Policy Prism AI

Service Availability

TJC category

Service Availability

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

Cascade

Source collection

TJC

Category group

Hospital Operations

Category

Service Availability

Grouped by instrument

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Instruments

1

Shown

9

Instrument

Citation

TJC LD.13.03.01

In Service AvailabilityNursing Services

The hospital provides services that meet patient needs.

The hospital must provide services that meet patient needs, including nursing, emergency, laboratory, and surgical care.

Group

Hospital Operations

Category

Service Availability

Domain

Nursing

Topics

Nursing service requirements, Emergency service standards

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Citation

TJC MS.16.01.03

In Service Availability

The management and coordination of each patient’s care, treatment, and services is the respon...

Addresses admission recommendations, continuous physician availability, and practitioner responsibility for Medicare patient care within privileges and licensure.

Group

Governance Quality Compliance

Category

Medical Staff Governance

Domain

Medical Staff

Topics

Patient admission authority, Privileged practitioner responsibility

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Citation

TJC MS.20.01.03

In Service AvailabilityQuality Governance

For originating and distant sites:

Medical staffs at originating and distant sites recommend which clinical services are appropriately delivered through a telemedicine link and ensure offered services align with accepted quality standards.

Group

Governance Quality Compliance

Category

Medical Staff Governance

Domain

Medical Staff

Topics

Telemedicine services, Medical staff recommendations

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Citation

TJC NPG.01.03.01

In Service AvailabilityEmergency Services

The hospital manages the flow of patients throughout the hospital.

The hospital measures, sets goals, reviews results, and takes leadership action to manage patient flow, bed availability, throughput, support services, and emergency department boarding.

Group

Hospital Operations

Category

Facility Operations

Domain

Facility Operations

Topics

Patient flow, Bed availability

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Citation

TJC NPG.01.05.03

In Service AvailabilityEquipment Maintenance

Resuscitative services are available throughout the hospital.

The hospital provides resuscitative services under standards and policies, makes equipment available for the population served, and trains involved staff.

Group

Clinical Services

Category

Emergency Services

Domain

Emergency

Topics

Resuscitative services, Code response readiness

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Citation

TJC NPG.03.02.06

In Service Availability

The hospital has a plan for managing resources and assets during an emergency or disaster inc...

The standard addresses written planning for managing resources and assets during emergencies, including evaluation of up to 96 hours of hospital self-sufficiency.

Group

Physical Environment Life Safety

Category

Emergency Preparedness

Domain

Emergency

Topics

Emergency resource planning, Asset management during disasters

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Citation

TJC NPG.03.03.01

In Service AvailabilityFacility Operations

The hospital has a disaster recovery plan.

The hospital maintains a written disaster recovery plan addressing damage assessments, restoration of critical systems and essential services, return to operations, and family reunification coordination.

Group

Physical Environment Life Safety

Category

Emergency Preparedness

Domain

Facility Operations

Topics

Disaster recovery plan, Damage assessment

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Citation

TJC NPG.12.02.01

In Service AvailabilityMedical Staff Governance

The nurse executive directs the implementation of a nurse staffing plan(s).

Requires the nurse executive to direct nurse staffing, ensure 24/7 registered nurse coverage, and establish policies for outpatient department staffing.

Group

Clinical Services

Category

Nursing Services

Domain

Nursing

Topics

Nurse executive, Nurse staffing plan

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Citation

TJC PC.11.02.07

In Service Availability

The hospital assesses the patient’s communication needs.

Requires the hospital to identify each patient's oral and written communication needs, including preferred language and any needed aids or interpreters.

Group

Patient Rights Safety

Category

Patient Rights

Domain

Patient Rights

Topics

Communication needs, Language access

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