HIM 370 EXAM1 QUESTIONS AND
ANSWERS 2025
Motives for obtaining Joint Commission accreditation
Standing in the community improves your company's reputation; Medicare and
MCOs demand contracts with managed care organizations;
Physician hiring of specialists - Gold star success seal
Deemed Status
Deemed status: An institution that has received TJC accreditation is excused
from the yearly "white glove" CMS certification survey.
TJC's objectives are to improve your facility's reputation in the community,
increase patient trust in the healthcare delivery system, and encourage
treatment.
confirmed that our patients and their families received high-quality treatment;
helped plan and support facility improvement initiatives;
- increased your facility's liability insurance coverage and decreased the risk of
the service you deliver - improved staff hiring and retention
Facilities that qualify for TJC accreditation include:
Acute care in general
Hospitals for children
Facilities for critical access
Facilities for long-term acute care
Facilities for oncology
Psychiatric hospitals
Facilities for rehabilitation
A specialized medical center
, How to obtain TJC accreditation:
1. Work with TJC to become familiar with the standards; if your fees are paid,
they will assign a representative or liaison to the facility.
2. Go over the specifications, practice the tracer methodology, and undertake
safer analysis (using survey analysis to assess risk).
3. Evaluate your preparedness; compare your facility to the criteria
(performance components); this is typically done by management or an outside
vendor (mock survey).
4. Apply and pay the deposit (which is determined by the facility's size,
admission volume, and average daily census); specify a ready date within a year
after submitting the application.
5. Get ready for an on-site survey, write a description for the opening
conference, decide who will accompany surveyors, have an outside company
run mock surveys, and have at least four months' worth of essential performance
data.
6. Fill in any gaps that have been found and set a schedule for making any
necessary adjustments so that, by the time of your on-site inspection, you are in
compliance with all requirements.
7. Take part in the TJC survey itself. Qualified and trained surveyors will
conduct an intrusive examination of the policies, charts, minutes of the
governing board, medical executive committee, and credentialing processes.
8. Within 60 days of the survey's conclusion, do the post-survey follow-up,
address any improvement suggestions, and provide proof of compliance.
9. Highlight and promote our gold seal on all of our pamphlets, billboards,
websites, and social media accounts.
10. Remain prepared
There are two types of standards: organizational and patient-focused.
Prevention and Management of Infections
The accountable party, the infection control nurse, keeps track of infection rates
for almost everything.
ANSWERS 2025
Motives for obtaining Joint Commission accreditation
Standing in the community improves your company's reputation; Medicare and
MCOs demand contracts with managed care organizations;
Physician hiring of specialists - Gold star success seal
Deemed Status
Deemed status: An institution that has received TJC accreditation is excused
from the yearly "white glove" CMS certification survey.
TJC's objectives are to improve your facility's reputation in the community,
increase patient trust in the healthcare delivery system, and encourage
treatment.
confirmed that our patients and their families received high-quality treatment;
helped plan and support facility improvement initiatives;
- increased your facility's liability insurance coverage and decreased the risk of
the service you deliver - improved staff hiring and retention
Facilities that qualify for TJC accreditation include:
Acute care in general
Hospitals for children
Facilities for critical access
Facilities for long-term acute care
Facilities for oncology
Psychiatric hospitals
Facilities for rehabilitation
A specialized medical center
, How to obtain TJC accreditation:
1. Work with TJC to become familiar with the standards; if your fees are paid,
they will assign a representative or liaison to the facility.
2. Go over the specifications, practice the tracer methodology, and undertake
safer analysis (using survey analysis to assess risk).
3. Evaluate your preparedness; compare your facility to the criteria
(performance components); this is typically done by management or an outside
vendor (mock survey).
4. Apply and pay the deposit (which is determined by the facility's size,
admission volume, and average daily census); specify a ready date within a year
after submitting the application.
5. Get ready for an on-site survey, write a description for the opening
conference, decide who will accompany surveyors, have an outside company
run mock surveys, and have at least four months' worth of essential performance
data.
6. Fill in any gaps that have been found and set a schedule for making any
necessary adjustments so that, by the time of your on-site inspection, you are in
compliance with all requirements.
7. Take part in the TJC survey itself. Qualified and trained surveyors will
conduct an intrusive examination of the policies, charts, minutes of the
governing board, medical executive committee, and credentialing processes.
8. Within 60 days of the survey's conclusion, do the post-survey follow-up,
address any improvement suggestions, and provide proof of compliance.
9. Highlight and promote our gold seal on all of our pamphlets, billboards,
websites, and social media accounts.
10. Remain prepared
There are two types of standards: organizational and patient-focused.
Prevention and Management of Infections
The accountable party, the infection control nurse, keeps track of infection rates
for almost everything.
