The Compliance Guide to the Joint Commission Leadership Standards

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Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781556452161
Total Pages : 0 pages
Book Rating : 4.4/5 (521 download)

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Book Synopsis The Compliance Guide to the Joint Commission Leadership Standards by : Sue Dill Calloway

Download or read book The Compliance Guide to the Joint Commission Leadership Standards written by Sue Dill Calloway and published by Hcpro, a Division of Simplify Compliance. This book was released on 2014-12-22 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Compliance Guide to The Joint Commission Leadership Standards Sue Dill Calloway, RN, MSN, JD The Compliance Guide to The Joint Commission Leadership Standards provides accreditation professionals with in-depth guidance on how to prepare leadership and staff to comply with the accreditor's Leadership standards. The book breaks down the Leadership chapter standard by standard and provides hospitals with a plethora of tools and policies to train leaders and staff on the roles they play in compliance, patient safety, and quality efforts. This book provides: Clear explanations of the Leadership standards How-to strategies for developing and implementing a leadership plan Tips for creating a culture of safety Three customizable and downloadable PowerPoint training presentations Updated tools and policies to help compliance Table of Contents: Chapter 1: The Leadership Session During the Survey and Introduction Chapter 2: The Leadership Standards Chapter 3: Leadership Relationships Chapter 4: Hospital Culture and System Performance Chapter 5: Operations Appendix: Tools and Samples Assessment of Community Health Needs Outline for a Leadership Plan Seven Steps for a Single Level of Care Scope of Services Criteria--Clinical Departments Checklist Scope of Services Criteria--Nonclinical Departments Checklist Sample Format for a Performance Improvement Plan Sample Patient Safety Plan Sample Organizational Chart Sample Bylaws of the Board of Trustees Sample Complaint/Grievance Review Sample Capital Expenditure Request Form Sample Organ, Tissue, Eye Procurement Policy and Procedure Sample Quality Management Plan Sample Quality Management Forms: Process Improvement QAPI Summary Sample Quality Management Forms: Quality Management Department Decision-Making Tools Sample Quality Management Forms: Quality Review Department Request for Consideration for a TQM Team Sample Quality Management Forms: Rapid Cycle Improvement Worksheet Patient Safety Report Card to the Board Patient Safety Plan Incident Reporting Administrative Policy Incident Reporting Administrative Policy: Incident Report Addendum Incident Reporting Administrative Policy: Adverse Drug Event--IV Infiltration Incident Report Incident Reporting Administrative Policy: Equipment Malfunction Incident Report Incident Reporting Administrative Policy: Medication Error Incident Report Incident Reporting Administrative Policy: Miscellaneous Incident Report Incident Reporting Administrative Policy: Patient/Visitor Fall Incident Report Root Cause Analysis Incident Investigation Tool Three PowerPoint presentations to help you train leadership and staff

The Chapter Leader's Guide to Leadership

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Publisher : HC Pro, Inc.
ISBN 13 : 1601468075
Total Pages : 113 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The Chapter Leader's Guide to Leadership by : Jodi L. Eisenberg

Download or read book The Chapter Leader's Guide to Leadership written by Jodi L. Eisenberg and published by HC Pro, Inc.. This book was released on 2011-02-11 with total page 113 pages. Available in PDF, EPUB and Kindle. Book excerpt: Quick, concise standard explanations for LD chapter leaders The Chapter Leader's Guide to Leadership breaks down the Joint Commission's leadership 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 a downloadable PowerPointr presentation highlighting key compliance takeaways. Also, receive bonus tools which include: * A document requirement checklist * Proactive risk assessment tool * Contract monitoring tool

The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition

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Publisher :
ISBN 13 : 9781601462961
Total Pages : 0 pages
Book Rating : 4.4/5 (629 download)

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Book Synopsis The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition by : Kathy Matzka

Download or read book The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition written by Kathy Matzka and published by . This book was released on 2008-11-20 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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

2022 Hospital Compliance Assessment Workbook

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Publisher :
ISBN 13 : 9781635852448
Total Pages : pages
Book Rating : 4.8/5 (524 download)

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Book Synopsis 2022 Hospital Compliance Assessment Workbook by : Joint Commission Resources

Download or read book 2022 Hospital Compliance Assessment Workbook written by Joint Commission Resources and published by . This book was released on 2021-12-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt:

The Compliance Guide to the Joint Commission's Patient Safety Systems Chapter

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Publisher : Hcpro, a Division of Simplify Compliance
ISBN 13 : 9781556452956
Total Pages : 0 pages
Book Rating : 4.4/5 (529 download)

