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The Joint Commission Big Book of Tracer Questions
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U.S. Standards

The Joint Commission Big Book of Tracer Questions

Get access to thousands of downloadable, customizable tracer questions!

Release Date: May 2017. 160 pages.

  • An individual license is intended for single users only. This ebook cannot be shared, disseminated, downloaded, or posted for widespread or public use. 
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Product Description

Product Description

The Joint Commission Big Book of Tracer Questions
If tracer methodology provides a pathway for the Joint Commission survey process, then tracer questions are the bricks surveyors lay along that path. With each question surveyors explore standards compliance surrounding a patient’s care experience and within the overall health care system or program. 
 
The Joint Commission Big Book of Tracer Questions is specifically designed to help you more easily and effectively conduct mock tracers in your organization, whether you are new to mock tracers or have been conducting them for years. More than 2,000 tracer questions have been collected from Joint Commission Resources tracer workbooks, articles, and software; new questions are included as well. This book, a companion to the best-selling Big Book of Checklists (2016), also includes a new mock tracer template that integrates the concepts of the SAFER™ Matrix approach. This allows you to more accurately capture and respond to the scope of noncompliance and likelihood to harm in a way that simulates an actual survey.
 
Key Topics
  • The role and purpose of tracers in Joint Commission surveys and core tracer activities 
  • Accreditation standards topics covering performance improvement, leadership, staffing, care of the patient, health information and technology, infection prevention and control, medication management, and the physical environment
Key Features
  • Thousands of downloadable, customizable tracer questions, categorized by accreditation topic and tagged with setting applicability
  • Compilation of all questions into a single, searchable spreadsheet (linked in the e-book or on the included flash drive for the print version) that allows you to build your own set of tracers
  • A downloadable mock tracer template that integrates the new SAFER matrix 
  • Reviewed by Joint Commission experts, including surveyors
Standards: All standards
 
Settings: Ambulatory care, behavioral health care, critical access hospital, hospital, home care, laboratory, nursing care centers, office-based surgery practices
 
Key Audience
  • Accreditation professionals
  • Performance improvement specialists
  • Department heads
  • Risk managers
  • Medication safety officers and patient safety officers


Joint Commission Resources, Inc. (JCR), a wholly controlled, not-for-profit affiliate of The Joint Commission, is the official publisher and educator of The Joint Commission.

JCR is an expert resource for health care organizations, providing advisory services, educational services and publications to assist in improving quality and safety and to help in meeting the accreditation standards of The Joint Commission. JCR provides advisory services independently from The Joint Commission and in a fully confidential manner.

Table of Contents

Table of Contents

Legend: AHC, Ambulatory Health Care; BHC, behavioral health care; CAH, critical access hospital; HAP, hospital; LAB, laboratory; NCC, nursing care centers; OBS, office-based surgery practices; OME, home care

Introduction

Mock Tracer Form

 

Applicable Accreditation Programs/Settings

Tracers

AHC, BHC, CAH, HAP, LAB, NCC, OBS, OME

Mock Tracers

 

Section 1: Performance Improvement

 

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

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

 

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