Developing a hospital policy and procedure manual

 · 9 Steps for Developing Policy/Procedure Manuals Use the following steps to jump-start the policy/procedure manual development process: 1. Obtain and review format and style standards for your organization's manuals. 2. Gather and analyze information: Review existing manuals to gauge the effects of the new/revised policies/procedures. The following are several tips and best practices for writing policy and procedures. Standardize polices in form and format to avoid confusion. Ensure all the policy statements are short, declarative, and specific to a single issue. Write the document in the active voice. Make documents user friendly to those that have to live by them. Make sure the policy does not conflict with other policies. Cross reference .  · Determine the risks and opportunities of a treatment or procedure. Create a plan that weighs and addresses those risks. Execute the plan within a quality management system framework. Measure and evaluate the effectiveness of the plan. Use what you've learned to find a way to improve and prepare for the next treatment.

It's the how-to document, written to ISO standards, that dictates the hospital's operational processes in providing the level of care and what steps they will take to provide it. In many ways, it can serve as a hospital's policy and procedures manual, especially if the hospital is trying to meet DNV NIAHO standards. The following are several tips and best practices for writing policy and procedures. Standardize polices in form and format to avoid confusion. Ensure all the policy statements are short, declarative, and specific to a single issue. Write the document in the active voice. Make documents user friendly to those that have to live by them. Make sure the policy does not conflict with other policies. Cross reference all policies to similar ones. (MS Credentialing Manual –X.X.X) MSSD Policy: It is the goal of the MSSD to complete the verification process within 90 days of receipt of a complete application, utilizing industry standard verification sources which are approved by the JCAHO and within the means of the hospital.

The following policy and procedure manuals are updated continually to incorporate the latest policies issued by the Ministry. On 1 February the. Maintain secondary records and indexes (either manual or electronic) in order implementing IHS and Area policies, and developing procedures to carry out. As introduced in Section One of this manual, the Patient Self-Determination Act (PSDA) requires hospitals and other facilities to establish written policies.