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Table Of Contents

Mission, Vision, Values
National Hospital Standards – Chapters
Survey Team Composition:
Chapters Allocation by Specialty
Survey Eligibility:
CBAHI Accreditation Cycle
Survey Schedules
The Scoring Process
Accreditation Decision Rules
SURVEY APPLICATION
Survey Process
Survey Agenda
Room Schematics
Hospital Survey Activities
Surveyor Planning Session
Opening Conference
Debriefing and Closing Conference
List of Required Documents
Document Review General Guidelines
SURVEY REQUIRMENTS (DOCUMENT REVIEW ACTIVITY)
Required Document – Administrator
Required Document – Medical
Required Documents – Nursing
Required Documents – Pharmacy
Required Documents – Infection Control
Interview Activities
Medical Records Review
Medical Records Review General Guidelines
Review of Medical Records NURSE – CLOSED RECORD
Review of Medical Records INFECTION CONTROL – CLOSED RECORD
Review of Medical Records LABORATORY – CLOSED RECORD
Review of Medical Records ADMINISTRATOR – OPEN RECORD
Review of Medical Records PHYSICIAN – OPEN RECORD
Review of Medical Records NURSE – OPEN RECORD
Review of Medical Records PHARMACIST – OPEN RECORD
Personnel File Review
Personnel file review general guideline
Hospital Survey Report
Hospital Survey Feedback
Hospital Accreditation Department Contact list
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Hospital Accreditation Guide v15_25 Feb 2010_ 0730 h

Hospital Accreditation Guide v15_25 Feb 2010_ 0730 h

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Published by Afrah Osaif

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Published by: Afrah Osaif on May 02, 2011
Copyright:Attribution Non-commercial

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03/13/2013

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