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H&Ps for TJC survey

01 May 2016

By: Kristy Bond, accreditation & patient safety manager

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To our OR utilizers, please be aware that when The Joint Commission/CMS surveys, they will look to see if H&Ps are timely and contain the elements defined by the medical staff in the rules and regulations. If H&Ps prior to surgery or invasive procedure requiring anesthesia services are not completed or do not contain elements outlined in rules and regulations, then we are at risk for a citation. Please contact Kristy Bond or Andy Furman, MD, VPMA, for any further questions.