The Leadership Chapter has been revised for all accreditation programs as part of The Joint Commission’s regular standards renewal process, whose principal goal is to ensure that standards remain current.  With respect to the Leadership standards, The Joint Commission has undertaken several parallel initiatives that have resulted in additional standards and a major reordering of the chapter. The chapter includes four sections:  Leadership Structure, Leadership Relationships, Organization Culture and System Performance, and Operations.  The revised Leadership Chapter will be effective January 1, 2009.

To view the chapter, select an accreditation program link below:

• Ambulatory Care
• Behavioral Health Care
• Critical Access Hospitals
• Home Care
• Hospitals
• Laboratory Services
• Long Term Care
• LT2
• Office-Based Surgery

Joint Commission Requirements for the Comprehensive Accreditation Manual for Laboratory and Point-of-Care Testing (CAMLAB) are available on the Joint Commission Resources website. 

Go to the Joint Commission Requirements page
(Note: the above link will open a new browser window)

What is included on the Joint Commission Requirements page?

• All standards and policy revisions and requirements published in Perspectives that have gone into effect since your accreditation manual was last issued. Regularly visit the Joint Commission Requirements page

How can I keep updated on the latest standard updates?

• Read Joint Commission Perspectives
• Read your accreditation manual, and any updates or supplements to the manual

Accreditation Process for Laboratories

Preparing for Survey

• 2006 Top Standards Compliance Issues for Labs 
• Periodic Performance Review for Labs 
• Eligibility for Survey
• On-Site Survey Process
• Preparing for a Laboratory Survey
• Laboratory Forms
• Documents to be Available at  Laboratory Survey
• Key Survey Activities  
• Surveyor Qualifications
• Business Associates Agreement

Post Survey

• Guidelines for Submission of Evidence of Standards Compliance *
• 2007 Thresholds for Conditional Accreditation and Preliminary Denial of Accreditation Approved
• What Happens After Your Joint Commission Survey *  (Updated 6/26/07)

Index of Issues

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