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Applicable Accreditation Programs/Settings
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Tracers
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AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Mock Tracers
|
|
Section 1: Performance Improvement
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|
Performance Improvement Data
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Implementing Performance Initiatives
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Performance Improvement Management
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Section 2: Leadership
|
|
Leadership in Performance Improvement
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AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Safety Culture
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Patient Flow
|
HAP
|
Contracted Services
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Section 3: Staffing and Medical Staff
|
|
Staff Orientation, Training, and Education
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Credentialing and Privileging
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Competency Assessment
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Section 4: Care of the Patient
|
|
Admission, Discharge, and Transitions of Care
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Assessment and Plan of Care
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Emergency Department Processes
|
CAH, HAP
|
Suicide Risk Assessment
|
BHC, HAP
|
Pain Management
|
AHC, CAH, NCC, OBS, OME
|
Abuse and Neglect
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Nutrition
|
AHC, BHC, CAH, HAP, NCC, OME
|
Skin and Pressure Ulcers
|
CAH, HAP, NCC, OME
|
Falls Risk
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Operative and High-Risk Procedures
|
AHC, CAH, HAP, OBS
|
Radiology Processes
|
AHC, CAH, HAP, LAB
|
Transfusions and Blood Products
|
AHC, CAH, HAP, LAB, NCC, OBS
|
Physical Therapy
|
AHC, CAH, HAP, NCC, OBS, OME
|
Chemotherapy
|
AHC, CAH, HAP, OME
|
Restraint and Seclusion
|
AHC, BHC, CAH, HAP, NCC, OME
|
Youth Addiction Program
|
BHC
|
Patient Education, Communication, and Rights
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Section 5: Health Information and Technology
|
|
Information Management
|
AHC, BHC, CAH, HAP, LAB, NCC, OME
|
Health Information Security
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Informed Consent
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
The Medical Record
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Verbal Orders
|
AHC, CAH, HAP, NCC, OBS, OME
|
Section 6: Infection Prevention and Control
|
|
Infection Control Program
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Infection Control NPSGs
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Reprocessing Medical Equipment, Devices, and Supplies
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Vaccination Program
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Section 7: Medication Management
|
|
Medication Management System
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Medication Procurement, Ordering, and Dispensing
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Medication Administration
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Medication Storage and Security
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
High-Alert and Hazardous Medications
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Look-Alike/Sound-Alike Medications
|
AHC, BHC, CAH, HAP, NCC, OBS, OME
|
Anticoagulant Therapy
|
AHC, CAH, HAP, NCC
|
Section 8: Testing, Transplants, and Imaging
|
|
Test Orders and Results
|
AHC, CAH, HAP, LAB
|
Laboratory Procedures and Equipment
|
LAB
|
QSA Cytology Procedures
|
LAB
|
Waived/Point-of-Care Testing
|
AHC, CAH, HAP, LAB
|
Tissue Handling and Tracking
|
AHC, CAH, HAP, LAB
|
MRI Suite Processes
|
AHC, CAH, HAP, LAB
|
Section 9: The Physical Environment
|
|
EC Management Plans and Risk Management
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Safety and Security
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Infant and Pediatric Security
|
CAH, HAP
|
Hazardous Materials and Waste
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Fire Response
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Medical Equipment
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Utility Systems
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Construction
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
EM Plans/Emergency Operations Plan
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Communications and Community in Emergencies
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Emergency Response Exercises
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Disaster Volunteers
|
AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME
|
Fire and Smoke Protection Features
|
AHC, BHC, CAH, HAP, NCC, OME
|
Means of Egress
|
AHC, BHC, CAH, HAP, NCC, OME
|