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Book Synopsis The Compliance Guide to the Joint Commission's Patient Safety Systems Chapter by : Sena Blickenstaff

Download or read book The Compliance Guide to the Joint Commission's Patient Safety Systems Chapter written by Sena Blickenstaff and published by Hcpro, a Division of Simplify Compliance. This book was released on 2015-04-13 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Prepare for the new Patient Safety Systems chapter with The Compliance Guide to The Joint Commission's Patient Safety Systems Chapter. The Joint Commission added a new Patient Safety Systems (PS) chapter that became effective on January 1, 2015, and highlights the accreditor's patient safety requirements. The new chapter explains how to become a learning organization, the role of hospital leaders in patient safety, use of data and reporting systems, conducting proactive risk assessments, and patient involvement. This book provides insight into the existing standards that comprise this new chapter and will help you put together an integrated patient safety system in your facility.

Meeting Accreditation Standards: A Pharmacy Preparation Guide

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Publisher : ASHP
ISBN 13 : 1585284475
Total Pages : 723 pages
Book Rating : 4.5/5 (852 download)

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Book Synopsis Meeting Accreditation Standards: A Pharmacy Preparation Guide by : John P Uselton

Download or read book Meeting Accreditation Standards: A Pharmacy Preparation Guide written by John P Uselton and published by ASHP. This book was released on 2019-12-31 with total page 723 pages. Available in PDF, EPUB and Kindle. Book excerpt: Meeting Accreditation Standards: A Pharmacy Preparation Guide is the only book to cover all the latest major accreditation standards. Highlights include: Major changes including revised survey processes and streamlined standards to emphasize CMS’s focus on safety and improving the quality of patient care New chapters for the fourth accreditation organization CIHQ, Antimicrobial Stewardship, and Pain Management Addresses the standards and requirements effective from July 2019 to the extent that they are known Contains the most up-to-date medication management (MM) standards and requirements and the medication-related 2019 NPSGs and their requirements

Competency Assessment

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Publisher : Hcpro Incorporated
ISBN 13 : 9781601462510
Total Pages : 0 pages
Book Rating : 4.4/5 (625 download)

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Book Synopsis Competency Assessment by : Brenda Gail Summers

Download or read book Competency Assessment written by Brenda Gail Summers and published by Hcpro Incorporated. This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.

Making Healthcare Safe

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Publisher : Springer Nature
ISBN 13 : 3030711234
Total Pages : 450 pages
Book Rating : 4.0/5 (37 download)

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Book Synopsis Making Healthcare Safe by : Lucian L. Leape

Download or read book Making Healthcare Safe written by Lucian L. Leape and published by Springer Nature. This book was released on 2021-05-28 with total page 450 pages. Available in PDF, EPUB and Kindle. Book excerpt: This unique and engaging open access title provides a compelling and ground-breaking account of the patient safety movement in the United States, told from the perspective of one of its most prominent leaders, and arguably the movement’s founder, Lucian L. Leape, MD. Covering the growth of the field from the late 1980s to 2015, Dr. Leape details the developments, actors, organizations, research, and policy-making activities that marked the evolution and major advances of patient safety in this time span. In addition, and perhaps most importantly, this book not only comprehensively details how and why human and systems errors too often occur in the process of providing health care, it also promotes an in-depth understanding of the principles and practices of patient safety, including how they were influenced by today’s modern safety sciences and systems theory and design. Indeed, the book emphasizes how the growing awareness of systems-design thinking and the self-education and commitment to improving patient safety, by not only Dr. Leape but a wide range of other clinicians and health executives from both the private and public sectors, all converged to drive forward the patient safety movement in the US. Making Healthcare Safe is divided into four parts: I. In the Beginning describes the research and theory that defined patient safety and the early initiatives to enhance it. II. Institutional Responses tells the stories of the efforts of the major organizations that began to apply the new concepts and make patient safety a reality. Most of these stories have not been previously told, so this account becomes their histories as well. III. Getting to Work provides in-depth analyses of four key issues that cut across disciplinary lines impacting patient safety which required special attention. IV. Creating a Culture of Safety looks to the future, marshalling the best thinking about what it will take to achieve the safe care we all deserve. Captivatingly written with an “insider’s” tone and a major contribution to the clinical literature, this title will be of immense value to health care professionals, to students in a range of academic disciplines, to medical trainees, to health administrators, to policymakers and even to lay readers with an interest in patient safety and in the critical quest to create safe care.

