Post on 01-Apr-2018
transcript
Standards ApplicabilityProcess (SAP)Not all of the standards/requirements in the CAMAC apply to all ambulatory careorganizations. Based on the particular services provided by your ambulatory careorganization, you should use this grid to identify which standards/requirements areapplicable.
Services are listed horizontally along the top of this grid. The standard/requirement andelement of performance (EP) numbers are listed vertically. Applicability is indicatedwith an “X”.
The following services are listed in the Ambulatory Care Services applicability grid(starting on page SAP-2):� Ambulatory Surgery Centers� Diagnostic Imaging Services� Medical/Dental Centers� Diagnostic Sleep Centers� Diagnostic/Therapeutic� Endoscopy� Telehealth/Nonsurgical� Telehealth/Surgical� Urgent/Immediate Care� Convenient Care� Episodic Care
CAMAC, January 2013 SAP – 1
�Comprehensive Accreditation Manual for Ambulatory Care
Ambulatory Care Services Applicability
Standard/RequirementNumber EP # A
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1 X X X X X X X X X X XAPR.01.01.01APR.01.02.01 1 X X X X X X X X X X XAPR.01.03.01 1 X X X X X X X X X X XAPR.02.01.01 1 X X X X X X X X X X XAPR.03.01.01 1 X X X X X X X X X X X
3 X X X X X X X X X X X4 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X
APR.05.01.01 1 X X X X X X X X X X XAPR.06.01.01 1 X X X X X X X X X X XAPR.07.01.01 1 X X X X X X X X X X XAPR.08.01.01 1 X X X X X X X X X X X
2 X X X X X X X X X X XAPR.09.01.01 1 X X X X X X X X X
2 X X X X X X X X XAPR.09.02.01 1 X X X X X X X X X X X
2 X X X X X X X X X X X3 X X X X X X X X X X X
APR.09.03.01 1 X X X X X X X X X X XAPR.09.04.01 1 X X X X X X X X X X XEC.01.01.01 1 X X X X X X X X X
2 X X X X X X X X X3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X6 X X X X X X X X X7 X X X X X X X X X X8 X X X X X X X X X X X
EC.02.01.01 1 X X X X X X X X X3 X X X X X X X X X6 X X X X X X X X X8 X X X X X X X X X11 X X X X X X X X X
SAP – 2 CAMAC, January 2013
Standards Applicability Process�
Standard/RequirementNumber EP # A
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14 XEC.02.01.03 1 X X X X X X X X XEC.02.02.01 1 X X X X X X X X X
3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X6 X X X X X7 X X X X X X X8 X X X X X X X9 X X X X X X X10 X X X X X X X11 X X X X X X X X X12 X X X X X X X X X14 X15 X
EC.02.03.01 1 X X X X X X X X X4 X X X X X X X X X9 X X X X X X X X X10 X X X X X X X X X
EC.02.03.03 1 X X X X2 X X X X X X X X X3 X X X X X X X X X5 X X X X X X X X X
EC.02.03.05 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X6 X X X X X X X X X7 X X X X X X X X X8 X X X X X X X X X9 X X X X X X X X X10 X X X X X X X X X11 X X X X X X X X X12 X X X X X X X X X14 X X X X X X X X X15 X X X X X X X X X
CAMAC, January 2013 SAP – 3
�Comprehensive Accreditation Manual for Ambulatory Care
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16 X X X X X X X X X17 X X X X X X X X X18 X X X X X X X X X19 X X X X X X X X X20 X X X X X X X X X
EC.02.04.01 1 X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X6 X X X X X X X X7 X
EC.02.04.03 1 X X X X X X X X X X X2 X X X X X X X3 X X X X X X X X X X X4 X X X X X5 X15 X17 X X X X18 X
EC.02.05.01 3 X X X X X X X X X4 X X X X X X X X X6 X X X X X X7 X X X X X X X X8 X X X X X X X X9 X X X X X X X X X X X10 X X X X X X X X X11 X X X X X X X X13 X X X X X X X X X X X
EC.02.05.03 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X5 X X X X X X X X6 X X X X X X X
EC.02.05.05 1 X X X X X X X X X X X2 X X X X X X X X X X X
EC.02.05.07 1 X X X X X X X X X
SAP – 4 CAMAC, January 2013
Standards Applicability Process�
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2 X X X X X X X X X
CAMAC, January 2013 SAP – 4a
�Comprehensive Accreditation Manual for Ambulatory Care
This page is blankdue to revisions through
the CAMAC update.
