JCI Survey Process Guide for Ambulatory Care, 4th Edition, English version
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International Standards

JCI Ambulatory Care 4th Edition eBook Package (English)


Have your 4th edition compliance resources in one electronic package!

April 2019. English version.

Package includes two PDF books:

  • JCI Accreditation Standards for Ambulatory Care, 4th Edition
  • JCI Survey Process Guide for Ambulatory Care, 4th Edition
Terms and Conditions:
An ebook is copyrighted by The Joint Commission and therefore protected by United States copyright law. You are expected to comply with the terms of your particular purchased license, as explained here:
Individual License Individual ebooks are intended for single users only. They should not be shared, disseminated, downloaded, or posted for widespread or public use. If more than one individual needs access to a JCI ebook, please purchase a site license, which allows for unlimited users working within one facility. For users who do not work within one facility, consider a system license. Please contact JCI Customer Service (770.238.0454) for pricing of a system license.
The above license does not allow for widespread printing and distribution of the ebook, even within a facility or system. If The Joint Commission becomes aware of any infringement on its copyrighted content, it reserves the right to pursue legal action against any or all parties not complying with the terms of this ebook license.

Product Description

Product Description

This package includes two PDF books: 

  • JCI Accreditation Standards for Ambulatory Care, 4th Edition
  • JCI Survey Process Guide for Ambulatory Care, 4th Edition


JCI Ambulatory Care Standards, 4th Edition

Joint Commission International Accreditation Standards for Ambulatory Care, 4th Edition, provides the requirements for accreditation of ambulatory care organizations throughout the world. The standards define the performance expectations, structures, and processes that must be in place for an ambulatory care organization to be accredited by JCI. The standards apply to organizations that provide general and/or specialty services on an outpatient basis, such as freestanding medical clinics, dental clinics, day surgical centers; diagnostic imaging centers; dialysis centers; ophthalmology clinics; plastic surgery centers; and othertypes of ambulatory care organizations. 

The 4th edition includes an introduction, eligibility requirements for the ambulatory accreditation program, the Accreditation Participation Requirements (APR), a summary of changes to the fourth edition standards, a summary of key accreditation policies, a glossary, and the standards for ambulatory care.

The standards are divided into two main sections:

  1. Patient-Centered Standards, which focus on the provision of safe, quality patient care
  2. Health Care Organization Management Standards, which focus on ensuring a safe, effective, and well-managed organization

Highlights of New Requirements in Standards Manual

In the 4th edition, all International Patient Safety Goals (IPSGs) have been updated as appropriate to ambulatory care. Other changes include the addition of a few new measurable elements and standards, as well as the removal of some measurable elements and standards from the third edition. The areas of focus in the new requirements include the following:

  • Chronic disease management 
  • Transportation services provided by the organization
  • Diagnostic imaging safety program
  • Oversight and staff training for point-of-care testing 
  • Laser safety 
  • Antibiotic stewardship
  • Response to potential global communicable diseases
  • Water quality testing/monitoring (for dental/hemodialysis equipment safety)
  • Appropriate use of copy-and-paste and auto-complete in electronic medical records
  • Confidentiality and security of patient information via electronic communication
  • Planned and unplanned downtime of data systems


Key Features in Standards Manual

  • Summary of changes to standards requirements
  • Reference list at the end of each standards chapter providing sources that support and provide further information on key issues in the standards
  • Standards-only listing at the beginning of each chapter for quick reference
  • Chapter overview that describes each chapter’s focus


JCI Ambulatory Survey Process Guide, 4th Edition

The Joint Commission International Survey Process Guide for Ambulatory Care, 4th Edition, is designed to help ambulatory care organizations learn about and prepare for the JCI on-site accreditation survey.

Key Features of Survey Process Guide

  • Eligibilityrequirements and JCI accreditation application information
  • Scoring guidelines and accreditation decision rules
  • Survey preparation and details about the on-site survey process, including tracer methodology
  • Sample agendas for on-site surveys
  • Detailed descriptions of on-site survey activities and interview sessions, including sample questions to help organizations prepare
  • Survey planning tools


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