Joint Commission Review Crosswalk for Chaplain Services

through contractual agreement are provided safely andeffectively.contractual agreements. Those servicesmust also be safe and effective.Elements of Performance:1. The hospital describes, in writing, the nature andscope of services provided through contractualagreements.4. Leaders monitor contracted services by establishingexpectations for the performance of the contractedservices.LD.04.04.03 New or modified services or processes arewell-designed.Elements of Performance:1. The hospital's design of new or modified services orprocesses incorporates the needs of patients, staff,and others.2. The hospital's design of new or modified services orprocesses incorporates the results of performanceimprovement activities.4. The hospital's design of new or modified services orprocesses incorporates evidence-based informationin the decision-making process.Note: For example, evidence-based informationcould include practice guidelines, successfulpractices, information from current literature, andclinical standards.7. Leaders involve staff and patients in the design ofnew or modified services or processes.LD. 04.04.07 The hospital considers clinical practiceThis might be part of a CQI approach.Chaplains participate in hospital and16