{"id":334471,"date":"2024-10-19T23:19:21","date_gmt":"2024-10-19T23:19:21","guid":{"rendered":"https:\/\/pdfstandards.shop\/product\/uncategorized\/jcr-camh-2021\/"},"modified":"2024-10-25T22:17:47","modified_gmt":"2024-10-25T22:17:47","slug":"jcr-camh-2021","status":"publish","type":"product","link":"https:\/\/pdfstandards.shop\/product\/publishers\/joint-commission\/jcr-camh-2021\/","title":{"rendered":"JCR CAMH 2021"},"content":{"rendered":"

Our best-selling accreditation resource now available as a PDF! The CAMH PDF manual provides you with direct digital access to the elements of performance for hospital standards, National Patient Safety Goals, and Accreditation Participation Requirements (APRs) effective January 1, 2021. All the information you need is here, in one easy-to-use, authoritative, and accessible PDF. The PDF format allows you to easily jump to the key words or standards you need to reference. Please note: This PDF manual is a digital version of the hard copy Comprehensive Accreditation Manual for Hospitals effective January 1, 2021. It will not be updated with July 1, 2021 effective standards. Key Topics: \u2022 Accreditation requirements including the standards, National Patient Safety Goals, and Accreditation Participation Requirements effective January 1, 2021 \u2022 Standards and elements of performance for optional primary care medical home certification \u2022 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 \u2022 Keys to successfully using the manual for survey preparedness Key Features: \u2022 Regulatory requirements for deemed status \u2022 Icons to help navigate documentation requirements as well as risk areas \u2022 “What’s New” summary of changes made in 2020 Standards: All hospital standards Setting: Organizations accredited under the Hospital Accreditation Program, including general, acute psychiatric, pediatric, medical\/surgical specialty, long term acute care, and rehabilitation hospitals Key Audience: Staff responsible for accreditation, compliance, patient safety, or quality improvement<\/p>\n

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PDF Pages<\/th>\nPDF Title<\/th>\n<\/tr>\n
1<\/td>\nWhat\u2019s New 2021 CAMH <\/td>\n<\/tr>\n
20<\/td>\nCover <\/td>\n<\/tr>\n
21<\/td>\nThe Joint Commission Mission <\/td>\n<\/tr>\n
22<\/td>\nContents <\/td>\n<\/tr>\n
24<\/td>\nIntroduction: How The Joint Commission Can Help You Move Toward High Reliability (INTRO) <\/td>\n<\/tr>\n
25<\/td>\nI. Introduction to Joint Commission Accreditation <\/td>\n<\/tr>\n
27<\/td>\nII. About the <\/td>\n<\/tr>\n
39<\/td>\nThis page is blank due to revisions through the
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43<\/td>\nIII. Steps to Achieving and Maintaining Compliance <\/td>\n<\/tr>\n
50<\/td>\nIV. Get Extra Help <\/td>\n<\/tr>\n
54<\/td>\nPatient Safety Systems (PS)
Introduction <\/td>\n<\/tr>\n
55<\/td>\nWhat Does This Chapter Contain? <\/td>\n<\/tr>\n
57<\/td>\nBecoming a Learning Organization <\/td>\n<\/tr>\n
58<\/td>\nThe Role of Hospital Leaders in Patient Safety <\/td>\n<\/tr>\n
63<\/td>\nData Use and Reporting Systems <\/td>\n<\/tr>\n
67<\/td>\nA Proactive Approach to Preventing Harm <\/td>\n<\/tr>\n
70<\/td>\nEncouraging Patient Activation <\/td>\n<\/tr>\n
71<\/td>\nBeyond Accreditation: The Joint Commission Is Your Patient Safety Partner <\/td>\n<\/tr>\n
73<\/td>\nThis page is blank due to revisions through the
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74<\/td>\nReferences <\/td>\n<\/tr>\n
77<\/td>\nAppendix. Key Patient Safety Requirements <\/td>\n<\/tr>\n
104<\/td>\nAccreditation Participation Requirements (APR)
Overview <\/td>\n<\/tr>\n
105<\/td>\nChapter Outline <\/td>\n<\/tr>\n
106<\/td>\nRequirements, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
114<\/td>\nEnvironment of Care (EC)
Overview <\/td>\n<\/tr>\n
117<\/td>\nChapter Outline <\/td>\n<\/tr>\n
118<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
135<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
149<\/td>\nThis page is blank due to revisions through the
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161<\/td>\nThis page is blank due to revisions through the
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166<\/td>\nEmergency Management (EM)
Overview <\/td>\n<\/tr>\n
168<\/td>\nChapter Outline <\/td>\n<\/tr>\n
169<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
185<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
195<\/td>\nThis page is blank due to revisions through the
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200<\/td>\nHuman Resources (HR)
Overview <\/td>\n<\/tr>\n
201<\/td>\nChapter Outline <\/td>\n<\/tr>\n
202<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
