The Joint Commission (TJC) Review

3. The Joint Commission comes every _______ years.
6. How many days will the survey last on-site?
9. Extension cords must be provided by _________ ________ and cannot be used on medical equipment.
10. One of the 2024 hospital national patient safety goal is to identify patient risk for ________.
12. Another one of the 2024 hospital national patient safety goals is to __________ patients correctly.
13. What is one National Collaborative/Quality Program that the NICU uses for their metrics? _______ _________ _________
15. A quick reference guide on how to obtain interpreter services can be found on the ___________.
16. True or False: When asked by the Joint Commission Surveyor, you should answer the question with “What we are supposed to do is…”
17. What is one way to protect the confidentiality of protected patient information (PIH)? _____ _______ ______ when not in use.
18. One of the 2024 hospital national patient safety goals is to ________ __________.

1. Currently, there are many quality projects at KMCWC. One ongoing quality project is on ________ _________.
2. It is helpful to know what performance improvement projects are ongoing in the hospital. Where can you find that information in the NICU? _________ _________ __________.
4. The Joint Commission visits to confirm ________ to national Centers for Medicare & Medicaid Services (CMS) standards.
5. Another ongoing performance improvement project that involves every unit/department is ________ __________.
7. How will PBX notify us of The Joint Commission’s arrival? _________ _________
8. What does the hospital provide to ensure airborne contaminants are properly controlled in critical areas?
11. You should ask for __________ if you don’t understand the question asked by the Joint Commission Surveyor.
14. Another ongoing performance improvement project that involves every unit/department is __________ reduction efforts.