Chaplair - The Official Newsletter of the AEHC

Crosswalk of the 1997 JCAPS Standards to the 1998 Joint Commission Hospital Standards

JCAPS Standards	1998 JCAHO Hospital Standards
515 Pastoral Services has specific plans, goals and objectives to be reviewed and revised annually.	LD.1 The leaders provide for hospital planning. LD.1.1 Planning includes defining a mission, a vision, and values for the hospital and creating the strategic, operational, programmatic, and other plans and policies to achieve the mission and vision. LD.1.7 The scope of services provided by each department is defined in writing and is approved by the hospital’s administration, medical staff, or both, as appropriate. LD.1.7.1 Each department provides patient care according to its written goals and scope of services. LD.2.3 Directors develop and implement policies and procedures that guide and support the provision of services. *Note - JC standards do not require annual review/revision; however, plans, goals, and objectives should reflect current practice and be revised when necessary.
516 The accredited organization agrees to a JCAPS evaluation every five years.	Not applicable
documentation 521 Minutes of Pastoral Services staff meetings are reported, filed and made available to administration.	LD.2.1 Directors integrate their department’s services with the hospital’s primary functions. LD.2.2 Directors coordinate and integrate services within their department and with other departments.

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