Accreditation

Solid policy, authenticating medical records are factors in challenge of IM.6.10

Briefings on Accreditation and Quality, May 1, 2007

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Editor's note: This feature explores problematic Joint Commission standards with expert advice from two BOJ advisors: Jodi Eisenberg, CPMSM, CPHQ, program manager of accreditation and clinical compliance at Northwestern Memorial Hospital in Chicago, and Elizabeth Di Giacomo-Geffers, RN, MPH, CNAA, BC, a healthcare consultant in Trabuco Canyon, CA. IM.6.10 may have 18 different EPs, but there are only a few that prove to be truly problematic for facilities. Some of the current issues are likely to disappear once electronic records are fully instituted in hospitals, say Eisenberg and Di Giacomo-Geffers. "This standard is like the general duty, catch-all clause," Eisenberg says. "Documentation issues in areas such as patient rights can result in a dual recommendation for improvement."

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