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Your Name |
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Address (cont.) |
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# of inpatient beds: |
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# of out-patient sites |
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# of ICU’s: |
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Other services
Please check all that apply:
Teleradiology/Telamedicine
Psychiatric
Inpatient
Psychiatric
Outpatient
Psychiatric
Day Care
Detoxification
Unit
Rehab
Inpatient Unit
Rehab
Outpatient Services
Hospice/Home
Care
Visiting
Nurses
Long
Term Care
Sub-acute
Unit
Other
(please indicate)
Current
Certifications/Accreditation
Please check all that
apply:
CAP
CLIA
CARF
TJC
(formerly JCAHO)
AOA
NCQA
AAAHC
Other
(please indicate)
Indicate which TJC (JCAHO) or other Standards Manuals
such as AAAHC etc. that
will be applicable at the time of your survey:
Please check all that apply:
AMBULATORY CARE (Including Teleradiology/Telamedicine)
Comprehensive Accreditation Manual for Ambulatory Care (CAMAC)
AAAHC
BEHAVIORAL HEALTH CARE
Comprehensive
Accreditation Manual for Behavioral Health (CAMBHC)
CRITICAL ACCESS HOSPITALS
Accreditation Manual for Critical Access Hospitals
DISEASE-SPECIFIC CARE
Disease-Specific Care Certification Manual
HEALTH CARE STAFFING
Health Care Staffing Services Certification Manual
HOME CARE
Comprehensive Accreditation Manual for Home Care (CAMHC)
Standards for Home Health, Personal Care, Support Services, Hospice
Standards for Home Medical Equipment, Clinical Respiratory Rehabilitation Technology Services
Standards
for Pharmacy Dispensing, Clinical/Consultant Long Term Care Pharmacy, and
Freestanding Ambulatory Infusion Services
HOSPITALS
Comprehensive
Accreditation Manual for Hospitals-The Official Handbook (CAMH)
INTERNATIONAL ACCREDITATION
Joint Commission International Accreditation Standards for Ambulatory Care
Joint Commission International Accreditation for the Care Continuum
Joint Commission International Accreditation Standards for Clinical Laboratories
Joint Commission International Accreditation Standards for Disease Condition-Specific Care
Joint Commission International Accreditation Standards for Hospitals
Joint Commission International Accreditation Standards for Medical Transplant Organizations
LABORATORY AND POINT OF CARE TESTING
Comprehensive Accreditation Manual for Laboratory and Point of Care Testing
LONG TERM CARE
Comprehensive
Accreditation Manual for Long Term Care (CAMLTC)
NETWORKS: IDS/MCO/PPO
Comprehensive
Accreditation Manual for Integrated Delivery Systems (CAMIDS)
Comprehensive Accreditation Manual for Managed Care Organizations (CAMMCO)
Accreditation Manual for Preferred Provider Organizations
OFFICE-BASED SURGERY
Accreditation Manual for Office-Based Surgery Practices
Note: If you are not sure which of the above manuals will be applicable, call us at (800) 950-4410 and ask for the Standards Compliance Director.
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written comprehensive proposal at this time, or a price quote only?
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Price
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information by e-mail to HQIR. We will call you if we need any
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Contact us at:
800-950-4410 |