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The CMS Joint Commission Crosswalk
A Side-by-Side Analysis of the CMS Conditions of Participation and Joint Commission Standards
Beth A. Hepola, MBA, BSN, RN; Cheryl A. Niespodziani, MBA
Softcover Book: 200+ pages + bonus CD-ROM
Size: 11" x 8.5"
(click the button below for the very best currently available price for this important resource)
By law, your organization is required to meet state standards whether or not you're undergoing a CMS survey. In addition, hospitals accredited by the The Joint Commission are required to comply with the stricter of the two requirements.
The CMS-Joint Commission Crosswalk has been completely revised to reflect the leaner National Patient Safety Goals, as well as the retired Joint Commission standards. Benefits:
Save time and reduce stress searching for both CMS and The Joint Commission requirements
Comply with both CMS and The Joint Commission by comparing and contrasting requirements from both regulatory bodies
Utilize expert tips and analysis to develop efficient processes and streamline your accreditation activities
Learn what has changed, how it affects your current practices, and what you need to do to stay in compliance! The CMS-Joint Commission Crosswalk also includes relevant CMS Interpretive Guidelines to give you a complete picture of what to expect when survey day arrives. Plus, to make your survey preparation even easier, we've improved the PDF search capabilities on the companion CD-ROM. You'll save even more valuable time finding the information you need!
This book and CD-ROM set shows you how to meet multiple regulatory requirements without duplicating your efforts. The CMS-The Joint Commission Crosswalk is an easy-to-read resource to compare and contrast the CMS and The Joint Commission requirements. Using a side-by-side table format, this book walks you through each of the CMS' Condition of Participation (CoPs) and relates them to the corresponding The Joint Commission standards and elements of performance. For each, you will also be provided:
- expert analysis
- survey tips
- documentation suggestions
To make your survey preparation even easier, The CMS-The Joint Commission Crosswalk, includes a CD-ROM that contains each of the book's crosswalks in searchable PDF format. Upload these forms to your desktop and access this must-have information at the touch of a button.
Continuing Education: National Association for Healthcare Quality (NAHQ). This activity is pending approval by the National Association of Healthcare Quality for CPHQ CE credits.
All of the tools on the CD-ROM are customizable. As an added bonus, you'll receive a CD-ROM of valuable tools, policies, and forms such as:
Advance directives policy
Incident report summary regarding medication errors or adverse drug effects
Sample nutritional assessment form
Organ and tissue donation policy
Sample emergency management program
and many more templates and samples
This tool will help you efficiently navigate the CMS and The Joint Commission requirements and save you time by offering expert analysis and tips to comply with both. It will help you determine if the policies and procedures you have in place to support one standard will gain compliance with the other. More than 75% of the The Joint Commission's standards correlate with the CMS COP. With this resource, you will know which ones they are. For example, the Crosswalk also features the most recent information on recent changes to four requirements under the CoPs, such as, for example, the The Joint Commission requirements for:
the completion of history and physical examinations
authentication of verbal orders
recognizing changes in patient conditions
completion of postanesthesia evaluations
and many more
In a practical side-by-side table format, this book walks you through each of the CMS Conditions of Participation (COP) and relates them to corresponding Joint Commission Standards and elements of performance. The CMS-Joint Commission Crosswalk also includes relevant CMS interpretative guidelines information to give you a complete picture of what to expect when survey day arrives. Plus, to make your preparation even easier, we’ve improved the PDF search capabilities on the companion CD-ROM.
Table of Contents:
§482.11 CoP: Compliance with Federal, State, and Local Laws
§482.12 CoP: Governing Body
§482.13 CoP: Patient’s Rights
§482.21 CoP: Quality Assessment and Performance Improvement Program
§482.22 CoP: Medical Staff
§482.23 CoP: Nursing Services
§482.24 CoP: Medical Record Services
§482.25 CoP: Pharmaceutical Services
§482.26 CoP: Radiological Services
§482.27 CoP: Laboratory Services
§482.28 CoP: Food and Dietetic Services
§482.30 CoP: Utilization Review
§482.41 CoP: Physical Environment
§482.42 CoP: Infection Control
§482.43 CoP: Discharge Planning
§482.45 CoP: Organ, Tissue, and Eye Procurement
§482.51 CoP: Surgical Services
§482.52 CoP: Anesthesia Services
§482.53 CoP: Nuclear Medicine Services
§482.54 CoP: Outpatient Services
§482.55 CoP: Emergency Services
§482.56 CoP: Rehabilitation Services
§482.57 CoP: Respiratory Services
Appendix A: The 2011 Joint Commission Hospital Standards & 2010 CMS Conditions of Participation (CoP) Crosswalk
Cheryl Niespodziani, MBA, is currently the administrative director for the department of pediatrics/pediatrician-in-chief division at The Children's Hospital in Denver. Previously, she was the director of quality performance and the corporate compliance officer. She led The Children's Hospital through several successful The Joint Commission surveys.
Beth A. Hepola, RN, BSN, MBA, is director of regulatory readiness for Centura Health in Englewood, CO. As director of quality for a hospital and director of health care administration for an insurance provider, she led successful accreditation outcomes. She also has significant experience with CMS licensure, certification, and validation surveys.
With more than 17 years of experience, HCPro, Inc. is a leading provider of integrated information, education, training, and consulting products and services in the vital areas of healthcare regulation and compliance. The company's mission is to meet the specialized informational, advisory, and educational needs of the healthcare industry. As an acknowledged industry authority in healthcare regulation and compliance, HCPro focuses on providing its clients assistance and expertise in the areas of accreditation, medical staff affairs, credentialing, privileging, medical record management, regulatory compliance, nursing, quality/patient safety, infection control, and workplace safety.
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