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Clinical Guidelines

The descriptions of medical interventions for specific diagnoses in which treatment regimens and the patients' progress are evaluated on the basis of nationally accepted standards of care for each diagnosis


Clinical Laboratory Improvement Amendments - The 1988 reenactment of the 1967 CLIA, the federal regulations outlining the quality assurance activities required of labs that provide clinical services

Clinical Practice Standards

The established criteria against which the decisions and actions of healthcare practitioners are assessed in accordance with state and federal laws, regulations and guidelines

Core Processes

Care. treatment and services; assessing patient needs, planning care, treatment and services, providing the care, treatment and services, and coordinating care, treatment and services

Critical Pathways

A graphic tool used to communicate established standards of patient care for specific diagnoses; also called clinical pathway or care map

Evidence-Based Medicine

The care processes or treatment intervention that researchers performing large, population-based studies have found to achieve the best outcomes in various types of medical practice

Facility Quality-Indicator Profile

A report based on the data gathered using the MDS for Long-Term Care that indicates what proportion of the facility's residents has deficits in each area of assessment during the reporting period; which residents have which deficits

Minimum Data Set (MDS) for Long-Term Care

The data set that CMS requires long term care facilities to collect on all residents who are federal program beneficiaries

Standards of Care

An established set of clinical decisions and actions taken by clinicians in accordance with state and federal laws, regulations and guidelines

Tracer Methodology

A process TJC surveyors use during the on-site survey to analyze an organization's system; follow one patient from admission to discharge

Transfusion Reaction

Signs, symptoms, or conditions suffered by a patient as the result of the administration of an incompatible transfusion


Health Plan Employer Data and Information Set; gathers information about care, outcomes, and member satisfaction with managed care organizations and other health plans


Outcomes and Assessment Information Set; lists a core of items for the comprehensive assessment of an adult home care patient

Bloodborne Pathogen

Infectious disease such as HIV and Hepatitis B and C that are transported through contact with infected body fluids such as blood, semen, and vomitus

Community-acquired Infection

An infection that was present in a patient before he or she was admitted to a healthcare facility


An analytical tool used to illustrate the sequence of activities in a complex process

Healthcare-associated Infection (HAI)

An infection occurring in a patient in a hospital or healthcare setting in whom the infection was not present or incubating at the time of admission, or the remainder of an infection acquired during a previous admission


A graphic symbol used to represent a critical event in a process flowchart

Multiple Drug-resistant Organisms (MDROs)

A bacteria of any kind that has become resistant to many different antibiotics

Standard Precautions

The application of a set of procedures specifically designed to minimize or eliminate the passage of infectious disease agents from one individual to another during the provision of healthcare services; assume that all patients carry infectious disease agents

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