212<\/td>\nInfection Prevention and Control (IC)
Overview <\/td>\n<\/tr>\n
214<\/td>\nChapter Outline <\/td>\n<\/tr>\n
215<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
219<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
228<\/td>\nInformation Management (IM)
Overview <\/td>\n<\/tr>\n
229<\/td>\nChapter Outline <\/td>\n<\/tr>\n
230<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
236<\/td>\nLeadership (LD)
Overview <\/td>\n<\/tr>\n
239<\/td>\nChapter Outline <\/td>\n<\/tr>\n
240<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
257<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
279<\/td>\nThis page is blank due to revisions through the
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282<\/td>\nLife Safety (LS)
Overview <\/td>\n<\/tr>\n
285<\/td>\nChapter Outline <\/td>\n<\/tr>\n
286<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
295<\/td>\nThis page is blank due to revisions through the
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307<\/td>\nThis page is blank due to revisions through the
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336<\/td>\nMedication Management (MM)
Overview <\/td>\n<\/tr>\n
339<\/td>\nChapter Outline <\/td>\n<\/tr>\n
340<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
349<\/td>\nThis page is blank due to revisions through the
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359<\/td>\nThis page is blank due to revisions through the
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366<\/td>\nMedical Staff (MS)
Overview <\/td>\n<\/tr>\n
369<\/td>\nChapter Outline <\/td>\n<\/tr>\n
370<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
381<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
387<\/td>\nThis page is blank due to revisions through the
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393<\/td>\nThis page is blank due to revisions through the
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420<\/td>\nNational Patient Safety Goals (NPSG)
Chapter Outline <\/td>\n<\/tr>\n
421<\/td>\nRequirements, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
440<\/td>\nNursing (NR)
Overview <\/td>\n<\/tr>\n
441<\/td>\nChapter Outline <\/td>\n<\/tr>\n
442<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
446<\/td>\nProvision of Care, Treatment, and Services (PC)
Overview <\/td>\n<\/tr>\n
448<\/td>\nChapter Outline <\/td>\n<\/tr>\n
449<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
459<\/td>\nThis page is blank due to revisions through the
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504<\/td>\nPerformance Improvement (PI)
Overview <\/td>\n<\/tr>\n
506<\/td>\nChapter Outline <\/td>\n<\/tr>\n
507<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
512<\/td>\nRecord of Care, Treatment, and Services (RC)
Overview <\/td>\n<\/tr>\n
513<\/td>\nChapter Outline <\/td>\n<\/tr>\n
514<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
519<\/td>\nThis page is blank due to revisions through the
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523<\/td>\nThis page is blank due to revisions through the
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528<\/td>\nRights and Responsibilities of the Individual (RI)
Overview <\/td>\n<\/tr>\n
530<\/td>\nChapter Outline <\/td>\n<\/tr>\n
531<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
539<\/td>\nThis page is blank due to revisions through the
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547<\/td>\nThis page is blank due to revisions through the
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552<\/td>\nTransplant Safety (TS)
Overview <\/td>\n<\/tr>\n
554<\/td>\nChapter Outline <\/td>\n<\/tr>\n
555<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
564<\/td>\nWaived Testing (WT)
Overview <\/td>\n<\/tr>\n
567<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
569<\/td>\nChapter Outline <\/td>\n<\/tr>\n
570<\/td>\nStandards, Rationales, and Elements of Performance <\/td>\n<\/tr>\n
576<\/td>\nThe Accreditation Process (ACC)
Notices
ACC Chapter Contents <\/td>\n<\/tr>\n
578<\/td>\nOverview <\/td>\n<\/tr>\n
581<\/td>\nAccreditation Policies <\/td>\n<\/tr>\n
591<\/td>\nThis page is blank due to revisions through the
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606<\/td>\nBefore the Survey <\/td>\n<\/tr>\n
611<\/td>\nDuring the Survey <\/td>\n<\/tr>\n
630<\/td>\nAfter the Survey <\/td>\n<\/tr>\n
635<\/td>\nThis page is blank due to revisions through the
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641<\/td>\nThis page is blank due to revisions through the
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645<\/td>\nBetween Accreditation Surveys <\/td>\n<\/tr>\n