CAMAC, January 2013SAP – 4b
Standards Applicability Process�
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3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X6 X X X X X X X X X7 X X X X X X X X X8 X X X X X X X X X9 X X X X X X X X X10 X X X X X X X X X
EC.02.05.09 1 X X X X X X2 X X X X X X3 X X X X X X
EC.02.06.01 1 X X X X X X X X X7 X X11 X X X X X X X X X13 X X X X X X X X X20 X X X X X X X X X23 X X X X X X X X X
EC.02.06.05 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X
EC.03.01.01 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X
EC.04.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X X X14 X X X X X X X X X15 X X X X X X X X X
EC.04.01.03 1 X X X X X X X X X2 X X X X X X X X X
EC.04.01.05 1 X X X X X X X X X2 X X X X X X X X X
EM.01.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X
CAMAC, January 2013 SAP – 5
�Comprehensive Accreditation Manual for Ambulatory Care
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4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X
EM.02.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X8 X X X X X X X X X X X
EM.02.02.01 1 X X X X X X X X X X X3 X X X X X X X X X X X14 X X X X X X X X X X X17 X X X X X X X X X X X
EM.02.02.03 1 X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X12 X X X X X X X X X X X
EM.02.02.05 1 X X X X X X X X X X X5 X X X X X X X X X X X10 X X X X X X X X X X X
EM.02.02.07 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X9 X X X X X X X X X X X10 X X X X X X X X X X X
EM.02.02.09 1 X X X X X X X X X X X8 X X X X X X X X X X X
EM.02.02.11 1 X X X X X X X X X X X3 X X X X X X X X X X X11 X X X X X X X X X X X
EM.02.02.13 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X6 X X X X X X X X X
SAP – 6 CAMAC, January 2013
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7 X X X X X X X X X8 X X X X X X X X X9 X X X X X X X X X
EM.02.02.15 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X6 X X X X X X X X X7 X X X X X X X X X8 X X X X X X X X X9 X X X X X X X X X
EM.03.01.03 1 X X X X X X X X X X X2 X X X X X X X X X5 X X X X X X X X X X X13 X X X X X X X X X X X14 X X X X X X X X X X X16 X X X X X X X X X X X17 X X X X X X X X X X X
HR.01.01.01 10 X X11 X X12 X X13 X X
HR.01.02.01 1 X X X X X X X X X X XHR.01.02.05 1 X X X X X X X X X X X
2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X
HR.01.02.07 1 X X X X X X X X X X X2 X X X X X X X X X X X5 X X X X X X X X X X X
HR.01.04.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X
CAMAC, January 2013 SAP – 7
�Comprehensive Accreditation Manual for Ambulatory Care
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4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X
HR.01.05.03 1 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X7 X X X X X X X X X X X
HR.01.06.01 1 X X X X X X X X X X X3 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X15 X X X X X X X X X X X
HR.01.07.01 1 X X X X X X X X X X X2 X X X X X X X X X X X5 X X X X X X X X X X
HR.02.01.03 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X X X9 X X X X X X X X X X X10 X X X X X X X X X X X11 X X X X X X X X X X X12 X X X X X X X X X X X13 X X X X X X X X X X X14 X X X X X X X X X X X15 X X X X X X X X X X X16 X X X X X X X X X X X17 X X X X X X X X X X X18 X X X X X X X X X X X19 X X X X X X X X X X X20 X X X X X X X X X X X21 X X X X X X X X X X X22 X X X X X X X X X X X
SAP – 8 CAMAC, January 2013
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HR.02.01.05 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X X X9 X X X X X X X X X X X10 X X X X X X X X X X X
HR.02.02.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X
HR.02.03.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X
HR.02.04.01 1 X X2 X X3 X X
CAMAC, January 2013 SAP – 9
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4 X X5 X X6 X X7 X X8 X X9 X X
HR.02.04.03 1 X X2 X X3 X X4 X X5 X X6 X X7 X X8 X X9 X X
HR.03.01.01 1 XIC.01.01.01 3 X X X X X X X X X X X
5 X XIC.01.02.01 1 X X X X X X X X X X X
2 X X X X X X X3 X X X X X X X X X X X
IC.01.03.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X5 X X X X X X X X X X X
