Commission, accreditation cycle, and survey process. In addition, we’ve updated content focusing on performance measure data and core standards concepts to reflect changes since the last edition. Dozens of tools are included that have been vetted by Joint Commission staff—each one able to be downloaded and customized. Key Topics • The accreditation cycle and survey process • Core concepts from each standards chapter, including challenging requirements • The importance of performance measure data and how to work with Joint Commission data Key Features • Focused, easy-to-understand content • Practical activities and tips to apply the key compliance concepts • More than 40 downloadable, customizable tools • Updated glossary of terms with simple, straightforward definitions • Developed by Joint Commission experts Standards: All standards Setting: Ambulatory Care, Behavioral Health Care, Critical Access Hospital, Home Care, Hospital, Office-Based Surgery, Nursing Care Centers, Laboratory Key Audience • New accreditation professionals • Health care professionals who need to understand The Joint Commission and its processes • Veteran accreditation professionals who mentor and train staff
PDF Catalog
PDF Pages | PDF Title |
---|---|
5 | Table of Contents |
11 | Introduction |
21 | Chapter 1: About The Joint Commission THE BIG IDEA KEY CONCEPTS |
22 | WHAT IS THE JOINT COMMISSION ENTERPRISE? |
24 | YOUR PARTNER IN SAFETY AND QUALITY |
28 | RECOMMENDED RESOURCES |
29 | Chapter 2: Understanding Joint Commission Accreditation and Certification THE BIG IDEA KEY CONCEPTS |
30 | WHAT ARE JOINT COMMISSION ACCREDITATION AND CERTIFICATION? |
35 | ELIGIBILITY REQUIREMENTS |
36 | RECOMMENDED RESOURCES |
39 | Chapter 3: Preparing for an On-Site Accreditation Survey THE BIG IDEA KEY CONCEPTS |
40 | THE FIRST STEPS |
41 | GETTING STARTED |
44 | WORKING WITH STANDARDS |
48 | SURVEY READINESS |
52 | RECOMMENDED RESOURCES |
53 | TOOLS TO TRY |
55 | Chapter 4: The On-Site Survey THE BIG IDEA KEY CONCEPTS |
56 | WHAT YOU CAN EXPECT |
61 | TRACER METHODOLOGY |
63 | RECOMMENDED RESOURCES |
64 | TOOLS TO TRY |
65 | Chapter 5: After a Joint Commission Survey THE BIG IDEA KEY CONCEPTS |
66 | THE SCORING PROCESS |
69 | FOLLOW-UP ACTIVITIES |
71 | ACCREDITATION OUTCOMES |
75 | RECOMMENDED RESOURCES TOOLS TO TRY |
77 | Chapter 6: Maintaining Your Accreditation and Survey Readiness THE BIG IDEA KEY CONCEPTS |
78 | CONTINUOUS COMPLIANCE |
82 | SENTINEL EVENT FOLLOW-UP |
84 | ORGANIZATIONAL CHANGES AND ACCREDITATION |
87 | MAINTAINING SAFETY BY STAYING INFORMED |
91 | RECOMMENDED RESOURCES |
92 | TOOLS TO TRY |
95 | Chapter 7: Performance Measures and The Joint Commission THE BIG IDEA KEY CONCEPTS |
96 | CONSTRUCTING MEASURES |
98 | ACCOUNTABILITY MEASURES |
100 | ORYX MEASURES |
102 | RECOMMENDED RESOURCES TOOLS TO TRY |
103 | Chapter 8: Working with Data THE BIG IDEA KEY CONCEPTS |
104 | COLLECTING DATA |
106 | REPORTING DATA |
108 | DISPLAYING DATA |
111 | PUTTING THE DATA TO WORK |
113 | RECOMMENDED RESOURCES TOOLS TO TRY |
117 | Chapter 9: Care, Treatment, and Services THE BIG IDEA KEY CONCEPTS |
