0000012414 00000 n
0000012451 00000 n
What happens if an organisation fails to maintain their management system and certification? Our surveyors employ a variety of methods for assessment, including staff interviews, medical record review, organizational document review, building and offsite visits, as well as patient interviews and feedback. Subsequently 1-3 focus areas on which the audit will focus are identified. Metrics and Performance 0000003960 00000 n
DNV is kept apprised of the organization's level of compliance with ongoing organizational reporting. DNV understands the important role Psychiatric Hospitals play in caring for the underserved and underinsured population. An integrated health services organization serving the people of Western New York. 0000009113 00000 n
endstream
endobj
139 0 obj
<>stream
Our lead auditor will verify that you have properly addressed the nonconformities. This product includes updates that will be made by NAMSS over the next 12 months. Our Risk Based Certification approach tailors the process to evaluate your select business risks in addition to compliance with the standards requirements. 0000038975 00000 n
DNV: Det Norske Veritas: DNV: Der Norske Veritas: DNV: District of North Vancouver (British Our leading medical education and research are at the forefront of healthcare innovation. trailer
The certification process - DNV DNV draws on its wide technical and industry expertise to help companies worldwide build consumer and stakeholder trust. Lab Specimen Guideline | 0000013305 00000 n
Author Frederick P Franko. AORN Guidance Statement: Perioperative Staffing. A successful management system is one that is improved on a continual basis. Following a positive decision you will receive the certificate shortly thereafter. More than 2,100 individuals are employed throughout health system and approximately 125 providers representing 28 medical specialties provide care to patients. This accreditation underscores our commitment to developing and continually improving quality and safety for employees, patients and visitors throughout our system. DNVs accreditation program is the only one to integrate the ISO 9001 Quality Management System with the Medicare Conditions of Participation. Healthcare Accreditation and Certification Training View our list of disease-specific and specialty program certifications. WebIntro to DNV and NIAHO. Find out more about our accreditation, certification & training programs. I*Rt>[?Yim*>"1t>hvYJa`h0vh` 2+@,F0)fP`c6e,ITWhLVJCXLFu @B@h6{E@E"%
@lT- g Hu.5LL00~gPdpMej8
PClY~p=Tt n`xH108Y * ~ D\z
630 This process ensures a full and timely understanding of the standards. Before the audit starts, you provide input on what operational processes are most crucial to your business success. WebDNV offers a number of standards - Hospital Accreditation, Stroke Center, Orthopedic Service Line, Infection Risk and more. Access our full portfolio of public and private courses, including CHOP Certification. SCRMC serves as the second largest employer in Jones County. Knowing where to focus improvement efforts is critical to take control of risk elements that can threaten your business success. endstream
endobj
1328 0 obj
<>/Metadata 142 0 R/OCProperties<>/OCGs[1339 0 R 1340 0 R 1341 0 R]>>/Outlines 204 0 R/Pages 1318 0 R/StructTreeRoot 287 0 R/Type/Catalog>>
endobj
1329 0 obj
<>/ExtGState<>/Font<>/Properties<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>>
endobj
1330 0 obj
<>stream
endstream
endobj
startxref
After the three years are up, your certification will be extended through a re-certification audit. xb```f``ue` ea *(ltSa{+ 9QQ (MHKX*?6Y
,8v'83rXrE0C;;[70^} Ua
vHCO4@ZT Dr g$
See upcoming training courses. All rights reserved. Accepted manuscript, pp. DNV attracts attention from health care organizations We are honored to provide behavioral healthcare facilities the same option provided to their hospital partners - a choice in their accreditation.PsychiatricHospital Accreditation Program Components In the few years since DNV Healthcare became the first new ISO is recognized by businesses around the world as the benchmark for continual quality improvement. 1327 0 obj
