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	New Book Offers Samples of 50 Joint Commission Policies | Joint Commission
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		By: <a class="bold" href="/blogs/blogger.aspx?BloggerId=392">Dateline @ TJC authors</a>
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		<div style="margin: 0px 0pt 10px;"><span class="btnLightWrpr"><a href="/dateline_tjc/what’s_the_greatest_patient_safety_opportunity_in_2019/" class="btnLight">« Previous Blog Posting</a></span></div>

		<h4 class="mrg0b">New Book Offers Samples of 50 Joint Commission Policies</h4>
		<br>
		<div class="blog-date mrg10b">Apr 04, 2019 | 2285 Views</div>
		<p><img alt="JC_BIg_book" src="/assets/1/6/JC_BIg_book.jpg" style="width: 300px; height: 300px;"></p>

<p>By Chad Larson, MBA, Executive Director, Hospital Accreditation Program</p>

<p>Can you imagine building a house without first having an architect draw up a plan? Even crazier, can you imagine having a team of people build a house without an architectural plan? It would be impossible to explain not just the details—such as specifications, dimensions, and building code requirements—but also the bigger vision—the look, style, and overall “feel” of the house. Even if you could express these things to a team, ensuring that everyone carried out the project in the same way would be another giant hurdle.&nbsp;</p>

<p>Running a hospital without plans, policies, and procedures would likely result in similar chaos.&nbsp; In this case, the safety of patients and staff could be compromised. Written documentation in a hospital is critical to achieve several important objectives, including:</p>

<ul>
	<li>breaking down complex information into easy-to-follow, actionable items</li>
	<li>establishing consistency in the work carried out daily by staff</li>
	<li>enabling the hospital to comply with laws, regulations, and accreditation requirements</li>
</ul>

<p>In some cases, written documentation is so important that The Joint Commission requires it for a hospital to be in compliance. For example, there are more than 80 elements of performance (EPs) in the Environment of Care chapter alone of the Comprehensive Accreditation Manual for Hospitals that require written documentation.</p>

<p><strong>New Policies and Procedures Template</strong><br>
To help hospitals create the best written policies and procedures possible, Joint Commission Resources (JCR) recently released Volume 1 of a brand-new series, <a onclick="ga('send', 'event', 'Outbound links', 'click', 'https://www.jcrinc.com/the-joint-commission-big-book-of-policies-and-procedures-for-hospitals-volume-1-pdf-site-license-/');" href="https://www.jcrinc.com/the-joint-commission-big-book-of-policies-and-procedures-for-hospitals-volume-1-pdf-site-license-/">The Joint Commission Big Book of Policies and Procedures</a>. The book features 50 examples of policies and procedures organized by Joint Commission hospital standards and EPs that require written policies. Here is a snapshot of what you’ll find:</p>

<ul>
	<li>Active Threat Response Procedure</li>
	<li>Confidentiality and Security of Health Information Policy</li>
	<li>Recalled Medication Management Policy</li>
	<li>Surgical Time-Out Procedure</li>
	<li>Restraint and Seclusion Policy</li>
</ul>

<p>This collection is the only one of its kind to include sample policies and procedures that have been vetted by experts at The Joint Commission and meet Joint Commission hospital requirements. All of the examples are downloadable and adaptable.</p>

<p>Just like an architectural plan cannot guarantee a building project will go perfectly, with no delays or mistakes made along the way, written documentation in a hospital cannot completely eliminate all errors, inconsistencies, or confusion. But policies and procedures do establish a general plan of action toward achieving specific outcomes that support patient safety and quality of care—goals that are paramount to every health care organization.</p>

<p>Be sure to look for Volume 2, featuring a new collection of example policies and procedures, in 2020!</p>

<p><img alt="Larson_C" src="/assets/1/6/MainFCKEditorDimension/Larson_C.jpg" style="width: 100px; height: 150px;"><br>
<em>Chad Larson is the Executive Director of the Hospital Accreditation Program in the Division of Accreditation and Certification Operations at The Joint Commission. In this role, he focuses on building new hospital business including all hospital re-recruitment and at-risk efforts, proactive monitoring of the environmental landscape of hospital mergers and acquisitions, and providing insight into potential business threats and opportunities. Larson was a project lead on the Malcolm Baldrige National Quality Award, utilizing Baldrige Excellence Framework and Lean Six Sigma methodology to identify gaps in internal processes to promote organizational culture transformation. He is also a National Examiner for the Baldrige Performance Excellence Program.</em></p>

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