{"id":202875,"date":"2024-10-19T12:59:02","date_gmt":"2024-10-19T12:59:02","guid":{"rendered":"https:\/\/pdfstandards.shop\/product\/uncategorized\/jc-policysource-hospital-2020\/"},"modified":"2024-10-25T05:36:08","modified_gmt":"2024-10-25T05:36:08","slug":"jc-policysource-hospital-2020","status":"publish","type":"product","link":"https:\/\/pdfstandards.shop\/product\/publishers\/joint-commission\/jc-policysource-hospital-2020\/","title":{"rendered":"JC PolicySource Hospital 2020"},"content":{"rendered":"
An annual subscription to PolicySource will provide access to dozens of standardized sample P&Ps for hospitals. The P&Ps will be reviewed and updated as needed alongside the twice-annual release of updated Joint Commission standards. Key Topics: \u2022 Why P&Ps are critical and how best to develop and manage them \u2022 Role of P&Ps in quality improvement and patient safety \u2022 Continuous standards compliance and survey readiness \u2022 How to improve and create consistent P&Ps across care sites following a merger or acquisition \u2022 Samples of required P&Ps for Joint Commission hospital accreditation \u2022 Samples of P&Ps identified by customers as being the most valuable, including those on infection prevention and control, the physical environment, medication management, and more Key Features: \u2022 Dozens of downloadable and customizable P&Ps on a wide range of accreditation-related topics \u2022 Trusted content reviewed by subject matter experts from The Joint Commission \u2022 Regular updates to match Joint Commission standards changes \u2022 Checklist of all Joint Commission requirements that call for written P&Ps \u2022 Standardized templates for writing and managing your own hospital P&Ps \u2022 Easy-to-navigate online portal Standards: Various accreditation standards Setting: Hospital Key Audience: \u2022 Accreditation professionals \u2022 Hospital leaders and administrators responsible for developing, managing, updating, and communicating P&Ps \u2022 Performance improvement specialists \u2022 Clinical leadership \u2022 Infection control practitioners \u2022 Medication safety officers \u2022 Patient safety officers \u2022 Human resources professionals \u2022 Health care facility managers<\/p>\n
PDF Pages<\/th>\n | PDF Title<\/th>\n<\/tr>\n | ||||||
---|---|---|---|---|---|---|---|
1<\/td>\n | Get Started <\/td>\n<\/tr>\n | ||||||
2<\/td>\n | Table of Contents <\/td>\n<\/tr>\n | ||||||
5<\/td>\n | EC EC_Active Threat Response Procedures <\/td>\n<\/tr>\n | ||||||
9<\/td>\n | EC_Compressed Gas Cylinder Management Policy <\/td>\n<\/tr>\n | ||||||
13<\/td>\n | EC_Emergency Backup for Medication Refrigeration Policy <\/td>\n<\/tr>\n | ||||||
17<\/td>\n | EC_Environment of Care Management Plan Annual Evaluation Process <\/td>\n<\/tr>\n | ||||||
21<\/td>\n | EC_Environment of Care Plan <\/td>\n<\/tr>\n | ||||||
27<\/td>\n | EC_Fire Drill Procedures <\/td>\n<\/tr>\n | ||||||