<>
endobj
dnvaccreditation. The focus areas should be linked to the management system and reflect the risks or opportunities that are most important to you. 630-792-5509 | rzordan@jointcommission.org. 120 0 obj
Find the residency program, fellowship, or training program that's right for you, or explore our research and clinic trials. If you don't remember your password, you can reset it by entering your email address and clicking the Reset Password button. All rights reserved. WebThis approval provides hospitals with another accreditation option in addition to the Joint Commission and the American Osteopathic Association. In short, accreditation impacts the way hospitals operate. Felicio Rocho Hospital. Meeting DNV Accreditation Standards WebAccreditation is voluntary and seeking deemed status through accreditation is an option, not a requirement. )CL:E8
$@eB5(ABRg]._e p`'ih]ao]|. As an example, a hospital could have its Joint Commission accreditation renewed for three years on July 10, 2010. This accreditation underscores our commitment to developing and continually improving quality and safety for employees, patients and visitors throughout our system. SCRMC has three years from the date of its accreditation to achieve compliance with ISO 9001, the worlds most trusted quality management system used by performance-driven organizations around the world to advance their quality and sustainability objectives. endstream
endobj
128 0 obj
<>/Metadata 20 0 R/PieceInfo<>>>/Pages 19 0 R/PageLayout/OneColumn/StructTreeRoot 22 0 R/Type/Catalog/LastModified(D:20081002145347)/PageLabels 17 0 R>>
endobj
129 0 obj
<>/ColorSpace<>/Font<>/ProcSet[/PDF/Text/ImageC/ImageI]/ExtGState<>>>/Type/Page>>
endobj
130 0 obj
<>
endobj
131 0 obj
<>
endobj
132 0 obj
<>
endobj
133 0 obj
[/Indexed 148 0 R 255 149 0 R]
endobj
134 0 obj
<>
endobj
135 0 obj
<>
endobj
136 0 obj
<>
endobj
137 0 obj
<>stream
Deemed Status DNV Accreditation is based on the companys innovative NIAHO standards. Contracts with insurers may require certain accreditation and may need renegotiation Will there be a saving in direct and indirect accreditation costs? Accessed August 5, 2009. Using an accredited third party certification body/registrars 2022 NAMSS Comparison of Accreditation Standards In comparison, the Joint Commission has The trademarks DNV GL, DNV, the Horizon Graphic and Det Norske Veritas are the properties of companies in the Det Norske Veritas group. DNV has a client drop box feature where questions regarding the standards can be asked directly to our specialists and surveyors. Delia Constanzo . Using an accredited third party certification body/registrars demonstrates that the auditing company is meets the required quality standard set by the accrediting authority. `0
d``_}C!\
|S0\`0[znV$5*c"00z`PwzS\u@_w{wSZ3@`|4iE"'-*5wIsr]gI qyO'WAm)U1Ys96S=ffXTjMJ5P)TTOVyN9xddiV,ey-E% WebWe have a variety of resources to help you explore and master the accreditation process. 0000000016 00000 n
%%EOF
org 22, Questions to Consider Will our reputation in the community suffer if we change? David Eickemeyer, MBA; Associate Director, Hospital Business Development. DNV Healthcare, Joint Commission emphasize differences. During this process, we assess your management systems degree of compliance with the requirements of the elected standard and performance in identified focus areas. Psychiatric Hospitals are accredited for a three year period, subject to annual survey to verify continuing compliance with NIAHO. Hover over the "Register" button in the top right corner to see the price, 1 Question|Unlimited attempts|1/1 points to pass|Graded as Pass/Fail. The scope of certification may however need to be expanded or reduced due to factors such as acquisitions, downsizing, adding new divisions etc. Webknown as DNV Accreditation, they came equipped with the experience of TUVs previous effort to become deemed and their National Integrated Accreditation for Healthcare hYmo6+bwRPI-@fulAMTcg5~w'I
