Doody's Review ServiceReviewer: Karen L. Hanson, RN, BSN, C, CPHQ (Froedtert Hospital)
Description: This manual lists all the 1996 Joint Commission standards for hospitals, with the intent of each standard. It includes policies and procedures for accreditation.
Purpose: The purpose is to provide hospitals with the performance expectations necessary for JCAHO accreditation. This will enable hospitals to better understand the link between performance standards and daily operations, better understand the accreditation process, and facilitate a self-assessment of the hospital's performance and potential accreditation status.
Audience: The Joint Commission wrote this manual for physicians and professional staff in all hospital departments.
Features: Although there are few illustrations and no references in this paperback manual, the manual does provide the entire list of accreditation standards for hospitals, complete with several appendixes, including a crosswalk of the standards from 1993 to 1996, a list of staff resources at the Joint Commission, and a resource of other Joint Commission publications.
Assessment: The 1996 Accreditation Manual for Hospitals provides a useful review of the 1996 JCAHO accreditation standards for hospitals. Although it does not include the examples of implementation, examples of evidence of performance, or scoring like the Comprehensive Accreditation Manual or Scoring Guidelines, this manual provides the essential information needed for hospital accreditation. Its usefulness lies in its concise approach to organization of the standards, and it is an ideal reference for a medical library or hospital department.