Professional Documents
Culture Documents
10
11
12
13
14
Many changes
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17
18
MMU
Accreditation Participation
Requirements (APR)
PFE
19
APR Chapter
New Chapter
It is about how compliance will be evaluated
APRs are not scored like standards during the on-site
survey; hospitals are considered either compliant or not
compliant with the APR
Most of APR requirements have been moved from many
4th edition documents
The consequence of non-compliance
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21
22
APR Chapter
APR.11 The hospital notifies the public it serves about
how to contact its hospital management and JCI to report
concerns about patient safety and quality of care
APR.12 - The hospital is required to provide patient care
in an environment that poses no risk of an immediate
threat to patient safety, public health or staff safety
23
Joint Commission
International 5th
Edition Hospital
Standards
Patient Centered
Standards
MMU
IPSG, ACC,
PFR & AOP
PFE
25
IPSG
International Patient Safety
Goals
26
28
29
ACC
Access to Care and
Continuity of Care
30
The available
supply of
inpatient beds
Plans for
temporary
Boarding
Staffing plans
Efficiency of
other clinical
areas
Efficiency of
the nonclinical
services
Access to
support
services
32
PFR
Patient and Family Rights
33
34
35
AOP
Assessment of Patients
36
37
38
Joint Commission
International 5th
Edition Hospital
Standards
Patient Centered
Standards
MMU
PFE
COP
Care of Patients
40
41
42
43
ASC
Anesthesia and Surgical Care
44
45
47
MMU
Medication Management and Use
48
Review 1 - Review of
appropriateness
Review 2 - Review of
medication against order
50
PFE
Patient and Family Education
51
52
Joint Commission
International 5th
Edition Hospital
Standards
Organization
Management
Standards
MMU
QPS
Quality Improvement and
Patient Safety
54
58
PCI
Prevention and Control
of Infections
59
60
61
62
63
64
GLD
Governance, Leadership and
Direction
65
66
67
69
70
71
Joint Commission
International 5th
Edition Hospital
Standards
Organization
Management
Standards
MMU
FMS
Facility Management and Safety
73
SQE
Staff Qualifications and Education
77
78
credentials
medical staff
verification
appointment
reappointment
79
80
MOI
Management of Information
81
82
83
BEST WISHES
85