:^xXoay-uL3,%a8J#!%@aY%I>)ddJ:ph+*jX 9Q43F:\RzvYV:ibv2gTM]oWjQ)|V?AtYuy[uq]{ Select from the topics below to get started. Accreditation options: Understanding DNV GL The DNV accreditation program provides us the opportunity to simultaneously satisfy our Medicare accreditation requirements and implement the ISO 9001:2015 Quality Management System all at the same time, said Doug Higginbotham, Executive Director at South Central Regional Medical Center. Infection Control & Hospital Epidemiology (2020), 41, 13441347. This commitment to safe, reliable and high-quality care is also demonstrated through our regulatory compliance and accreditations, awards and recognition and participation in national conferences and journals. When found compliant, we issue the certificate. As with all accreditation programs, surveyors from the organization will visit the hospital on regular annual intervals to monitor the organizations progress in implementing the new requirements. Although the costs of Joint Commission and DNV are about the same, according to health experts, there are some big differences between the two: The organization surveys the hospitals that use their commissioning services annually, while the Joint Commission extends its survey periods from 18 months to three years. %
[fy^Mx_6vbvX,'Mqtr)yzQn.^%~&PdXfbpqxu5Y)Vwuq_DO1ou{)v]tiply/m}+s[(E}Zyc"F%x.%i%NW?VE\gcuJ[Q[Ka/.W. WebAccredited hospitals. 1350 0 obj
<>stream
WebCommission, Healthcare Facilities Accreditation Program (HFAP) and Det Norske Veritas Healthcare, Inc. (DNV) for hospitals; gives deeming authority to NCQA for Medicare Advantage health plans Accrediting Organizations Targets for Accreditation Types of Standards Accreditation Categories NCQA Joint Commission Health plans {(oFA`=My$RqH+#~/aDh4:G}_.Q8f(fVJ7*7/oG|t6FG\kpvaGx2?yxz
RlG@-e0&9zWez|U( v
Available at: http://www.cms.gov/SurveyCertificationGenInfo/downloads/SCLetter09-02.pdf. Webparticipation was based on Joint Commission accreditation issued prior to that date will continue to participate in Medicare via deemed status until the normal expiration date of its accreditation. To fulfill the accreditation criteria, an accrediting authority assesses the certification body/registrar to verify that the certification body/registrar complies with existing requirements. hVO0W4u~yHZVm6)am|;#\zn$2N'*P1!$''BoD/We/Tze 0000008466 00000 n
0000007461 00000 n
Medical Student SOAP Note | Accreditation | DNV Healthcares hospital accreditation program is unique in that it integrates the ISO 9001 standards (international quality standards that define hTkSI?ssMl This 2.5-day course is a basic course designed to train healthcare professionals in the principles and requirements of DNV's approach to hospital accreditation. 0000004698 00000 n
Accreditation Antibiotic Susceptibility | The report indicates if your organisation is ready to proceed with the certification audit. We provide services at more than 400 locations across the region. The DNV/ISO 9001 process required a lot of hard work on our part, but has provided tremendous benefits for our health system, Higginbotham. Comparison of The Joint Commission and Det Norske - WAMSS 0000005251 00000 n
Learning happens when staff are comfortable and not intimidated by the process. Accreditation can directly affect the quality of hospital care. hb```b``c`201 +s0 This is the authorities way of auditing the auditors, such as certification bodies like DNV. Rochester Regional Health is a national leader with the most Beacon Awards from the American Association of Critical Care Nurses, recognizing hospital units that have integrated evidence-based practices to improve patient and family outcomes. South Central was the first DNV accredited healthcare organization in Mississippi. %PDF-1.6
%