32<\/td>\n | EC_Fire Response Plan <\/td>\n<\/tr>\n | ||||||
36<\/td>\n | EC_Fire Safety Equipment and Building Features Maintenance Policy <\/td>\n<\/tr>\n | ||||||
40<\/td>\n | EC_Hazardous Material Spill Response Procedures <\/td>\n<\/tr>\n | ||||||
46<\/td>\n | EC_Infection Control During Construction Policy <\/td>\n<\/tr>\n | ||||||
50<\/td>\n | EC_Medical Equipment Failure Response Procedures <\/td>\n<\/tr>\n | ||||||
52<\/td>\n | EC_Providing Emergency Power to Medication Dispensing Equipment Policy <\/td>\n<\/tr>\n | ||||||
54<\/td>\n | EC_Smoke-Free Policy <\/td>\n<\/tr>\n | ||||||
56<\/td>\n | EC_Utility System Disruption Response Procedures <\/td>\n<\/tr>\n | ||||||
61<\/td>\n | EC_Ventilation in Critical Care Areas Policy <\/td>\n<\/tr>\n | ||||||
64<\/td>\n | EM EM_1135 Waiver Request Procedures <\/td>\n<\/tr>\n | ||||||
66<\/td>\n | EM_Emergency Communications Plan <\/td>\n<\/tr>\n | ||||||
70<\/td>\n | EM_Emergency Management Plan <\/td>\n<\/tr>\n | ||||||
79<\/td>\n | EM_Hazard Vulnerability Analysis, Emergency Operations Plan, and Emergency Inventory Evaluation Process <\/td>\n<\/tr>\n | ||||||
84<\/td>\n | EM_Integrated Emergency Preparedness Plan <\/td>\n<\/tr>\n | ||||||
94<\/td>\n | EM_Licensed Emergency Volunteers Policy <\/td>\n<\/tr>\n | ||||||
99<\/td>\n | EM_Nonlicensed Emergency Volunteers Policy <\/td>\n<\/tr>\n | ||||||
103<\/td>\n | HR HR_Staff Orientation Plan <\/td>\n<\/tr>\n | ||||||
108<\/td>\n | IC IC_Infection Prevention and Control Plan <\/td>\n<\/tr>\n | ||||||
116<\/td>\n | IC_Infectious Disease Outbreak Response Procedures <\/td>\n<\/tr>\n | ||||||
120<\/td>\n | IC_Staff Influenza Vaccination Policy <\/td>\n<\/tr>\n | ||||||
125<\/td>\n | IM IM_Confidentiality and Security of Health Information Policy <\/td>\n<\/tr>\n | ||||||
128<\/td>\n | IM_Information Systems Interruption Management Plan <\/td>\n<\/tr>\n | ||||||
133<\/td>\n | LD LD_Code of Conduct Policy <\/td>\n<\/tr>\n | ||||||
136<\/td>\n | LD_Conflict of Interest Policy <\/td>\n<\/tr>\n | ||||||
140<\/td>\n | LD_Patient Flow Management Policy <\/td>\n<\/tr>\n | ||||||
147<\/td>\n | LD_System or Process Failures Response Policy <\/td>\n<\/tr>\n | ||||||
152<\/td>\n | LS LS_Interim Life Safety Measures Policy <\/td>\n<\/tr>\n | ||||||
156<\/td>\n | MM MM_Accessibility of Patient Information Policy <\/td>\n<\/tr>\n | ||||||
159<\/td>\n | MM_Antimicrobial Stewardship Procedures <\/td>\n<\/tr>\n | ||||||
162<\/td>\n | MM_Automatic Dispensing Cabinets Override Review Policy <\/td>\n<\/tr>\n | ||||||
164<\/td>\n | MM_High-Alert and Hazardous Medication Management Policy <\/td>\n<\/tr>\n | ||||||
168<\/td>\n | MM_Investigational Medications Management Policy <\/td>\n<\/tr>\n | ||||||
174<\/td>\n | MM_Medication Control Policy <\/td>\n<\/tr>\n | ||||||
180<\/td>\n | MM_Medication Event Response Policy <\/td>\n<\/tr>\n | ||||||
