Accreditation

Having a centralized policy management system is essential to complying with LD.3.90

Briefings on Accreditation and Quality, August 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. Leadership standards are often not cited unless the organization has demonstrated that noncompliance is hospitalwide and that patterns of performance suggest larger concerns.

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