Personnel/Employee Records Requirements for Hospital Accreditation - HR Policy 410
Effective Date: [Effective Date] Review/Revised Date: [Revised Date] Category: [Administrative Category]
Policy Owner: [Policy Owner]
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The Joint Commission on Accreditation of Healthcare Organizations has set requirements for the personnel records of UAB Hospital personnel. In order to meet the accreditation standards, the University personnel file of each active Hospital employee should include the following:
Members of the The Joint Commission (JCAHO) will review and inspect personnel files of employees selected during their review of hospital services. Hospital employees' personnel files are carefully monitored for all required information and departmental employee personnel files must be kept in an orderly manner and must be easily accessible for inspection.