WebAccreditation and certification are important accomplishments and we are here to help your organization throughout the entire process. SOUTH CENTRAL REGIONAL MEDICAL CENTER RECEIVES QUALITY-BASED ACCREDITATION FROM DNV. This decision is made based on a review of the certification process and associated documentation. Accessed August 5, 2009. Infection Control & Hospital Epidemiology,40(9), 1066-1069. doi:10.1017/ice.2019.164. WebAccredited certification of management systems is used to demonstrate compliance to a standard in a trusted way. Compliance is viewed as a 3-year Whether youre new to the Joint Employee Login | South Central is a public, not for profit hospital owned by Jones County, MS, who has an economic impact to our local community annually of almost $200 million. Lesho, E., Clifford, R., Vore, K., Zenits, B., Alcantara, J., Gargano, B., Phillips, M., Boyd, S., Eckert-Davis, L., Sosa, C, Vargas, R. Riedy, D., Stamps, D., Bhavsar, H., Fede J., Laguio-vila, M., Bronstein, M. Sustainably reducing device utilization and device-related infections with DeCATHlongs, device alternatives, and decision support. By 1991, TJC had learned that it was not possible to ensure quality and had moved on to quality improvement and its many iterations, now known as performance improvement. 1338 0 obj
<>/Filter/FlateDecode/ID[]/Index[1327 24]/Info 1326 0 R/Length 69/Prev 861584/Root 1328 0 R/Size 1351/Type/XRef/W[1 2 1]>>stream
%,,`0,XA!rd{ey` F7
The purpose of the initial visit is twofold: Based on this, the scope and audit plan are agreed upon. 0000000913 00000 n
We have taken an entirely different approach to accreditation, and hospitals are really responding, says DNV Healthcare USA Inc. President Patrick Horine. Biocor Hospital De Doencas Cardiovasculares LTDA. Admin, South Central Family Medicine & Urgent Care, Directions to South Central Regional Medical Center, Where to Get the Best Care and When to Go. Risk Based Certification is our exclusive approach to all management system certification. 23, Sections 1-6 1-7 commission and graduated commission, What are the defects of existing curriculum, Joint commission oxygen cylinder storage 2019, DNV Managing Risk DNV corporate presentation Elzbieta BitnerGregersen, JOINT COMMISSION PANEL DISCUSSION REGARDING RECENT JOINT COMMISSION, COMPARISON AND CONTRAST COMPARISON CONTRAST Comparison points out, Aligning Accreditation and Quality The DNV Perspective The, Introduction to IDSADI 15926 Resources Ian Glendinning DNV, DNV Healthcare Top Survey Findings Medical Staff National, SOLAS requirements DNV interpretations Jan Tore Grimsrud February, Mobile Technology in Ships Inspections Thomas Mestl DNV, RBI Intro some activities at DNV Fatigue Workshop, INTRODUCING INTUMAXEP 1115 XHP DNV CERTIFICATE NO F16685, CBCD Cloned Buggy Code Detector Jingyue Li DNV, DNV a Norwegian company in Korea with focus, DNV GL studie LNG in de scheepvaart verlagen, KNEE JOINT ANKLE JOINT HIP JOINT Prof Ahmed, Shoulder Joint Shoulder Glenohumeral Joint The shoulder joint, Elbow Joint Elbow Joint Type Synovial hinge joint, SYNOVIAL JOINT Dr Iram Tassaduq SYNOVIAL JOINT Joint. 2002 Jun;75(6):1179-82. doi: 10.1016/s0001-2092(06)61621-9. Find the location that's most convenient for you!
doi:10.1017/ice.2020.295. 2023 Rochester Regional Health. 8644 0 obj
<>/Filter/FlateDecode/ID[<80A28E873128684998433581F605455E>]/Index[8618 50]/Info 8617 0 R/Length 123/Prev 1023342/Root 8619 0 R/Size 8668/Type/XRef/W[1 3 1]>>stream
Similar review also applies in cases of suspending or restoring certification or withdrawing the certification. n3kGz=[==B0FX'+tG,}/Hh8mW2p[AiAN#8$X?AKHI{!7. WebThe more variables and inter-dependencies in you organization, the more relevant ISO becomes. LAUREL, MS, South Central Regional Medical Center (SCRMC) announces the successful completion of its new accreditation process that has been awarded by DNV. At least one periodic audit per year is required. Medical Student H&P | DNV understands the important role Psychiatric Hospitals play in caring for the underserved and underinsured population. 0
BPHC Accreditation Initiative . To review focus area input and agree on one to three particular focus areas upon which the audit will focus. Det Norske Veritas (DNV) NIAHO Accreditation Requirements Interpretive Guidelines & Surveyor Guidance Revision 7, 2008. These audits confirm your companys on-going compliance with specified requirements of the standard while re-evaluating performance in focus areas. 0000004038 00000 n
CMS-2895-FN, September, 26, 2008. WebAddressed by TJC, Not NIAHO Verification of applicant identity Use of CVO (DNV does allow is addressed under telemedicine) Health status (DNV only under surgical DNV 127 0 obj
<>
endobj
All rights reserved.
