Tip of the week: Organize documents before a Joint Commission survey
Credentialing Resource Center Connection, February 19, 2009
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Make sure you know the location of all policies and procedures that The Joint Commission may need to ensure compliance with a standard. As you go through survey preparation materials or the Joint Commission standards, mark each area that requires a policy and procedure or other form of documentation, and write down where this document is located. Also, make sure that if there is more than one policy (e.g., a nursing policy and a medical staff policy), the policies do not conflict.
This week’s tip is from The Compliance Guide to the Joint Commission Medical Staff Standards, Sixth Edition, by Kathy Matzka, CPMSM, CPCS.
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