Chapter Leader's Guide to Human Resources
Practical Insight on Joint Commission Standards
Christine Newman Levy, RD, MBA, MHA, FACHE, CSHA
Quick, concise standard explanations for human resource chapter leaders
The Chapter Leader’s Guide to Human Resources is designed to examine and explain the Human Resources standards for the busy professionals who are accountable for compliance with this chapter. The book breaks down the Joint Commission’s HR requirements into easy-to-understand solutions, including tools and techniques to help you focus on the important components of effective HR compliance.
Plus, to make staff training easy, this guide includes a downloadable PowerPoint® presentation highlighting key compliance takeaways.
Benefits of The Chapter Leader’s Guide to Human Resources :
- Understand HR’s role in the Joint Commission survey process
- Learn to document your best practices to prove your success in navigating the HR standards
- Develop a deeper understanding of leadership’s role in HR success
- Devise training and education to ensure your staff is prepared not only for your Joint Commission survey, but to best serve your patient population
Table of Contents
Introduction: The Importance of The Human Resource
Part 1: Defining Staffing Requirements and Qualifications
Accreditation and Reputation
Organizational Mission, Vision, Goals, and Culture
Scope of Services
Importance of the Position Description
Prime Source Verification
Credentialing and Privileging
Part 2: Developing Comprehensive Orientation and Ongoing Competency Programs
Organizational Expectations and First Impressions
Security Personnel and Special Response Teams
Part 3: Effective Competence Assessment and Performance Evaluation Systems
Defined Processes and Documentation
Accountability for Performance
Tracking and Trending for Leadership Visibility
Part 4: Continuous Human Resources Survey Readiness
Policies, Procedures and Documentation
Practice Makes Perfect
The Competency Assessment Tracer
Departmental Feedback and Recommendations for Improvement
List of Tools:
Human Resources Chapter PowerPoint® Presentation
Sample tools and documents
Who will benefit?
Accreditation coordinator, accreditation specialist, survey coordinator, Joint Commission survey coordinator, hospital leadership, human resources directors, personnel director
Earn Continuing Education Credits
National Association for Healthcare Quality (NAHQ)
This activity is pending approval by the National Association of Healthcare Quality for CE credits.
About the Author
Christine Newman Levy, RD, MBA, MHA, FACHE, CSHA, is the Joint Commission Sustainment Officer at Evans Army Community Hospital, Fort Carson, CO. Levy has more than 27 years of military and civilian experience as a dietitian and healthcare administrator in the U.S. Army, retiring as a Lieutenant Colonel in 2005, but continuing to serve in a civilian capacity. She has been a Registered Dietitian since 1986, a Fellow in the American College of Healthcare Executives since 2007, and a Certified Specialist in Healthcare Accreditation from the Association of Healthcare Accreditation Professionals since 2009.
Faculty Disclosure Statement: HCPro Inc. has confirmed that none of the faculty/presenters or contributors have any relevant financial relationships to disclose related to the content of this educational activity.
Published: August 2012