The Environment of Care

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Publisher : Hcpro Incorporated
ISBN 13 : 9781601461896
Total Pages : 0 pages
Book Rating : 4.4/5 (618 download)

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Book Synopsis The Environment of Care by : Thomas J. Huser

Download or read book The Environment of Care written by Thomas J. Huser and published by Hcpro Incorporated. This book was released on 2008 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Comprehensive Accreditation Manual

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Publisher :
ISBN 13 : 9781599403304
Total Pages : 0 pages
Book Rating : 4.4/5 (33 download)

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Book Synopsis Comprehensive Accreditation Manual by : Joint Commission

Download or read book Comprehensive Accreditation Manual written by Joint Commission and published by . This book was released on 2010-04 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Integrates standards, rationales, elements of performance, scoring, decision rules, National Patient Safety Goals, and policies and procedures for the hospital accreditation program. This title features the comprehensive resource for continuous standards compliance and operational improvement for hospitals.

Information Management and Record of Care, Treatment, and Services

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Publisher : HC Pro, Inc.
ISBN 13 : 1601465726
Total Pages : 193 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis Information Management and Record of Care, Treatment, and Services by : Jean S. Clark

Download or read book Information Management and Record of Care, Treatment, and Services written by Jean S. Clark and published by HC Pro, Inc.. This book was released on 2009-02 with total page 193 pages. Available in PDF, EPUB and Kindle. Book excerpt: The new, fully updated Information Management and Record of Care, Seventh Edition, is a comprehensive guide to the most current Joint Commission standards, elements of performance for information management and record of care, and the survey process.

The Essential Guide for Patient Safety Officers

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Publisher :
ISBN 13 : 9781599407036
Total Pages : 160 pages
Book Rating : 4.4/5 (7 download)

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Book Synopsis The Essential Guide for Patient Safety Officers by : Michael Ed Leonard

Download or read book The Essential Guide for Patient Safety Officers written by Michael Ed Leonard and published by . This book was released on 2013-01-01 with total page 160 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Essential Guide for Patient Safety Officers, Second Edition, copublished with the Institute for Healthcare Improvement (IHI), is a comprehensive and authoritative repository of essential knowledge on operationalizing patient safety. Patient safety officers must make sure their organizations create a safety culture, implement new safety practices, and improve safety-related management and operations. This updated edition of a JCR best seller, with many new chapters, will help them do that. Edited by Allan Frankel, MD; Michael Leonard, MD; Frank Federico, RPh; Karen Frush, MD; and Carol Haraden, PhD, this book provides: * Core knowledge and insights for patient safety leaders, clinicians, change agents, and other staff * Strategies and best practices for day-to-day operational issues * Patient safety strategies and initiatives * Tools, checklists, and guidelines to assess, improve, and monitor patient safety functions * Expert guidance on leadership's role, assessing and improving safety culture, designing for reliability and resilience, ensuring patient involvement, using technology to enhance safety, and building and sustaining a learning system -- and other essential topics The work described in the book reveals growing insight into the complex task of taking care of patients safely as an intrinsic, inseparable part of quality care. To do this we need to create a systematic, integrated approach, and this book shows us how to do it. -- Gary S. Kaplan, MD, Chairman and CEO, Virginia Mason Medical Center, Seattle

Medicare

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Publisher : National Academies Press
ISBN 13 : 0309042305
Total Pages : 462 pages
Book Rating : 4.3/5 (9 download)

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Book Synopsis Medicare by : Institute of Medicine

Download or read book Medicare written by Institute of Medicine and published by National Academies Press. This book was released on 1990-02-01 with total page 462 pages. Available in PDF, EPUB and Kindle. Book excerpt: Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.

The Health of Lesbian, Gay, Bisexual, and Transgender People

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Publisher : National Academies Press
ISBN 13 : 0309210658
Total Pages : 293 pages
Book Rating : 4.3/5 (92 download)

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Book Synopsis The Health of Lesbian, Gay, Bisexual, and Transgender People by : Institute of Medicine

