JCI HOSPITALS : 5ED 2014

Section I: Accreditation Participation Requirements
1) Accreditation Participation Requirements (APR)
    I – Overview
    II – Requirements
Section II: Patient-Centered Standards
1) International Patient Safety Goals (IPSG)
    Goal 1: Identify Patients Correctly
    Goal 2: Improve Effective Communication
    Goal 3: Improve the Safety of High-Alert Medications
    Goal 4: Ensure Correct-Site, Correct-Procedure, Correct-Patient Surgery
    Goal 5: Reduce the Risk of Health Care–Associated Infections
    Goal 6: Reduce the Risk of Patient Harm Resulting from Falls
2) Access to Care and Continuity of Care (ACC)
     I - Screening for Admission to the Hospital
     II - Admission to the Hospital
     III - Continuity of Care
     IV - Discharge, Referral, and Follow-Up
     V - Transfer of Patients
     VI – Transportation
3) Patient and Family Rights (PFR)
     I - General Consent
     II - Informed Consent
     III - Organ Donation
4) Assessment of Patients (AOP)
     I - Laboratory Services
     II - Blood Bank and/or Transfusion Services
     III - Radiology and Diagnostic Imaging Services
5) Care of Patients (COP)
     I - Care Delivery for All Patients
     II - Care of High-Risk Patients and Provision of High-Risk Services
     III - Recognition of Changes to Patient Condition
     IV - Resuscitation Services
     V - Food and Nutrition Therapy
     VI - Pain Management
     VII - End-of-Life Care
     VIII - Hospitals Providing Organ and/or Tissue Transplant Services
      IX - Transplant Programs Using Living Donor Organs
5) Anesthesia and Surgical Care (ASC)
     I - Organization and Management
     II - Sedation Care
     III - Anesthesia Care
     IV - Surgical Care
6) Medication Management and Use (MMU)
     I - Organization and Management
     II - Selection and Procurement
     III – Storage
     IV - Ordering and Transcribing
     V - Preparing and Dispensing
     VI – Administration
     VII – Monitoring
7) Patient and Family Education (PFE)
Section III: Health Care Organization Management Standards
 
1) Quality Improvement and Patient Safety (QPS)
      I - Management of Quality and Patient Safety Activities
      II - Measure Selection and Data Collection
      III - Analysis and Validation of Measurement Data
      IV - Gaining and Sustaining Improvement
2) Prevention and Control of Infections (PCI)
3) Governance, Leadership, and Direction (GLD)
     I - Governance of the Hospital
     II - Chief Executive(s) Accountabilities
     III - Hospital Leadership Accountabilities
     IV - Hospital Leadership for Quality and Patient Safety
     V - Hospital Leadership for Contracts
     VI - Hospital Leadership for Resource Decisions
     VII - Clinical Staff Organization and Accountabilities
     VIII - Direction of Hospital Departments and Services
      IX - Organizational and Clinical Ethics
      X - Health Professional Education and Human Subjects Research
      XI - Human Subjects Research
4) Facility Management and Safety (FMS)
     I - Leadership and Planning
     II - Safety and Security
     III - Hazardous Materials
     IV - Disaster Preparedness
     V - Fire Safety
     VI - Medical Technology
     VII - Utility Systems
     VIII - Facility Management Program Monitoring
     IX - Staff Education
5) Staff Qualifications and Education (SQE)
     I – Planning
     II - Determining Medical Staff Membership
     III - The Assignment of Medical Staff Clinical Privileges
     IV - Ongoing Monitoring and Evaluation of Medical Staff Members
     V - Medical Staff Reappointment and Renewal of Clinical Privileges
     VI - Nursing Staff
     VII - Other Health Care Practitioners
6) Management of Information (MOI)
     I - Information Management
     II - Management and Implementation of Documents
     III - Patient Clinical Record
Section IV: Academic Medical Center Hospital Standards
1) Medical Professional Education (MPE)
2) Human Subjects Research Programs (HRP)