185<\/td>\n | MM_Medication Orders Policy <\/td>\n<\/tr>\n | ||||||
189<\/td>\n | MM_Medication Substitution Protocols <\/td>\n<\/tr>\n | ||||||
192<\/td>\n | MM_Recalled Medication Management Policy <\/td>\n<\/tr>\n | ||||||
195<\/td>\n | MM_Self-Administered Medications Policy <\/td>\n<\/tr>\n | ||||||
199<\/td>\n | MS MS_Adverse Decision Appeal Policy <\/td>\n<\/tr>\n | ||||||
202<\/td>\n | MS_Clinical Practice Investigations and Corrective Action Policy <\/td>\n<\/tr>\n | ||||||
207<\/td>\n | MS_Clinical Privileges Application Processing Procedures <\/td>\n<\/tr>\n | ||||||
212<\/td>\n | MS_Dissemination of Privileging Decisions Policy <\/td>\n<\/tr>\n | ||||||
215<\/td>\n | MS_Emergency Appraisal Treatment and Referral Policy <\/td>\n<\/tr>\n | ||||||
218<\/td>\n | MS_Focused Professional Practice Evaluation Policy <\/td>\n<\/tr>\n | ||||||
222<\/td>\n | MS_Graduate Medical Education Supervision and Accountability Policy <\/td>\n<\/tr>\n | ||||||
226<\/td>\n | MS_Medical Staff Bylaws, Rules, and Regulations Policy <\/td>\n<\/tr>\n | ||||||
229<\/td>\n | MS_Ongoing Professional Practice Evaluation Policy <\/td>\n<\/tr>\n | ||||||
232<\/td>\n | MS_Temporary Privileges Policy <\/td>\n<\/tr>\n | ||||||
235<\/td>\n | NPSG NPSG_Anticoagulation Management Policy <\/td>\n<\/tr>\n | ||||||
238<\/td>\n | NPSG_Central Venous Catheter Management Procedures <\/td>\n<\/tr>\n | ||||||
242<\/td>\n | NPSG_Clinical Alarm Management Policy <\/td>\n<\/tr>\n | ||||||
245<\/td>\n | NPSG_Critical Diagnostic Test Results Management Policy <\/td>\n<\/tr>\n | ||||||
249<\/td>\n | NPSG_Hand Hygiene Policy <\/td>\n<\/tr>\n | ||||||
255<\/td>\n | NPSG_Multidrug-Resistant Organism Education for Patients Policy <\/td>\n<\/tr>\n | ||||||
258<\/td>\n | NPSG_Preprocedure Verification Procedures <\/td>\n<\/tr>\n | ||||||
262<\/td>\n | NPSG_Suicide Risk Assessment and Prevention Policy <\/td>\n<\/tr>\n | ||||||
269<\/td>\n | NPSG_Surgical Site Marking Alternative Procedures <\/td>\n<\/tr>\n | ||||||
272<\/td>\n | NPSG_Surgical Time-Out Procedures <\/td>\n<\/tr>\n | ||||||
275<\/td>\n | NR NR_Nurse Staffing Plan Development Policy <\/td>\n<\/tr>\n | ||||||
279<\/td>\n | NR_Nursing Policies and Procedures Development Policy <\/td>\n<\/tr>\n | ||||||
282<\/td>\n | PC PC_Adult Electroconvulsive Therapy Policy <\/td>\n<\/tr>\n | ||||||
286<\/td>\n | PC_Anesthesia Services Policy <\/td>\n<\/tr>\n | ||||||
290<\/td>\n | PC_Blood Handling Policy <\/td>\n<\/tr>\n | ||||||
293<\/td>\n | PC_Blood Transfusion Policy <\/td>\n<\/tr>\n | ||||||
298<\/td>\n | PC_Discharge Planning Policy <\/td>\n<\/tr>\n | ||||||
302<\/td>\n | PC_Fall Risk Assessment and Mitigation Policy <\/td>\n<\/tr>\n | ||||||
307<\/td>\n | PC_Individualized Care Plan Development Procedures <\/td>\n<\/tr>\n | ||||||
312<\/td>\n | PC_Initial Assessment Procedures <\/td>\n<\/tr>\n | ||||||
316<\/td>\n | PC_Ionizing Radiation Safety Policy <\/td>\n<\/tr>\n | ||||||
