NUMJCAH - number of JCAH
accredited hospitals in the county
As noted earlier, new QA programs reflect the JCAH
manual's increased emphasis on monitoring and documentation:
This is not feasible with DRGs and the new JCAH
1 Other hospital departments, lacking similar JCAH
guidance, are using the nursing standards as a reference point.
There's another reason to consider pay for performance seriously --the 1985 JCAH
requirement that hospitals periodically assess the competence of individuals who provide patient care services.
Keep in mind that JCAH
recognizes all documented involvement in orientation for new technical procedures, by preparers and participants, as a source of continuing education.
requires that an institution individually certify any laboratories staffed by nursing and non-laboratory personnel, and it establishes quality assurance and record-keeping requirements as well (Figure I).
recognizes the CAP program as equivalent for hospital accreditation, in effect giving the College "sub-deemed" status.
Since then, we have been inspected by the JCAH
, the CAP, and the AABB again and have come through fairly well.
manual calls for enough emergency power supply to permit performance of essential lab studies, including use of a microscope.
Hospital laboratories qualify through "deemed status" if the hospital is accredited by JCAH
or the American Osteopathic Association.
Refer to the current JCAH
Accreditation Manual for Hospitals for recommendations.