Greeley Reflections
Accreditation Connection, October 12, 2009
Prudence or wisdom? Can your policies pass muster?
Part 4 of 4
If you were one of the excited lucky ones setting up the first hospital in the United States, you would have been writing the rules from scratch. That groundwork has long been established but there are guidelines that can serve as valuable resources.
The 2009 Comprehensive Accreditation Manual for Hospitals (CAMH): The Official Handbook contains a chapter entitled ?Required Written Documentation.? This chapter provides a list of all of the Joint Commission EPs requiring written documentation for hospitals. Not all of the items listed require policies--many are references to logs, licenses, annual reports, etc.--but this is an excellent starting place for the prioritization process.
However your organization manages the process of developing, reviewing, and revising policies, invest the time to evaluate it to ensure it can pass muster. Your process should give you the confidence that your patients are being consistently provided quality and safe care.
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