321<\/td>\n | PC_Patient Behavior Management Policy <\/td>\n<\/tr>\n | ||||||
325<\/td>\n | PC_Restraint and Seclusion Policy <\/td>\n<\/tr>\n | ||||||
331<\/td>\n | PC_Resuscitation Services Policy <\/td>\n<\/tr>\n | ||||||
334<\/td>\n | PC_Specimen Management Policy <\/td>\n<\/tr>\n | ||||||
337<\/td>\n | PI <\/td>\n<\/tr>\n | ||||||
342<\/td>\n | RC RC_Medical Record Entry Authentication Policy <\/td>\n<\/tr>\n | ||||||
344<\/td>\n | RC_Medical Record Retention Policy <\/td>\n<\/tr>\n | ||||||
346<\/td>\n | RC_Medical Record Timeliness Policy <\/td>\n<\/tr>\n | ||||||
348<\/td>\n | RI RI_Advance Directives Policy <\/td>\n<\/tr>\n | ||||||
357<\/td>\n | RI_Autopsy Consent Policy <\/td>\n<\/tr>\n | ||||||
360<\/td>\n | RI_Informed Consent Policy <\/td>\n<\/tr>\n | ||||||
364<\/td>\n | RI_Mistreatment and Misappropriation Prohibition Policy <\/td>\n<\/tr>\n | ||||||
369<\/td>\n | RI_Patient Responsibilities Policy <\/td>\n<\/tr>\n | ||||||
371<\/td>\n | RI_Patient Rights Policy <\/td>\n<\/tr>\n | ||||||
375<\/td>\n | TS TS_Affiliated Organ Procurement Organization Policy <\/td>\n<\/tr>\n | ||||||
379<\/td>\n | TS_Family Notification of Organ Donation Procedures <\/td>\n<\/tr>\n | ||||||
382<\/td>\n | TS_Identifying Opportunities for Asystolic Recovery of Organs for Donation Policy <\/td>\n<\/tr>\n | ||||||
385<\/td>\n | TS_Tissue Adverse Events Investigation Procedures <\/td>\n<\/tr>\n | ||||||
389<\/td>\n | WT WT_Waived Testing Competency Assessment Policy <\/td>\n<\/tr>\n | ||||||
391<\/td>\n | Federal Register, 42 CFR Part 74 (Mar 14, 1990). Revision of Laboratory Regulations, (Clinical Laboratory Improvement Amendments of 1988). Section 493.1451 (b) (8) and Section 493.1501 (h) (1 & 2) <\/td>\n<\/tr>\n | ||||||
393<\/td>\n | WT_Waived Testing Policy <\/td>\n<\/tr>\n | ||||||
397<\/td>\n | WT_Waived Testing Quality Control Policy <\/td>\n<\/tr>\n | ||||||
399<\/td>\n | Federal Register, 42 CFR Part 74 (Mar 14, 1990). Revision of Laboratory Regulations, (Clinical Laboratory Improvement Amendments of 1988). Section 493.1451 (b) (8) and Section 493.1501 (h) (1 & 2) <\/td>\n<\/tr>\n | ||||||
401<\/td>\n | Resources General Sources <\/td>\n<\/tr>\n | ||||||
404<\/td>\n | Plan Template <\/td>\n<\/tr>\n | ||||||
406<\/td>\n | Policy and Procedures Evaluation Checklist <\/td>\n<\/tr>\n | ||||||
408<\/td>\n | Policy and Procedures Inventory Template <\/td>\n<\/tr>\n | ||||||
409<\/td>\n | Policy Template <\/td>\n<\/tr>\n | ||||||
411<\/td>\n | Procedures Template <\/td>\n<\/tr>\n | ||||||
413<\/td>\n | Required Policies, Procedures, or Plans <\/td>\n<\/tr>\n | ||||||
424<\/td>\n | Required Written Documentation Chapter <\/td>\n<\/tr>\n | ||||||
430<\/td>\n | Scoring Rubric for Plan Assessments <\/td>\n<\/tr>\n<\/table>\n","protected":false},"excerpt":{"rendered":" PolicySource: P&Ps for Compliance with Joint Commission Requirements – Hospital Version<\/b><\/p>\n |