Tools for Certified Programs
Listed below are tools and resources that have relevance to meeting Joint Commission standards in the core domains of clinical care, marketing, program management, and performance improvement.
CAPC has developed a guide to help palliative care programs successfully complete The Joint Commission (TJC) certification process: Download the Guide Now
Clinical Care Tools
- Initial Patient Assessment: Chart Documentation Template
- Daily Rounds Documentation: Chart Documentation Template
- PSS (PsychoSocialSpritual) Assessment Documentation Template (Psychological Evaluation)
- PSS (PsychoSocialSpritual) Assessment Documentation Templates (Spiritual Care Assessment)
- Family Conference Note: Chart Documentation Template (Family Meeting)
- Family Conference Note: Chart Documentation Template (Fairview Family Conference Toolkit)
Tools from Certified Programs
- Guide Book for Joint Commission Site Visit (North Shore University Hospital)
- Palliative Care Survey & Performance Improvement Interview (North Shore University Hospital) Patient Telephone Satisfaction Survey (Abington Memorial Hospital)
- U Rochester Joint Commission Presentation
Performance Improvement Tools
- CAPC Consensus Articles (see Pivotal Articles)
- CAPC Measurement Tools
- NHPCO FEPC Survey Materials
- The Palliative Care Outcome Scale (POS) Patient Questionnaire
- Caregiver Assessment from NPCRC
- Care Transition Model
- Performance Improvement Plan (CAPC Example)
- Central Georgia PI Report
- Central Georgia QI Policy
- Sample Performance Improvement Plan
- Sample Performance Improvement Measures
Marketing/User Information Tools
- Program brochure w/ Mission Statement (Fairview)
- Program brochure w/ Mission Statement (Palliative Medicine Consultants)
Program Management Tools
- Staff Job Descriptions
- Palliative Care Credentialing Form
- Program Business or Strategic Plan
- New Palliative Care Staff Orientation Checklist (Mount Carmel)
- Program Annual Report (Central Georgia)
- Program Annual Report (Oklahoma)
- Patient Satisfaction Telephone Script (Medical Center of Central Georgia)