119 | PLANNING AND COORDINATING CARE, TREATMENT, AND SERVICES |
121 | ASSESSMENT AND REASSESSMENT |
123 | RESTRAINT AND SECLUSION |
125 | OPERATIVE OR HIGH-RISK PROCEDURES |
127 | SAFETY RISKS |
128 | RIGHTS AND RESPONSIBILITIES OF CARE RECIPIENTS |
131 | CRITICAL CHALLENGES |
135 | RECOMMENDED RESOURCES TOOLS TO TRY |
137 | Chapter 10: Emergency Management THE BIG IDEA KEY CONCEPTS |
138 | FRAMEWORK FOR PREPAREDNESS |
143 | EMERGENCY PLANNING IN ACTION |
147 | CRITICAL CHALLENGES |
151 | RECOMMENDED RESOURCES TOOLS TO TRY |
153 | Chapter 11: Environment of Care THE BIG IDEA KEY CONCEPTS |
154 | MANAGEMENT PLANS |
155 | RISK ASSESSMENTS |
158 | HAZARDOUS MATERIALS AND WASTE |
160 | SAFETY AND SECURITY |
163 | MEDICAL EQUIPMENT AND UTILITIES |
165 | CRITICAL CHALLENGES |
168 | RECOMMENDED RESOURCES TOOLS TO TRY |
169 | Chapter 12: Fire Safety and Life Safety THE BIG IDEA KEY CONCEPTS |
170 | FIRE SAFETY AND LIFE SAFETY RESPONSIBILITIES |
174 | ASSESSING RISKS |
175 | INTERIM LIFE SAFETY MEASURES |
177 | CRITICAL CHALLENGES |
178 | RECOMMENDED RESOURCES TOOLS TO TRY |
179 | Chapter 13: Infection Prevention and Control THE BIG IDEA KEY CONCEPTS |
180 | INFECTION PREVENTION AND CONTROL PROGRAM AND PLAN |
182 | TRANSMISSION OF INFECTIONS |
187 | MANAGING IC IN THE EC |
190 | CRITICAL CHALLENGES |
195 | RECOMMENDED RESOURCES TOOLS TO TRY |
197 | Chapter 14: Leadership THE BIG IDEA KEY CONCEPTS |
198 | LEADERSHIP STRUCTURE AND RESPONSIBILITIES |
199 | ROLE IN PERFORMANCE IMPROVEMENT |
200 | SAFETY CULTURE |
203 | OPERATIONS AND CHANGE MANAGEMENT |
205 | CRITICAL CHALLENGES |
208 | RECOMMENDED RESOURCES TOOLS TO TRY |
209 | Chapter 15: Medication Management THE BIG IDEA KEY CONCEPTS |
210 | RELATIONSHIP TO OTHER STANDARDS |
211 | MEDICATION MANAGEMENT PROCESSES |
212 | MEDICATION ERRORS |
215 | MEDICATION RECONCILIATION |
216 | MEDICATION ORDERS |
218 | HIGH-ALERT AND HAZARDOUS MEDICATIONS |
219 | CRITICAL CHALLENGES |
224 | RECOMMENDED RESOURCES TOOLS TO TRY |
225 | Chapter 16: Performance Improvement THE BIG IDEA KEY CONCEPTS |
226 | PERFORMANCE IMPROVEMENT APPROACHES |
229 | IMPROVEMENT INFRASTRUCTURE |
231 | IMPROVEMENT TEAM |
232 | IMPROVEMENT OPPORTUNITIES |
234 | IMPROVEMENT RECOGNITION |
236 | CRITICAL CHALLENGES |
238 | RECOMMENDED RESOURCES TOOLS TO TRY |
239 | Chapter 17: Records and Information Technology THE BIG IDEA KEY CONCEPTS |
240 | ALL ABOUT THE RECORD OF CARE |
245 | HEALTH INFORMATION SECURITY |
246 | VERBAL ORDERS |
249 | INFORMED CONSENT |
251 | CRITICAL CHALLENGES |
252 | RECOMMENDED RESOURCES |
253 | TOOLS TO TRY |
255 | Chapter 18: Staffing THE BIG IDEA KEY CONCEPTS |
256 | SUFFICIENT AND WELL-TRAINED STAFF |
258 | STAFF QUALIFICATIONS AND COMPETENCIES |
259 | CREDENTIALING AND PRIVILEGING/PERMITTING PRACTITIONERS |
262 | NURSING SERVICES |
263 | CRITICAL CHALLENGES |
268 | RECOMMENDED RESOURCES TOOLS TO TRY |
269 | Chapter 19: Testing and Transplants THE BIG IDEA KEY CONCEPTS |
270 | WAIVED TESTING |
272 | QUALITY CONTROL CHECKS |
273 | TRANSPLANTS |
274 | CRITICAL CHALLENGES |
278 | RECOMMENDED RESOURCES TOOLS TO TRY |
279 | Glossary |
297 | Index |