IC.01.04.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X
IC.01.05.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X8 X X X X X
SAP – 10 CAMAC, January 2013
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IC.01.06.01 1 X X X X X2 X X X X X3 X X X X X4 X X X X X5 X X X X X6 X X X X X
IC.02.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X X X9 X X X X X X X X X X X10 X X X X X X X11 X X X X X X
IC.02.02.01 1 X X X X X X X X X X X2 X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X
IC.02.03.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X
IC.02.04.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X X X9 X X X X X X X X X X X
IC.03.01.01 1 X X X X X X X X X X X
CAMAC, January 2013 SAP – 11
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IM.01.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X
IM.01.01.03 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X
IM.02.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X
IM.02.01.03 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X X X
IM.02.02.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X
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IM.03.01.01 1 X X X X X X X X X X XIM.04.01.01 1 X X X X X X X X X X XLD.01.01.01 1 X X X X X X X X X X X
SAP – 12 CAMAC, January 2013
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LD.01.03.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X20 X
LD.01.04.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X11 X X X X X X X X X X X
LD.01.07.01 2 X X X X X X X X X X X3 X X X X X X X X X X X
LD.02.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X
LD.02.03.01 1 X X X X X X X X X X X2 X X X X X X X X X X X
LD.03.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X X X9 X X X X X X X X X X X10 X X X X X X X X X X X
LD.03.02.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X
CAMAC, January 2013 SAP – 13
�Comprehensive Accreditation Manual for Ambulatory Care
Standard/RequirementNumber EP # A
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LD.03.03.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X
LD.03.04.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X
LD.03.05.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X
LD.03.06.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X
LD.04.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X15 X X
LD.04.01.03 1 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X
LD.04.01.05 1 X X X X X X X X X X X2 X X X X X X X X X X X
SAP – 14 CAMAC, January 2013
Standards Applicability Process�
Standard/RequirementNumber EP # A
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3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X
LD.04.01.07 1 X X X X X X X X X X X2 X X X X X X X X X X X
LD.04.01.11 2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X8 X
LD.04.02.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X
LD.04.02.03 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X
LD.04.02.05 1 X X X X X X X X X X X2 X X X X X X X X X X X
LD.04.03.01 1 X X X X X X X X X X X25 X X
LD.04.03.07 1 X X X X X X X X X X X2 X X X X X X X X X X X
LD.04.03.09 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X X X
CAMAC, January 2013 SAP – 15
�Comprehensive Accreditation Manual for Ambulatory Care
Standard/RequirementNumber EP # A
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10 X X X X X X X X X X XLD.04.04.01 1 X X X X X X X X X X X
2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X16 X X17 X X18 X X19 X X20 X X21 X X22 X X23 X X24 X
LD.04.04.03 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X
LD.04.04.05 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X X X9 X X X X X X X X X X X11 X X X X X X X X X X X12 X X X X X X X X X X X13 X X X X X X X X X X X14 X X X X X X X X X X X
LD.04.04.09 1 X X X X X X X X X X X2 X X X X X X X X X X X
SAP – 16 CAMAC, January 2013
Standards Applicability Process�
Standard/RequirementNumber EP # A
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CAMAC, January 2013 SAP – 16a
�Comprehensive Accreditation Manual for Ambulatory Care
This page is blankdue to revisions through
the CAMAC update.
