Crosswalk of s against 2014 Standards 15.00.01 482.13 Patient Admission 15.01.00 Patient's Rights 15.01.02 15.01.01 Not Applicable 15.01.02 482.13(a) 482.13(a)(1) Notice of Patient Rights Clarification 15.01.03 482.13(a)(2) Patient Grievances 15.01.04 482.13(a)(2) Governing Body Responsibility for the Grievance Process 15.01.05 482.13(a)(2) Timely Referrals 15.01.06 482.13(a)(2)(i) Grievance Process 15.01.07 482.13(a)(2)(ii) Grievance Process Response Timeframes 15.01.08 482.13(a)(2)(iii) Patient Notification of the Grievance Process 15.01.09 482.13(b)(1) 482.13(b)(3) 482.13(b)(3) 482.13(b)(4) 482.13(c)(1) 482.13(c)(2) 482.13(c)(3) 482.13(d)(1) 482.13(d)(2) 482.13(e)(1) 482.13(b)(2) 482.13(h)(1)(2)(3)(4) Exercise of Patient s Rights 15.01.10 482.13(b)(1) Participation in the Plan of Care Chapter 15 Patient Rights and Discharge Planning Page 1
Crosswalk of s against 2014 Standards 15.01.11 482.12(b)(2) Participation in Decision Making 15.01.12 482.13(b)(3) Advance Directives 15.01.13 Patient Self- Determination (Advance Directives) 15.01.14 482.13(b)(4) Admission Notification 15.01.15 Not Applicable 15.01.16 482.13(c) 482.13(c)(1) Privacy & Safety: Personal Privacy 15.01.17 482.13(c)(2) Privacy & Safety: Safe Setting 15.01.18 482.13(c)(3) Privacy & Safety: Free From Abuse 15.01.19 Suspected Abuse / Neglect Patients 15.01.18 15.01.20 Not Applicable 15.01.21 482.13(d) 482.13(d)(1) Confidentiality of Patient Records: Confidentiality of Medical Records 15.01.22 482.13(d)(2) 15.01.23 482.13(e) Access to Medical Records Restraint or Seclusion 15.02.00 15.01.24 Not Applicable 15.01.25 482.13(h) Visitation Rights Chapter 15 Patient Rights and Discharge Planning Page 2
Crosswalk of s against 2014 Standards 15.01.26 482.13(h)(1) Visitation Rights - Clinical Restrictions Retitled, Patient Visitation Rights: ; incorporated 15.01.27 15.01.27 482.13(h)(2) Visitation Rights - Patient Determination Incorporated into 15.01.26 15.01.28 482.13(h)(3) Visitation Rights - Discrimination ; incorporated 15.01.29 15.01.29 482.13(h)(4) Visitation Rights - Fair Application of Process Incorporated into 15.01.28 15.02.01 482.13(e)(1)(i)(A) Restraint Definitions 15.02.02 482.13(e)(1)(i)(B) Medication as a Restraint 15.02.03 482.13(e)(1)(i)(C) Non-Restraints 15.02.04 482.13(e)(1)(ii) 15.02.05 482.13(e)(2) Definition of Seclusion Least Restrictive Interventions 15.02.06 Not Applicable 15.02.07 482.13(e)(3) Effective Restraints 15.02.08 482.13(e)(4)(i) Modification of the Plan of Care - Restraint or Seclusion Format 15.02.09 482.13(e)(4)(ii) Safe Application 15.02.10 482.13(e)(5) Orders for Restraint or Seclusion Format Chapter 15 Patient Rights and Discharge Planning Page 3
