Don't skip a beat with medical staff compliance! The Joint Commission has made significant changes to its standards for medical staff. Effective January 1, 2009, these changes include a complete renumbering of the credentialing and privileging standards. Since the last edition of The Compliance Guide to the Joint Commission Medical Staff Standards published in 2006, the landscape of Joint Commission standards has changed significantly, due mostly to the new numbering and scoring systems. The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition, will save you hours of time rifling through hundreds of pages of documents, trying to decipher ways to comply. This resource provides: - Completely updated information, tools, and insights that will help guide you in understanding and preparing your medical staff for survey under the new 2009 standards - Each element of performance includes a box for you to score your facility's compliance with the standard and easily identify those areas in which additional work is needed. - A comparison of the 2009 standards to the old standards and highlights all the new requirements Who should read The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition? - Medical services professionals and credentialing coordinators - VPMAs - Medical executive committee and credentials committee members - Department chairs - Quality managers and quality/performance improvement professionals - Survey coordinators This book is a practical tool to help hospitals meet the Joint Commission's expectations, a tough and time-consuming challenge. Add The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition to your compliance library and feel confident when Joint Commission shows up unannounced at your door! Take a look at the Table of Contents - Chapter 1: Understanding the standards and survey process - Chapter 2: LD.01.05.01, MS.01.01.01, MS.01.01.03, and MS.02.01.01--Medical staff structure and medical staff bylaws - Chapter 3: MS.03.01.01, MS.03.01.03, and MS.04.01.01--Management and oversight of patient care, treatment and services, and oversight of graduate medical education programs - Chapter 4: MS.05.01.01 and MS.05.01.03--Performance improvement - Chapter 5: MS.06.01.01--MS.06.01.09, MS.07.01.01, HR.01.02.05, and HR.01.07.01--Credentialing, recredentialing, privileging, and appointment - Chapter 6: MS.07.01.03, MS.08.01.01, MS.08.01.03, MS.09.01.01, MS.10.01.01, and MS.11.01.01, LD.03.01.01--Focused and ongoing professional practice evaluation, peer recommendations, fair hearing, and LIP health - Appendix A: 2009 National Patient Safety Goals - Appendix B: Tips for a successful survey

Chapter Leader's Guide to Medical Staff breaks down The Joint Commission's medical staff requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator and chapter leader. Plus, to make staff training easy, this guide includes two downloadable PowerPoint® presentations highlighting key compliance takeaways. What's Inside: Keys to understanding The Joint Commission's stance on medical staff bylaws.(MS.01.01.01) Explanation of the role of the MEC How the medical staff plays into graduate education programs and performance improvement Accreditation's role in credentialing and privileging What the standards say about physician behavior The latest updates to telemedicine requirements Book jacket.

Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DNV Standards Kathy Matzka Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DNV Standards compares medical staff-relevant standards across four accreditation and regulatory bodies: DNV, HFAP, TJC, and CMS. It includes sample tools, forms, and policies to help you meet the goals of the standards no matter which accreditation body you use. This important reference concisely reviews all medical staff relevant standards to answer your medical staff compliance questions quickly and easily. Easily access, navigate, and compare the requirements of the four organizations at a glance The Joint Commission The Centers for Medicare and Medicaid Services Healthcare Facilities Accreditation Program DNV Accreditation Eliminate wasted time searching through multiple resources to find what you need. Take a look at the Table of Contents Chapter 1: Medical Staff Structure, Medical Staff Bylaws, and Medical Staff Involvement in Organizational Leadership Functions and Required Committees Medical Staff Structure and Accountability Medical Staff Leadership Required Committees Medical Staff Bylaws Medical Staff Involvement in Organizational Leadership Functions Chapter 2: Oversight of Patient Care, Treatment, and Services and Performance Improvement Oversight of Practitioners Periodic Appraisal/Focused and Ongoing Professional Practice Evaluation/Peer Review History and Physical Exams Consultation and Coordination of Care Medical Staff Quality Assessment/Performance Improvement Corrective Action, Ethics, and Behavioral Issues Autopsies Contracted Services Including Telemedicine Managing LIP Health Graduate Medical Education Programs Oversight of Emergency Services Oversight of Radiology Services Oversight of Nuclear Medicine Services Oversight of Anesthesia Services Oversight of Respiratory Care Services Chapter 3: Medical Staff Involvement in Patient-Focused Areas and Patient Therapeutic Services Orders for Restraints or Seclusion and Training Medical Staff Oversight of Medical Records Completion Medication Orders Formulary Admitting of Patients Policies for Blood Transfusions and IV Medications Medical Staff Involvement in Infection Control Medical Staff involvement in Dietary Services Operative or other high-risk procedures/the administration of moderate or deep sedation or anesthesia Tissue Earn continuing education credits! This program has been approved by the National Association Medical Staff Services for 5 continuing education units. Accreditation of this educational program in no way implies endorsement or sponsorship by NAMSS.

Competency Assessment, Third Edition: A Practical Guide to the Joint Commission Brenda G. Summers, MBA/MHA, MSN, RN, CNAA-BC; WendySue Woods, RN, CSHA, MHSA Your one-stop competency compliance guide. Competency Assessment remains among The Joint Commission's top problematic standards. You need a resource that not only explains exactly how to comply with this perennial problem area but also provides real-time tools to evaluate competency. To help you, we've updated our "must-have" competency assessment resource: "Competency Assessment: A Practical Guide to the Joint Commission Standards, Third Edition." You'll have the information and tools you need to achieve compliance. Population-specific competencies, ongoing assessment...we'll help you comply We understand your need for more than just theorizing on the competency assessment standards. That's why this edition of "Competency Assessment" focuses on ongoing competency and validating competency in accordance with Joint Commission standards. You get an easy-to-reference guide with the very best real-world strategies, the most useful forms, and the most practical tools you can incorporate into your own competency assessment program immediately, including: Sample Orientation Outline Competency Assessment Tool Sample Questions for Self-Assessment Six Steps to a Successful Competency Assessment Program Job Descriptions List of Questions Surveyors Might Ask Sample Population-Specific Components Two posters you can hang in your facility to make sure everyone is aware of your commitment to competency assessment Ongoing Competence Decision Tree REAL-LIFE Case Study One of the most useful features of "Competency Assessment: A Practical Guide to the Joint Commission Standards, Third Edition," is a valuable real-life case study. You'll learn how an Ohio hospital put one of the authors' techniques into action, and how they benefited as a result.BONUS This valuable resource includes a CD-ROM full of job descriptions and competency plans you can customize to meet your facility's needs. This book and CD-ROM set is your perfect solution to competency assessment compliance. With your copy close at hand, you'll: UNDERSTAND the intent of each Joint Commission standard and how best to comply and demonstrate compliance to surveyors LEARN how to assess competency, including population-served (age-specific) competencies CREATE effective strategies for carrying out ongoing competency assessments CUSTOMIZE the tools and techniques provided for your competency assessment program BENEFIT from knowing what to do with the results of your assessments Your staff must be qualified to perform their job; your patients' health--and lives--rest in their hands. Ensure a strong competency management system with this hands-on, how-to compliance guide.

Now in its fifth edition, this book features completely updated information, tools, and insights that will help in understanding and preparing medical staff for survey under the new 2007 standards. with the Compliance Guide to the JCAHO Medical Staff Standards, Fifth Edition in your library, you'll save hours rifling through hundreds of pages of documents, trying to decipher ways to comply. All the standards that relate to you and all the procedures you need to implement are consolidated into this one convenient, easy-to-understand resource.