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TJC

The hospital’s governing body is accountable for the implementation, performance, and sustain...

TJC IC.05.01.01

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3 segments

TJC IC.05.01.01

TJC IC.05.01.01

The hospital’s governing body is accountable for the implementation, performance, and sustainability of the infection prevention and control program.

(1)

The hospital’s governing body is responsible for the implementation, performance, and sustainability of the infection prevention and control program and provides resources to support and track the implementation, success, and sustainability of the program’s activities. Note: To make certain that systems are in place and operational to support the program, the governing body provides access to information technology; laboratory services; equipment and supplies; local, state, and federal public health authorities’ advisories and alerts, such as the CDC’s Health Alert Network (HAN); FDA alerts; manufacturers' instructions for use; and guidelines used to inform policies.

(2)

The hospital’s governing body ensures that the problems identified by the infection prevention and control program are addressed in collaboration with hospital quality assessment and performance improvement leaders and other leaders (for example, the medical director, nurse executive, and administrative leaders).