Crosswalk of s against 2014 Standards 15.02.11 482.13(e)(6) Use of Standing or PRN Orders 15.02.12 482.13(e)(7) Physician Notification of Restraint Use Format 15.02.13 482.13(e)(8)(i) Restraint Orders for Management of Violent Behavior 15.02.14 482.13(e)(8)(ii) Physician Assessment 15.02.15 482.13(e)(8)(iii) Renewal of Restraint Orders 15.02.16 482.13(e)(9) Discontinuation of Restraints 15.02.17 482.13(e)(10) Monitoring of the Patient 15.02.18 482.13(e)(11) Physician 15.02.19 482.13(e)(12)(i) 15.02.20 482.13(e)(12)(ii) 15.02.21 482.13(e)(13) One Hour Face-to- Face Physician Assessment State 15.02.22 482.13(e)(14) Physician Notification 15.02.23 482.13(e)(15) 15.02.24 482.13(e)(16)(i) Simultaneous Use of Restraint and Seclusion for Chapter 15 Patient Rights and Discharge Planning Page 4
Crosswalk of s against 2014 Standards 15.02.25 482.13(e)(16)(ii) 15.02.26 482.13(e)(16)(iii) 15.02.27 482.13(e)(16)(iv) for for for 15.02.28 482.13(e)(16)(v) for Clarification 15.02.29 482.13(f) Staff - Use of Restraints or Seclusion 15.02.30 482.13(f)(1)(i) 482.13(f)(1)(ii) 482.13(f)(1)(iii) Intervals 15.02.31 482.13(f)(2)(i) Content 15.02.32 482.13(f)(2)(ii) 15.02.33 482.13(f)(2)(iii) 15.02.34 482.13(f)(2)(iv) : Nonphysical Intervention : Least Restrictive Intervention : Safe Application 15.02.35 482.13(f)(2)(v) : Restraint Removal 15.02.36 482.13(f)(2)(vi) 15.02.37 482.13(f)(2)(vii) : Patient Monitoring : CPR Chapter 15 Patient Rights and Discharge Planning Page 5
Crosswalk of s against 2014 Standards 15.02.38 482.13(f)(3) 15.02.39 482.13(f)(4) Trainer 15.02.40 Restraint Data 15.02.41 482.13(g)(1) 482.13(g)(1)(i)(ii)(iii) 482.13(g)(2) 482.13(g)(3) Death Related to Restraint or Seclusion - Reporting 15.06.00 482.43 Condition of Participation: Discharge Planning 15.03.00 15.06.01 482.43(a) Discharge Planning - Identification of Patients in Need 15.03.01 15.06.02 482.43(b) 482.43(b)(1) Discharge Planning Evaluation 15.03.02 15.06.03 482.43(b)(2) 15.06.04 482.43(b)(3) 15.06.05 482.43(b)(4) 15.06.06 482.43(b)(5) 15.06.07 482.43(b)(6) Discharge Planning - Staff Qualifications Assessment Assessment of Self- Care Needs Timeliness of Assessment Patient Involvement & 15.03.03 15.03.02 15.03.02 15.03.06 15.03.07 Chapter 15 Patient Rights and Discharge Planning Page 6
Crosswalk of s against 2014 Standards 15.06.08 Not Applicable 15.06.09 482.43(c) 482.43(c)(1) Discharge Planning: Required Supervision 15.03.09 15.06.10 482.43(c)(2) Discharge Plan - Physician Request 15.03.10 15.06.11 482.43(c)(3) Implementation of the Discharge Plan 15.03.11 15.06.12 482.43(c)(4) Plan Reassessment 15.03.12 15.06.13 482.43(c)(5) Patient Education Regarding the Plan 15.03.11 15.06.14 482.43(c)(6) Selection of Discharge Care Providers 15.03.14 15.06.15 Not Applicable 15.06.16 482.43(c)(6)(i) 15.06.17 482.43(c)(6)(ii) 15.06.18 482.43(c)(6)(iii) Notification of Appropriate Patients Managed Care 15.03.14 15.03.14 15.03.14 15.06.19 Not Applicable 15.06.20 482.43(c)(7) Patient Choice 15.03.14 15.06.21 482.43(c)(7) Open Disclosure of Providers 15.03.14 Chapter 15 Patient Rights and Discharge Planning Page 7
Crosswalk of s against 2014 Standards 15.06.22 482.43(c)(8) 15.06.23 482.43(d) 15.06.24 482.43(e) Disclosure of Financial Interest Transfer or Referral Discharge Plan Reassessment 15.03.14 15.03.23 15.03.24 15.06.25 Discharge Systems 15.06.26 Discharge Instructions 15.06.27 Discharge Checklist 15.03.27 Clarification Chapter 15 Patient Rights and Discharge Planning Page 8
