TJC

Surgery Procedural Services

Requirements about surgical, procedural, anesthesia, ambulatory surgery, and procedure-related clinical services.

Pharmacy Medication

Requirements about pharmacy services, medication management, storage, orders, and administration.

Radiology Imaging

Requirements about radiology, imaging, x-ray, mammography, and diagnostic imaging services.

Discharge Planning

Requirements about discharge planning, transfer planning, patient instructions, and continuity of care.

Infection Prevention

Requirements about infection prevention, surveillance, control programs, and infectious risk reduction.

Emergency Services

Requirements about emergency care, emergency departments, transfers, and urgent response.

Laboratory Services

Requirements about laboratory services, testing, specimens, clinical labs, and diagnostic support.

Nursing Services

Requirements about nursing organization, staffing, assignments, supervision, and nursing care operations.

Patient Safety Events

Requirements about patient-safety events, adverse events, sentinel events, incident response, prevention, reporting, and follow-up.

Patient Rights

Requirements about notices, grievances, participation, visitation, informed decisions, and patient protections.

Consent Advance Directives

Requirements about consent, decision-making, representatives, and advance directives.

Restraint Seclusion

Requirements and context about restraint, seclusion, monitoring, orders, and patient protections.

Grievance Complaints

Requirements about patient complaints, grievance processes, and response obligations.

Abuse Neglect Reporting

Requirements about identifying, escalating, documenting, and reporting suspected abuse, neglect, exploitation, domestic violence, or related patient-safety concerns.

Medical Records

Requirements about records, documentation, retention, authentication, and patient information.

Documentation Retention

Requirements about creating, maintaining, retaining, preserving, and producing records or other required documentation for specified periods.

Confidentiality Disclosure

Requirements about confidentiality, permitted or required disclosures, consent to disclose, disclosure limits, and non-HIPAA privacy protections.

Health Information Access

Requirements about patient or representative access to health information, disclosure accounting, copies, amendments, and access workflows.

Public Health Reporting

Public health reporting, registries, surveillance submissions, and reporting standards.

HIPAA Privacy Security

HIPAA, privacy, security, protected health information, and covered-entity provisions.

Interoperability API Standards

API, interoperability, data exchange, C-CDA, FHIR, and transport standard provisions.

Quality Governance

Requirements about governing body duties, quality assessment, performance improvement, committees, and oversight.

Medical Staff Governance

Requirements about medical staff organization, bylaws, privileges, appointments, leadership, accountability, and practitioner governance.

Incident Reporting

Requirements about reporting incidents, unusual events, reportable conditions, notifications, investigation records, and follow-up actions.

Compliance Programs

Requirements about compliance programs, audits, program evaluation, reporting systems, financial integrity controls, and organizational compliance oversight.

Survey Certification Enforcement

Requirements about surveys, certification actions, enforcement remedies, penalties, appeals, corrective actions, and regulatory review.

Accreditation Approval

Accreditation, approval bodies, and deemed-status provisions.

Facility Licensure

Facility licensing, approval, renewal, and state licensure provisions.

Provider Certification

Provider certification, participation, survey, and approval provisions.

Reimbursement Payment

Payment, reimbursement, rate, claim, and payment-method provisions.

Emergency Preparedness

Requirements about emergency preparedness planning, drills, disaster response, continuity operations, preparedness funding, and public health emergency readiness.

Physical Environment

Requirements about facilities, equipment, safety, environment of care, and building operations.

Equipment Maintenance

Requirements about equipment safety, inspection, testing, preventive maintenance, calibration, and service readiness.

Life Safety

Requirements about fire safety, life-safety systems, evacuation protections, building safety codes, and hazard controls.

Sanitation Environmental Health

Requirements about sanitation, environmental health, cleanliness, food hygiene, smoking restrictions, pools, and other public-health environmental controls.

General Operations

Hospital operations requirements that do not fit a narrower category yet.

Facility Operations

Requirements about facility operations, bed and board, operating arrangements, administrative services, and operational conditions not limited to one clinical service.

Service Availability

Requirements about whether, when, where, and under what conditions services, benefits, practitioners, items, or care settings must be available or covered.

Scope Applicability

Scope, applicability, exemption, and eligibility provisions that determine when requirements apply.