The Joint Commission Mock Tracer Made Simple, 18th Edition

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The Joint Commission Mock Tracer Made Simple, 18th Edition

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The Joint Commission Mock Tracer Made Simple, 18th Edition

Jean S. Clark, RHIA, CSHA 
Heather Forbes, BSN, RN, CEN, CSHA, HACP 

The Joint Commission Mock Tracer Made Simple, 18th Edition, the newest version of HCPro’s premier survey prep guide, helps you ensure everyone is ready when surveyors walk through your front door. The book breaks down the latest Joint Commission standards in a mock survey checklist format and guides you through practice tracers throughout your organization. Use these tools to train chapter leaders and committee members to easily delegate the right forms to the right people on their committees.

This completely updated edition reflects changes to the Joint Commission standards and National Patient Safety Goals, including the adoption of the 2012 Life Safety Code®. It also comes with a companion PDF that makes it easier for survey coordinators to distribute tools and checklists to the appropriate staff. 

This training resource will help you:

  • Identify and address compliance weak spots before surveyors find them 
  • Determine whether your facility and staff are ready for survey 
  • Train staff on their survey roles and responsibilities 
  • Use survey simulations and checklists to keep yourself organized and ensure maximum readiness 
  • Save time with a handy collection of customizable lists and forms, distributable in print or electronically 


What’s changed since the previous edition?

  • Updated to reflect changes to the standards and National Patient Safety Goals, including the adoption of the 2012 Life Safety Code 
  • Includes the modified scoring for National Patient Safety Goals, and new implementation benchmarks 
  • Contains a companion PDF that will make it easier for survey coordinators to distribute checklists to appropriate department managers 


About the Authors:

Jean S. Clark, RHIA, CSHA, has been a leader in the field of accreditation and regulatory compliance and health information management for more than 30 years. She graduated with honors from the Medical University of South Carolina School of Health Related Sciences. She served as the president of the American Health Information Management Association (AHIMA), the International Health Information Management Association, and the Southeastern Medical Record Association, as well as serving two terms for the South Carolina Health Information Management Association (SCHIMA). She also received AHIMA’s Distinguished Member, Literary, and Volunteer awards and the Southeastern Medical Record Association and SCHIMA Distinguished Member award. She is a well-known author and speaker on accreditation and regulatory compliance. Clark lives in Charleston, South Carolina.

Heather Forbes, BSN, RN, CEN, CSHA, HACP, is an independent healthcare accreditation consultant with a passion for mentoring new accreditation consultants and leveraging accreditation and regulatory standards for improving patient safety across all continuums of care.

In addition to accreditation and regulatory readiness, Forbes has experience in leadership, developing and implementing sustainable clinical education programs, critical care nursing, and healthcare technology. She is a published author, speaker, and advisor for healthcare accreditation, including Joint Commission and CMS.


Published:
 July 2016

Page Count: 300
Dimensions: 8.5x11
ISBN: 978-1-68308-070-1


Table of Contents

About the Authors

Preface

Chapter 1: Understanding the Joint Commission Standards and Managing the Mock Survey Process
Chapter 2: Scoring Guidelines and Tracer Planning
Chapter 3: Pulling It All Together: Mock Surveys
Chapter 4: Patient Tracers
Chapter 5: System Tracers
Chapter 6: Tracer Tactics


Checklists

Presurvey Checklist: Accreditation Participation Requirements
Checklist 1: National Patient Safety Goals
Checklist 2: Emergency Management (EM)
Checklist 3: Environment of Care (EC)
Checklist 4: Human Resources (HR)
Checklist 5: Performance Improvement (PI)
Checklist 6: Infection Control (IC)
Checklist 7: Leadership (LD)
Checklist 8: Life Safety Code®
Checklist 9: Information Management (IM)
Checklist 10: Medical Staff (MS)
Checklist 11: Medication Management (MM)
Checklist 12: Nursing (NR)


Online Checklists

Checklist 13: Provision of Care, Treatment, and Services (PC)
Checklist 14: Record of Care, Treatment, and Services (RC)
Checklist 15: Rights and Responsibilities of the Individual (RI)
Checklist 16: Transplant Safety (TS)
Checklist 17: Waived Testing (WT)
Checklist 18: Medical Staff Leaders’ Responsibilities
Checklist 19: Department Managers’ Responsibilities
Checklist 20: Patient Unit Interdisciplinary Teams’ Responsibilities
Checklist 21: Ambulatory Sites Including Physicians’ Offices
Checklist 22: Introduction to the Patient Safety Systems Chapter
Checklist 23: Introduction to The Joint Commission’s Frequently Asked Questions