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Hospital Compliance Assessment Workbook
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Title Details
2026 Ed.
© 2026 Joint Commission
ISBN-13: 978-1-63585-480-0
eISBN-13: 978-1-63585-481-7
Patient Safety and Quality Improvement , Healthcare Administration
Additional Details
Are you looking for a self-assessment option that takes you beyond the basics of the Comprehensive Accreditation Manual and is budget friendly? The 2026 Hospital Compliance Assessment Workbook is full of questions, templates, and tools to help staff and leaders identify areas of noncompliance in your hospital and develop a plan to address them. In 2026, all questions were rewritten to reflect the streamlined hospital requirements announced in Accreditation 360 The rewrite included:
- • Revised standards that use language drawn from federal regulation to more directly identify alignment with US Centers for Medicare & Medicaid Services Conditions of Participation (CoPs)—resulting in a reduction of more than 700 EPs
- • A new “National Performance Goals” (NPG) chapter that consolidates all remaining requirements into salient, measurable topics with defined goals
- • A new “Physical Environment” (PE) chapter that replaces the “Environment of Care” (EC) and “Life Safety” (LS) chapters to match the structure of the CoPs
A compliance matrix allows you to capture your compliance level with each element of performance (EP) and the evidence you used to assess compliance. Clear questions correlate directly to each EP to help you assess whether you are meeting standards.
The book also features downloadable, adaptable tools and templates that help you identify and prioritize needed improvements and maintain continuous accreditation readiness.
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