Hospital Compliance Assessment Checklist

Hospital Compliance Assessment Checklist
2020th Ed.
2020 © Joint Commission Resources
Kathy DeMase
ISBN-10: 1-63585-134-3 / ISBN-13: 978-1-63585-134-2
eISBN-10: 1-63585-135-1 / eISBN-13: 978-1-63585-135-9
ISSN: 2332-5232
Patient Safety and Quality Improvement , Healthcare Administration


This title was completely reimagined for 2020! A straightforward, hands-on resource, the 2020 Hospital Compliance Assessment Workbook engages staff and leadership in accreditation activities with questions, templates, and tracer tools to identify areas of noncompliance. This self-assessment workbook is designed to help your hospital maintain continuous standards compliance and survey readiness to assess standards compliance and survey readiness. The simplified workbook includes ALL hospital standards and EPs, including those used for deemed status purposes and primary care medical home certification in the hospital setting. Downloadable, adaptable tools and templates provide compliance help.

Key Topics:

  • • Assessment of standards compliance
  • • Application of the new SAFERTM Matrix
  • • Tracer methodology
  • • Risk assessment

Key Features

  • • Questions to assess each element of performance in the E-dition®/Comprehensive Accreditation Manual for Hospitals as of January 1, 2020
  • • Downloadable, adaptable tools and templates for standards compliance
  • • Tracer questions and worksheets to help with mock tracers and promote survey readiness
  • • Writable PDFs

Standards: All hospital standards effective January 1, 2020

Setting: Organizations accredited under the Hospital Accreditation Program, including general, acute psychiatric, pediatric, medical/surgical specialty, long term acute care, and rehabilitation hospitals

Key Audience:

  • • Accreditation managers
  • • Quality improvement managers
  • • Physician and nurse leaders
  • • Chapter leaders and department heads

Table of Contents

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