Medical Staff Standards Crosswalk
A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DNV standards
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Product Description:
Medical Staff Standards Crosswalk: A Quick Reference Guide to The Joint Commission, CMS, HFAP, and DNV 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.