HFAP Acute Care Hospital Manual Crosswalk of 2012 Standards against 2014 Standards
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1 Crosswalk of s against 2014 Standards Patient Admission Patient's Rights Not Applicable (a) (a)(1) Notice of Patient Rights Clarification (a)(2) Patient Grievances (a)(2) Governing Body Responsibility for the Grievance Process (a)(2) Timely Referrals (a)(2)(i) Grievance Process (a)(2)(ii) Grievance Process Response Timeframes (a)(2)(iii) Patient Notification of the Grievance Process (b)(1) (b)(3) (b)(3) (b)(4) (c)(1) (c)(2) (c)(3) (d)(1) (d)(2) (e)(1) (b)(2) (h)(1)(2)(3)(4) Exercise of Patient s Rights (b)(1) Participation in the Plan of Care Chapter 15 Patient Rights and Discharge Planning Page 1
2 Crosswalk of s against 2014 Standards (b)(2) Participation in Decision Making (b)(3) Advance Directives Patient Self- Determination (Advance Directives) (b)(4) Admission Notification Not Applicable (c) (c)(1) Privacy & Safety: Personal Privacy (c)(2) Privacy & Safety: Safe Setting (c)(3) Privacy & Safety: Free From Abuse Suspected Abuse / Neglect Patients Not Applicable (d) (d)(1) Confidentiality of Patient Records: Confidentiality of Medical Records (d)(2) (e) Access to Medical Records Restraint or Seclusion Not Applicable (h) Visitation Rights Chapter 15 Patient Rights and Discharge Planning Page 2
3 Crosswalk of s against 2014 Standards (h)(1) Visitation Rights - Clinical Restrictions Retitled, Patient Visitation Rights: ; incorporated (h)(2) Visitation Rights - Patient Determination Incorporated into (h)(3) Visitation Rights - Discrimination ; incorporated (h)(4) Visitation Rights - Fair Application of Process Incorporated into (e)(1)(i)(A) Restraint Definitions (e)(1)(i)(B) Medication as a Restraint (e)(1)(i)(C) Non-Restraints (e)(1)(ii) (e)(2) Definition of Seclusion Least Restrictive Interventions Not Applicable (e)(3) Effective Restraints (e)(4)(i) Modification of the Plan of Care - Restraint or Seclusion Format (e)(4)(ii) Safe Application (e)(5) Orders for Restraint or Seclusion Format Chapter 15 Patient Rights and Discharge Planning Page 3
4 Crosswalk of s against 2014 Standards (e)(6) Use of Standing or PRN Orders (e)(7) Physician Notification of Restraint Use Format (e)(8)(i) Restraint Orders for Management of Violent Behavior (e)(8)(ii) Physician Assessment (e)(8)(iii) Renewal of Restraint Orders (e)(9) Discontinuation of Restraints (e)(10) Monitoring of the Patient (e)(11) Physician (e)(12)(i) (e)(12)(ii) (e)(13) One Hour Face-to- Face Physician Assessment State (e)(14) Physician Notification (e)(15) (e)(16)(i) Simultaneous Use of Restraint and Seclusion for Chapter 15 Patient Rights and Discharge Planning Page 4
5 Crosswalk of s against 2014 Standards (e)(16)(ii) (e)(16)(iii) (e)(16)(iv) for for for (e)(16)(v) for Clarification (f) Staff - Use of Restraints or Seclusion (f)(1)(i) (f)(1)(ii) (f)(1)(iii) Intervals (f)(2)(i) Content (f)(2)(ii) (f)(2)(iii) (f)(2)(iv) : Nonphysical Intervention : Least Restrictive Intervention : Safe Application (f)(2)(v) : Restraint Removal (f)(2)(vi) (f)(2)(vii) : Patient Monitoring : CPR Chapter 15 Patient Rights and Discharge Planning Page 5