xbbg`b``3E0 )
The scope of certification is agreed at an early stage in the certification process. At Newark-Wayne, Rochester General Hospital, United Memorial and Unity Hospital. WebThe JCAHO and its accreditation programs are described, the history of the Medicare-JCAHO relationship is reviewed, and why the federal Medicare program has relied on accreditation as an indicator of the quality of participating hospitals is examined. To update your cookie settings, please visit the. 0000002447 00000 n
To check your readiness for the certification audit, i.e. if6&a<=h19;G;:1/SVyB~szQxLgF/94|249#5}Z.+2P#Ncj&qd>ezUL!U&^bezdif++ 0F5/*36Xkm2EI5
y|d04_4_4U. 38cWuc5Sgp:|z] b#THp.'y9Q"dC) XyBlY0,REC-;BfKg%k Gn#A &5B.69e@CqL2{8ZJaC3}vS~ ~l }A}BB-P^I1d}F +R5:>BK5F#A05Vvm{H74` &ixTeG'8T qm|/.mF}K"&Et:rPdj'wj,QmfKh!ynoiwazxC4;oVO
^W[]|rzG k%
0000007824 00000 n
This electronic reference tool provides plain-language interpretations of the credentialing standards for The Joint Commission, NCQA, Healthcare Facilities Accreditation Program, DNV, URAC, the Accreditation Association for Ambulatory Health Care, as well as the Medicare Conditions of Participation. The DNV/ISO 9001 process required a lot of hard work on our part, but has provided tremendous benefits for our health system, Higginbotham. Comparison of The Joint Commission and DNV GL The password to view the NAMSS Comparison of Accreditation Standards is: Q7r&Km N')].uJr Contact South Central Regional Medical Center, Hospital Affiliation Request | Each issued certificate has a three-year life period. endobj
These surveys, often routine or planned to certify our specialty programs, look at our communication processes, governance, processes, standardization, safety precautions and outcomes. 156 0 obj
<>stream
Academic & Personal: 24 hour online access, Corporate R&D Professionals: 24 hour online access, https://doi.org/10.1016/j.mnl.2009.10.004, Comparisons of the NIAHO and Joint Commission Approaches to Accreditation, Available at: http://www.cms.gov/SurveyCertificationGenInfo/downloads/SCLetter09-02.pdf, Available at: http://www.dnv.com/binaries/NIAHO%20Accreditation%20Requirements-Rev%20307-8%200(2)_tcm4-347543.pdf, Available at: http://www.jointcommission.org/NR/rdonlyres/2F04C126-906D-4155-B16F-1F1A6570C387/0/jconlineAug1209.pdf, For academic or personal research use, select 'Academic and Personal', For corporate R&D use, select 'Corporate R&D Professionals', Association for periOperative Registered Nurses. [lW7wI/_./-";)n*R+lx-I$,4|t*0#__ l)
DNV has a transparent procedure for suspension or withdrawal of certificates. The Joint Commission Lon Berkeley . Because while undergoing the accreditation process, a hospital makes critical decisions about how it provides services, manages medications and allocates resources. Whether certifying a companys management system or products, accrediting hospitals, providing training, assessing supply chains or digital assets, DNV enables customers and stakeholders to make critical decisions with confidence, continually improve and realize long-term strategic goals sustainably. Unlike previous approaches to accreditation, DNV focuses on what works best for each hospital and therefore opens the door to innovation. DNV Healthcare introduces a hospital accreditation program for stand-alone Psychiatric Hospitals, part of our dedication to helping hospitals improve quality, patient safety and healthcare delivery. SCRMCs current service area includes a patient population of 120,000 residents in 4 countiesJones, Jasper, Smith and Wayne Counties. DNV Healthcare, Joint Commission emphasize differences ISO standards ensure that products and services are safe, reliable and of good quality. The outcome is still a certificate if the management system is found compliant but with added dimension to your improvement journey. Have questions Contact us DNV Healthcare South Central Regional Medical Center operates as a 285-bed hospital, an alcohol and drug inpatient detox facility, a wound care center with hyperbaric oxygen chambers, a cancer center, 22 medical clinics, two large nursing homes, a wellness and rehabilitation center, a home care and hospice division, a full service ambulance service, an emergency department which has 42,000 patient visits annually, and numerous other programs and services. V)gB0iW8#8w8_QQj@&A)/g>'K t;\
$FZUn(4T%)0C&Zi8bxEB;PAom?W= Learn About Accreditation Survey DNVs accreditation program, called NIAHO (Integrated Accreditation of Healthcare Organizations), involves annual hospital surveys instead of every three years and encourages hospitals to openly share information across departments and to discover improvements in clinical workflows and safety protocols. Accessed April 23, 2010. At Rochester Regional Health, our dedication to quality is reflected in the teams we hire, the care we provide and the services we offer. Thats where ISO 9001 comes into play and turns the typical get-your-ticket-punched accreditation exercise into a quality transformation.. Accreditation Accessed April 27, 2010. endstream
