Information Management Resources for Hospital Accreditation
A resource for MLA members who are preparing for accreditation in clinical
and educational health care settings
- The MLA liaison to the
Joint Commission, Judy M. Kraemer, can answer questions concerning Joint Commission information management
(and other pertinent) standards.
- JC surveyors
- The Joint Commission itself will send biographical sketches of the surveyors
scheduled to visit you and tell you the last three sites visited
by each surveyor. To get this information, call the Joint Commission at 708.916.5600 and ask for the Department
of Accreditation Operations.
- Also search MEDLINE and CINAHL to see if surveyors have published
or have been the subject of articles.
- Post on or search discussion lists (see below).
The following discussion lists cover issues related to the Joint Commission standards
and accreditation process. To subscribe to these lists, send an email
with the body of the message being subscribe [listname] to the
addresses given below.
Joint Commission-WATCH is a discussion list intended for hospital staff
directly involved in accreditation to communicate with colleagues. It
is especially useful for learning how other hospitals handle specific
- A query to MEDLIB-L
about a surveyor will likely result in a response from someone recently
surveyed. Respondents usually feel more comfortable responding to you
personally rather than to the list. More general questions about accreditation
issues or other topics appropriate to health sciences librarianship
are also welcome.
- HLS JC Wiki MLA's Hospital Libraries Section Joint Commission Wiki. Click on link to sign in or create a new account.
Standards Is Not a Four Letter Word
Instructor: Katherine Stemmer Frumento; 4 MLA contact hours.
This course reviews the Joint Commission's current IM standard, as well as other Joint Commission standards that the hospital library can support. The major goal of the course is to demonstrate how a hospital library's value within its institution can be shown not only through Joint Commission validation, but also through other accreditation bodies, as well as solid customer service.
- Joint Commission Resources (JCR)
JCR is the source for books, journals, and accreditation manuals
of the Joint Commission. Includes journals Joint Commission Perspectives, Joint
Commission Perspectives on Patient Safety, Environment of Care News,
Joint Commission Benchmark, and Joint Commission Journal on Quality
- DocKit #10: Accreditation and the Hospital Library: Information
Management Plans and Assessment Tools
Compiled by Kay E. Wellik, AHIP; Mary J. Jarvis, AHIP; and Connie Schardt, AHIP. MLA, 1997. (Out of print; available free to MLA members). The JCAHO Comprehensive Accreditation Manual for Hospitals includes
guidelines for obtaining, managing, and using information to improve
patient outcomes and individual and hospital performance in patient
care, governance management, and support process. DocKit #10 provides
examples of information management (IM) plans, institutional responses
to IM plans, and assessment tools.
- Professional Competencies for Health Sciences Librarians, MLA's Educational Policy Statement
- A Librarian's
Guide to a JCAHO Accreditation Survey
The purpose of this guide is to provide answers to questions that
librarians might have about the Joint Commission accreditation process as it relates
to libraries and information services.
This resource kit was developed by the MLA Task Force on the
Role of the Librarian and headquarters staff to help promote the value
of a health sciences librarian and the services provided to an institution.
- "Proactive roles for librarians in the JCAHO accreditation
process" Rand DC, Gluck JC. Journal of Hospital Librarianship
the bar: the importance of hospital library standards in the continuing
medical education accreditation process. Gluck JC, Hassig R.
Bull Med Libr Assoc 2001 Jul;89(3):272-6.
for Special Librarians of the 21st Century" from the Special
Revised January 2003 by