Specifications include, but are not limited to: Conducting a comprehensive analysis of the hospital's policies and procedures and medical record formats to assess their compliance with the current Joint Commission Hospital standards. This will be accomplished via review of polices, organization plans, medical record forms, human resource file formats, medical staff bylaws, and credentialing/privileging procedures. Technical assistance will be provided to the hospital regarding strategies and resources for standards compliance. The following Joint Commission Hospital standards chapters and requirements will be reviewed: }> Accreditation Participation Requirements }> Human Resources }> Infection Prevention and Control }> Information Management }> Leadership }> Medication Management }> Medical Staff }> National Patient Safety Goals }> Nursing }> Provision of Care }> Performance Improvement }> Record of Care }> Rights and Responsibilities }> Waived Testing