Download or read book The Health of Lesbian, Gay, Bisexual, and Transgender People written by Institute of Medicine and published by National Academies Press. This book was released on 2011-06-24 with total page 293 pages. Available in PDF, EPUB and Kindle. Book excerpt: At a time when lesbian, gay, bisexual, and transgender individuals-often referred to under the umbrella acronym LGBT-are becoming more visible in society and more socially acknowledged, clinicians and researchers are faced with incomplete information about their health status. While LGBT populations often are combined as a single entity for research and advocacy purposes, each is a distinct population group with its own specific health needs. Furthermore, the experiences of LGBT individuals are not uniform and are shaped by factors of race, ethnicity, socioeconomic status, geographical location, and age, any of which can have an effect on health-related concerns and needs. The Health of Lesbian, Gay, Bisexual, and Transgender People assesses the state of science on the health status of LGBT populations, identifies research gaps and opportunities, and outlines a research agenda for the National Institute of Health. The report examines the health status of these populations in three life stages: childhood and adolescence, early/middle adulthood, and later adulthood. At each life stage, the committee studied mental health, physical health, risks and protective factors, health services, and contextual influences. To advance understanding of the health needs of all LGBT individuals, the report finds that researchers need more data about the demographics of these populations, improved methods for collecting and analyzing data, and an increased participation of sexual and gender minorities in research. The Health of Lesbian, Gay, Bisexual, and Transgender People is a valuable resource for policymakers, federal agencies including the National Institute of Health (NIH), LGBT advocacy groups, clinicians, and service providers.

The Chapter Leader's Guide to Performance Improvement

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Publisher : HC Pro, Inc.
ISBN 13 : 1601468083
Total Pages : 115 pages
Book Rating : 4.6/5 (14 download)

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Book Synopsis The Chapter Leader's Guide to Performance Improvement by : Cynthia Barnard

Download or read book The Chapter Leader's Guide to Performance Improvement written by Cynthia Barnard and published by HC Pro, Inc.. This book was released on 2011-02-11 with total page 115 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Chapter Leader's Guide to Performance Improvement Cynthia Barnard, MBA, MSJS, CPHQ Quick, concise standard explanations for performance improvement chapter leaders The Chapter Leader's Guide to Performance Improvement breaks down The Joint Commission's performance improvement 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 a downloadable PowerPoint(R) presentation highlighting key compliance takeaways. Also, receive bonus tools which include: Annual performance improvement program assessment worksheet Sample performance improvement team charter Critical information checklist Templates for quality plans Samples for compliance with required measurements Samples for compliance with measurements to be considered Checklist for survey readiness Benefits of The Chapter Leader's Guide to Performance Improvement: Empower your PI chapter leaders to successfully navigate the survey process Communicate the impact the PI chapter has on the entire leadership team, management, and caregivers Create a culture of accountability by delegating survey-related responsibilities to staff members Go beyond standard numbers and understand the true meaning of The Joint Commission's PI requirements Get everyone in your facility on board with compliance Save time training PI chapter leaders with the customizable PowerPoint presentation What's inside: Simplified explanation of The Joint Commission's performance improvement chapter Tools for data collection and analysis to measure the performance of processes Strategies for analyzing data to implement better care, improve compliance, and promote positive change Best practices in designing, implementing, and presenting performance improvement programs with reference to accreditation requirements Table of Contents Introduction: How This Handbook Can Help You Part I: Performance Improvement in the Organization Leadership Roles in Performance Improvement Successful Management of Performance Improvement Key Take-Away Points Part II: Planning and Coordinating Performance Improvement Communicating and Integrating Performance Improvement Throughout the Organization Do You Need a Dashboard? Impact of Performance Improvement on Patients, Clinicians, and Staff Teams, Charters, and Leadership Physician Roles and Responsibilities in Performance Improvement Key Take-Away Points Part III: Implementing Performance Improvement The Performance Improvement Cycle Data Collection and Analysis Process Improvement Documentation and "Telling the Story" Sustaining Change Key Take-Away Points Part IV: Effective PI Survey Preparation Critical Information at Your Fingertips The PI Presentation to Surveyors The Data Tracer and the Leadership Interview Key Take-Away Points Who will benefit? Accreditation coordinators, accreditation specialists, survey coordinators, Joint Commission survey coordinators, performance improvement chapter leaders, quality directors, quality improvement professionals Earn Continuing Education Credits National Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.

Verify and Comply

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Publisher : HC Pro, Inc.
ISBN 13 : 9781578393930
Total Pages : 174 pages
Book Rating : 4.3/5 (939 download)

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Book Synopsis Verify and Comply by : Carol S. Cairns

Download or read book Verify and Comply written by Carol S. Cairns and published by HC Pro, Inc.. This book was released on 2004 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Fundamentals of Health Care Improvement, 4th Edition

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Publisher :
ISBN 13 : 9781635852714
Total Pages : pages
Book Rating : 4.8/5 (527 download)

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Book Synopsis Fundamentals of Health Care Improvement, 4th Edition by : Joint Commission Resources

Download or read book Fundamentals of Health Care Improvement, 4th Edition written by Joint Commission Resources and published by . This book was released on 2022-07-30 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: