The Compliance Guide to the Joint Commission Medical Staff Standards

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!

About the Author

Kathy Matzka, CPMSM, CPCS is a speaker, consultant, and writer with more than 19 years’ experience in medical and professional staff services. She is a contributing editor for HCPro’s publication The Credentialing and Privileging Desk Reference and the author of MSSPs Take Charge: Practical Steps to Promote Yourself and Get the Respect You Deserve. She is certified by the National Association Medical Staff Services (NAMSS) in both management of medical staff services and provider credentialing. Ms. Matzka currently serves on the Editorial Advisory Board for HCPro’s Briefings on Credentialing.

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

• Books

• Other Accreditation Products