657<\/td>\nDecision Rules for Organizations Seeking Initial Accreditation <\/td>\n<\/tr>\n
661<\/td>\nThis page is blank due to revisions through the
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663<\/td>\nDecision Rules for Organizations Seeking Reaccreditation <\/td>\n<\/tr>\n
667<\/td>\nProcess for Organizations That Meet Decision Rule PDA02 for Patients Placed at Risk for Serious Adverse Outcomes Due to Signific <\/td>\n<\/tr>\n
670<\/td>\nProcess for Organizations That Meet Decision Rule PDA04
Review and Appeal Procedures <\/td>\n<\/tr>\n
676<\/td>\nStandards Applicability Grid (SAG) <\/td>\n<\/tr>\n
714<\/td>\nSentinel Events (SE)
I. Sentinel Events <\/td>\n<\/tr>\n
718<\/td>\nII. Goals of the Sentinel Event Policy <\/td>\n<\/tr>\n
719<\/td>\nIII. Responding to Sentinel Events <\/td>\n<\/tr>\n
727<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
728<\/td>\nIV. The Sentinel Event Database
V. Determination That a Sentinel Event Is Subject to Review <\/td>\n<\/tr>\n
729<\/td>\nVI. Optional On-Site Review of a Sentinel Event
VII. Disclosable Information
VIII. The Joint Commission\u2019s Response <\/td>\n<\/tr>\n
730<\/td>\nIX. Sentinel Event Measures of Success (SE MOS)
X. Handling Sentinel Event\u2013Related Documents <\/td>\n<\/tr>\n
731<\/td>\nXI. Oversight of the Sentinel Event Policy
XII. Survey Process <\/td>\n<\/tr>\n
732<\/td>\nAppendix. Accreditation Requirements Related to Sentinel Events <\/td>\n<\/tr>\n
736<\/td>\nThe Joint Commission Quality Report (QR)
Introduction
What Is The Joint Commission Quality Report? <\/td>\n<\/tr>\n
737<\/td>\nWhat Will My Quality Report Contain? <\/td>\n<\/tr>\n
738<\/td>\nWhat Is Quality Check? <\/td>\n<\/tr>\n
739<\/td>\nCan My Hospital Comment on Its Quality Report? <\/td>\n<\/tr>\n
740<\/td>\nWhat Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality? <\/td>\n<\/tr>\n
744<\/td>\nPerformance Measurement and the ORYX Initiative (PM)
Overview
The Continued Role of ORYX <\/td>\n<\/tr>\n
745<\/td>\nAccelerate PI\u2122 <\/td>\n<\/tr>\n
746<\/td>\nUse of Performance Measure Data
Current Requirements for Hospitals <\/td>\n<\/tr>\n
748<\/td>\nRequired Written Documentation (RWD) <\/td>\n<\/tr>\n
749<\/td>\nList of EPs Requiring Written Documentation for Hospitals <\/td>\n<\/tr>\n
754<\/td>\nEarly Survey Policy (ESP) <\/td>\n<\/tr>\n
760<\/td>\nPrimary Care Medical Home Certification Option (PCMH)
Overview
Primary Care Medical Home Model <\/td>\n<\/tr>\n
764<\/td>\nStandards, Rationales, Elements of Performance, and Scoring Specific to the Primary Care Medical Home Certification Option <\/td>\n<\/tr>\n
787<\/td>\nThis page is blank due to revisions through the
update. <\/td>\n<\/tr>\n
796<\/td>\nAppendix A: Medicare Requirements for Hospitals (AXA) <\/td>\n<\/tr>\n
812<\/td>\nCoP Requirements Assessed by CMS or the Fiscal Intermediary <\/td>\n<\/tr>\n
816<\/td>\nAppendix B: Special Conditions of Participation for Psychiatric Hospitals (AXB)
Subpart E\u2014Requirements for Specialty Hospitals <\/td>\n<\/tr>\n
822<\/td>\nGlossary (GL) <\/td>\n<\/tr>\n
831<\/td>\nThis page is blank due to revisions through the
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843<\/td>\nThis page is blank due to revisions through the
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866<\/td>\nIndex (IX) <\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":"

Comprehensive Accreditation Manual for Hospitals (CAMH)<\/b><\/p>\n\n\n\n\n
Published By<\/td>\nPublication Date<\/td>\nNumber of Pages<\/td>\n<\/tr>\n
Joint Commission<\/b><\/a><\/td>\n2021<\/td>\n899<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n","protected":false},"featured_media":334480,"template":"","meta":{"rank_math_lock_modified_date":false,"ep_exclude_from_search":false},"product_cat":[2851],"product_tag":[],"class_list":{"0":"post-334471","1":"product","2":"type-product","3":"status-publish","4":"has-post-thumbnail","6":"product_cat-joint-commission","8":"first","9":"instock","10":"sold-individually","11":"shipping-taxable","12":"purchasable","13":"product-type-simple"},"_links":{"self":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product\/334471","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product"}],"about":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/types\/product"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/media\/334480"}],"wp:attachment":[{"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/media?parent=334471"}],"wp:term":[{"taxonomy":"product_cat","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_cat?post=334471"},{"taxonomy":"product_tag","embeddable":true,"href":"https:\/\/pdfstandards.shop\/wp-json\/wp\/v2\/product_tag?post=334471"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}