Crosswalk of s against 2014 Standards 16.00.01 Plan for Nursing Care 16.00.04 16.00.02 482.23 Condition of Participation: Nursing Services Re-numbered 16.00.00 16.00.03 482.23(a) Nursing Organization Format 16.00.04 482.23(b) Staffing change: Staffing and Delivery of Care 16.00.05 482.23(b)(1) 24-Hour Provision of Services 16.00.06 482.23(b)(2) Licensure Format 16.00.07 Management Structure / Chain of Command 16.00.00 16.00.08 Communication 16.00.00 16.00.09 482.23(b)(3) Supervision of Care 16.00.10 482.23(b)(4) Plan of Care 16.00.11 482.23(b)(5) Care Assignments 16.00.12 Staffing Sytem 16.00.04 16.00.05 16.00.13 482.23(b)(6) Supervision of Nonemployed Staff Format 16.00.14 Continuing Education 16.00.04 04.00.12 Chapter 16 Nursing Department Page 9
Crosswalk of s against 2014 Standards 16.00.15 Availability of Continuing Education 04.00.12 16.00.16 of Continuing Education 04.00.12 16.01.01 482.23(c) 482.23(c)(1)(i) 482.23(c)(1)(ii) Medication Administration Re-titled: Preparation and Administration of Drugs 16.01.02 482.23(c)(2) Medication Administration Oversight 16.01.01 16.01.03 482.23(c)(3) 482.23(c)(3)(iii) Medication Orders 16.01.04 482.23(c)(3)(i) Verbal Orders 16.01.05 482.23(c)(3)(ii) Accepting Verbal Orders 16.01.06 482.23(c)(4) Administration of Blood Products and IV Medications 16.01.07 482.23(c)(5) Adverse Drug Reactions, Transfusion Reaction, & Medical Error Reporting 16.01.08 482.23(c)(3)(iii) Orders for Drugs & Biologicals Incorporated into 16.01.03 16.01.09 482.23(c)(6) Self-Administration of Medications Self- Administration of Hospital Issued Medications Chapter 16 Nursing Department Page 10
Crosswalk of s against 2014 Standards 16.01.10 482.23(c)(6) 482.23(c)(6)(i) 482.23(c)(6)(i)(A) 482.23(c)(6)(i)(B) 482.23(c)(6)(i)(C) 482.23(c)(6)(i)(D) 482.23(c)(6)(i)(E) Self-Administration of Hospital Issued Medications Incorporated into 16.01.09 16.01.11 482.23(c)(6)(ii) 482.23(c)(6)(ii)(A) 482.23(c)(6)(ii)(B) 482.23(c)(6)(ii)(C) 482.23(c)(6)(ii)(D) 482.23(c)(6)(ii)(E) Self-Administration of Non-hospital Issued Medications Re-numbered 16.01.10 16.02.00 Not Applicable 16.02.01 Assessment 16.00.04 16.00.10 16.02.02 Patients at Risk Relocated to the new Chapter 33 Patient Safety Patient Safety Initiative 16.02.03 List of Patient Problems 10.01.21 16.02.04 Not Applicable 16.02.05 Reassessements of Patients 10.01.25 10.01.28 15.01.10 16.00.10 16.03.00 Standards of Practice & Care 16.03.01 Standards of Practice 16.03.02 Clinical Practice Standards Chapter 16 Nursing Department Page 11
Crosswalk of s against 2014 Standards 16.03.03 Standards Content 16.03.04 Standards of Care 16.03.05 Standards Availability 16.03.06 Standards Review 16.04.01 Nursing Quality Assessment Performance Improvement (QAPI) 12.00.04 16.04.02 Use of QAPI Data 12.00.04 Chapter 16 Nursing Department Page 12