What is necessary to have in place for a CM re-accreditation survey in 2010 (CM version 4.0) as evidence for having systems in place to collect CM performance measure data?
Response: In order to demonstrate compliance with the standard, the organization should assign at least one person the responsibility for collecting, analyzing and reporting the measures. The person’s job description should address this responsibility. The organization should also have in place a written data collection plan that identifies the performance measures including the populations and departments or programs addressed, what data is collected, what constitutes the numerator and denominator, the method(s) of calculation, and the analysis and reporting methodologies. During the onsite review, URAC reviewers will verify that the organization’s data collection plan to address the measurement standards has commenced.
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