JCAHO Update: Review of Changes to the 2003 Standards and Survey Process




Length of Program:             90 minutes


Course Description: 

This program is designed to provide an overview of the changes to the JCAHO 2003 standards and survey process.  It will provide survey coordinators, quality management staff, entry level management staff, nursing leaders, and support staff an overview of some of the revisions to standards and  “hot topics” in each of the functional chapters.


 Content for the program will include the following:

  • 2003 JCAHO Process Enhancements

  • 2003 JCAHO Functional Standard Revisions

    • Revised Standards, Challenging Standards, Scoring Revisions and Strategies for Compliance for all JCAHO chapters:

    • Pain Management

    • Staffing Effectiveness

    • Patient Safety

    • Performance Improvement – Core Measures / ORYX

    • Medication Use Standards

  • State and National Topics

    • Institute of Medicine

    • Leapfrog

    • AHRQ

    • OIG

    • State regulations

    • Federal regulations


  • Pulling it All Together – Annual Plan for Compliance

  • Question and Answers


Target Audience: 

The course is designed for survey coordinators, quality management staff, management staff, nursing leaders, and support staff.


At the conclusion of this program, participant will be able to:

1.      Develop an understanding of the 2003 JCAHO survey process and standard revisions.

2.      Identify basic strategies for compliance with the changes.


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