endobj
8619 0 obj
<>/Metadata 315 0 R/Outlines 731 0 R/Pages 8594 0 R/StructTreeRoot 1070 0 R/Type/Catalog>>
endobj
8620 0 obj
<>/ExtGState<>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>>
endobj
8621 0 obj
<>stream
Joint Commission 0000039232 00000 n
Download the Standards created and offered by DNV Healthcare, Certification by DNV Healthcare is key step toward establishing your hospital's reputation for excellence. 2010 Mosby, Inc. Centers for Medicare and Medicaid Services. 0000001195 00000 n
0000001372 00000 n
8618 0 obj
<>
endobj
During surveys, DNV wants to see the improvements that have been made as a result of the annual survey process. PMID: 12085409 Joint Commission on Accreditation of Healthcare Organizations* / history Lesho, E., Walsh, E., Gutowski, J., Reno, L., Newhart, D, Yu, S., Bress, J., Bronstein, M. A Cluster-Control Approach to a SARS-CoV-2 Outbreak on a Stroke Ward with Infection Control Considerations for Dementia and Vascular Units. (Are minimal standards sufficient in todays healthcare climate? ) 0000009720 00000 n
WebThis background is fascinating in view of The Joint Commissions (TJC) history. The scope of certification may need to be changed during the 3 year certification cycle. nQt}MA0alSx k&^>0|>_',G! H\J@{6fgBA[^Hi
M}{voI\]fcuvO1}yPYq:\xvwm,.rsi`at3Xvizx)vnn. Public Records Policy | Findings, including non-conformities, and conclusions are presented at the end of the audit in a closing meeting and included in the audit report. Hospital Mater Dei. WebThe important role of the Joint Commission. Det 131 0 obj
cuup}c~*_3:!RvpgI(@6a^@IiPo}f$@ L9qdzD AY:RR' 4PQqhxitI3\! DNV conducts a survey every year instead of every three years. It is widely recognized as the gold standard in healthcare accreditation, and its standards are considered rigorous and comprehensive. Search our services and programs offered by our experts at our hundreds of locations throughout Western New York and the Finger Lakes region. We have to get a clear understanding of your business strategy and conditions that affect your ability to reach said strategy. Four years on, upstart nears 350 clients. HSMo0+TR E9dR-,Q HlSn0}W*vHUYii& 3kj`{YiDsqHI)P(J|\*|H X(PnFc'G]=/L$)$M[x6i; `9aDv}~2$eY@5 f'N^O_SFda55,EgsHwJWP'* xi.qDU_4%4reA)4zq0l>vf_R3;hxxlqn=hK`I8BL!eAS$O=pJI`2xKtQ_hv6 bG2u.S?)UIraqn/S#5gCi3+D
WmBK%# 0000001631 00000 n
Organizations seeking CMS approval may choose to be surveyed either by an accrediting body, such as the Joint Commission, DNV, and HFAP, or by state surveyors on behalf of CMS. 0000005823 00000 n
After each survey there is a detailed report which is easy to follow and describes, with objective evidence, where your organization is not in compliance with the standard. Provides a framework for organizational structure and management Accreditation involves preparing for a survey and maintaining a high level of quality and compliance with the latest standards. Joint Commission accreditation provides guidance to an organizations quality improvement efforts. We felt that by moving from Joint Commission accreditation to DNV accreditation we were taking our organization to an all new level, he said. 0000038715 00000 n
There is always an opportunity to improve. vs DNV %PDF-1.4
%
Comparisons of the NIAHO and Joint Commission Approaches endstream
endobj
1331 0 obj
<>stream
2y.-;!KZ ^i"L0-
@8(r;q7Ly&Qq4j|9 This is applicable in situations where an organisation persistently and seriously fails to maintain compliance with the management system standard or due to other situations, as defined in the procedure for suspension and withdrawal of certificates. Blood use Prescribing of medications Surgical Case Review Specific departmental indicators Moderate Sedation Outcomes Anesthesia events Appropriateness of care for noninvasive procedures/interventions Utilization data Significant deviations from established standards of practice Timely and legible completion of patients medical records Variants analyzed for statistical significance 19, Addressed by TJC, Not NIAHO Verification of applicant identity Use of CVO (DNV does allow is addressed under telemedicine) Health status (DNV only under surgical privileges) Applicant required to provide info re: previously successful or currently pending challenges to licensure or voluntary relinquishment, felony convictions Leadership standards place additional responsibilities on MS Residency program requirements 20, Addressed by NIAHO, not TJC Receipt of database profile from OIG Medicare/Medicaid Exclusions initial/reappointment/temporary privileges 21, Resources Standards: NIAHO Standards, Interpretive Guidelines, or Accreditation Process www.