6 Crosswalk of s against 2014 Standards (f)(3) (f)(4) Trainer Restraint Data (g)(1) (g)(1)(i)(ii)(iii) (g)(2) (g)(3) Death Related to Restraint or Seclusion - Reporting Condition of Participation: Discharge Planning (a) Discharge Planning - Identification of Patients in Need (b) (b)(1) Discharge Planning Evaluation (b)(2) (b)(3) (b)(4) (b)(5) (b)(6) Discharge Planning - Staff Qualifications Assessment Assessment of Self- Care Needs Timeliness of Assessment Patient Involvement & Chapter 15 Patient Rights and Discharge Planning Page 6
7 Crosswalk of s against 2014 Standards Not Applicable (c) (c)(1) Discharge Planning: Required Supervision (c)(2) Discharge Plan - Physician Request (c)(3) Implementation of the Discharge Plan (c)(4) Plan Reassessment (c)(5) Patient Education Regarding the Plan (c)(6) Selection of Discharge Care Providers Not Applicable (c)(6)(i) (c)(6)(ii) (c)(6)(iii) Notification of Appropriate Patients Managed Care Not Applicable (c)(7) Patient Choice (c)(7) Open Disclosure of Providers Chapter 15 Patient Rights and Discharge Planning Page 7
8 Crosswalk of s against 2014 Standards (c)(8) (d) (e) Disclosure of Financial Interest Transfer or Referral Discharge Plan Reassessment Discharge Systems Discharge Instructions Discharge Checklist Clarification Chapter 15 Patient Rights and Discharge Planning Page 8
9 Crosswalk of s against 2014 Standards Plan for Nursing Care Condition of Participation: Nursing Services Re-numbered (a) Nursing Organization Format (b) Staffing change: Staffing and Delivery of Care (b)(1) 24-Hour Provision of Services (b)(2) Licensure Format Management Structure / Chain of Command Communication (b)(3) Supervision of Care (b)(4) Plan of Care (b)(5) Care Assignments Staffing Sytem (b)(6) Supervision of Nonemployed Staff Format Continuing Education Chapter 16 Nursing Department Page 9
10 Crosswalk of s against 2014 Standards Availability of Continuing Education of Continuing Education (c) (c)(1)(i) (c)(1)(ii) Medication Administration Re-titled: Preparation and Administration of Drugs (c)(2) Medication Administration Oversight (c)(3) (c)(3)(iii) Medication Orders (c)(3)(i) Verbal Orders (c)(3)(ii) Accepting Verbal Orders (c)(4) Administration of Blood Products and IV Medications (c)(5) Adverse Drug Reactions, Transfusion Reaction, & Medical Error Reporting (c)(3)(iii) Orders for Drugs & Biologicals Incorporated into (c)(6) Self-Administration of Medications Self- Administration of Hospital Issued Medications Chapter 16 Nursing Department Page 10
11 Crosswalk of s against 2014 Standards (c)(6) (c)(6)(i) (c)(6)(i)(A) (c)(6)(i)(B) (c)(6)(i)(C) (c)(6)(i)(D) (c)(6)(i)(E) Self-Administration of Hospital Issued Medications Incorporated into (c)(6)(ii) (c)(6)(ii)(A) (c)(6)(ii)(B) (c)(6)(ii)(C) (c)(6)(ii)(D) (c)(6)(ii)(E) Self-Administration of Non-hospital Issued Medications Re-numbered Not Applicable Assessment Patients at Risk Relocated to the new Chapter 33 Patient Safety Patient Safety Initiative List of Patient Problems Not Applicable Reassessements of Patients Standards of Practice & Care Standards of Practice Clinical Practice Standards Chapter 16 Nursing Department Page 11
12 Crosswalk of s against 2014 Standards Standards Content Standards of Care Standards Availability Standards Review Nursing Quality Assessment Performance Improvement (QAPI) Use of QAPI Data Chapter 16 Nursing Department Page 12
HFAP Acute Care Hospital Manual Crosswalk of 2014 HFAP Standards against 2012 HFAP Standards
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