CAMAC, January 2013SAP – 16b
Standards Applicability Process�
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5 X X X X X X X X X X XLS.01.01.01 1 X X
2 X X3 X X
LS.01.02.01 1 X X2 X X4 X X5 X X6 X X7 X X8 X X9 X X10 X X11 X X12 X X13 X X14 X X
LS.03.01.10 1 X X2 X X3 X X4 X X5 X X6 X X7 X X8 X X9 X X10 X X
LS.03.01.20 1 X X2 X X3 X X4 X X5 X X6 X X7 X X8 X X9 X X10 X X
CAMAC, January 2013 SAP – 17
�Comprehensive Accreditation Manual for Ambulatory Care
Standard/RequirementNumber EP # A
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11 X X12 X X13 X X14 X X15 X X16 X X17 X X18 X X19 X X20 X X
LS.03.01.30 1 X X2 X X3 X X4 X X5 X X6 X X7 X X8 X X9 X X10 X X11 X X12 X X13 X X14 X X15 X X16 X X17 X X18 X X19 X X20 X X
LS.03.01.34 1 X X2 X X3 X X4 X X5 X X6 X X
LS.03.01.35 1 X X
SAP – 18 CAMAC, January 2013
Standards Applicability Process�
Standard/RequirementNumber EP # A
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2 X X3 X X4 X X5 X X6 X X7 X X8 X X9 X X
LS.03.01.40 1 X X2 X X
LS.03.01.50 1 X X2 X X
LS.03.01.70 1 X X2 X X3 X X4 X X5 X X6 X X
MM.01.01.01 1 X X X X X X X X X2 X X X X X X X X X3 X X
MM.01.01.03 1 X X X X X X X2 X X X X X X X3 X X X X X X X
MM.01.02.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X
MM.02.01.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X6 X X X X X X X X7 X X X X X X X X8 X X X X X X X X9 X X X X X X X X10 X X X X X X X X
CAMAC, January 2013 SAP – 19
�Comprehensive Accreditation Manual for Ambulatory Care
Standard/RequirementNumber EP # A
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11 X X X X X X X X12 X X X X X X X X13 X X X X X X X X14 X X X X X X X X15 X X X X X X X X
MM.03.01.01 2 X X X X X X X X3 X X X X X X X X5 X X X X X X X X6 X X X X X X X X7 X X X X X X X X8 X X X X X X X X9 X X X X X X18 X X X X X X X X
MM.03.01.03 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X6 X X X X X X X X
MM.03.01.05 1 X X X X X X X2 X X X X X X X3 X X X X X X X
MM.04.01.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X7 X X X X X X X X8 X X X X X X12 X X13 X X X X X X X X X14 X X X X21 X
MM.05.01.01 1 X X X X X X X4 X X X X X X X5 X X X X X6 X X X X X7 X X X X X8 X X X X X
SAP – 20 CAMAC, January 2013
Standards Applicability Process�
Standard/RequirementNumber EP # A
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9 X X X X X11 X X X X X
MM.05.01.07 1 X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X
MM.05.01.09 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X6 X X X X X X X7 X X X X X X X8 X X X X X X X9 X X X X X X X10 X X X X X X X X11 X X X X X X X12 X X X X X X X X
MM.05.01.11 2 X X X X X X XMM.05.01.15 1 X X X X X X X X
3 X X X X X X X XMM.05.01.17 1 X X X X X X X X
2 X X X X X X X X X3 X X X X X X X X4 X X X X X X X X
MM.05.01.19 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X
MM.06.01.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X6 X X X X X X X X7 X X X X X X X X8 X X X X X X X X
CAMAC, January 2013 SAP – 21
�Comprehensive Accreditation Manual for Ambulatory Care
Standard/RequirementNumber EP # A
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9 X X X X X X X XMM.06.01.05 1 X X X X X X X
2 X X X X X X3 X X X X X X4 X X X X X X X
MM.07.01.01 1 X X X X X X X X2 X X X X X X X X
MM.07.01.03 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X5 X X X X X X X X
MM.08.01.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X6 X X X X X X X X7 X X X X X X X X8 X X X X X X X X
NPSG.01.01.01 1 X X X X X X X X X2 X X X X X X X X
NPSG.01.03.01 1 X X X2 X X X3 X X X
NPSG.03.04.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X6 X X X X X X X X7 X X X X X X X X8 X X X X X X X X
NPSG.03.05.01 2 X X3 X X7 X X8 X X
SAP – 22 CAMAC, January 2013
Standards Applicability Process�
Standard/RequirementNumber EP # A
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NPSG.03.06.01 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X
NPSG.07.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X
NPSG.07.05.01 1 X X X X X2 X X X X X3 X X X X X4 X X X5 X X X6 X X X7 X X X X X X X8 X X X X X X
UP.01.01.01 1 X X X X X2 X X X X X3 X X X X X
UP.01.02.01 1 X X X X2 X X X X3 X X X X4 X X X X5 X X X X
UP.01.03.01 1 X X X X X2 X X X X X3 X X X X X4 X X X X X5 X X X X X
PC.01.01.01 7 X X X X X X X X X X XPC.01.02.01 1 X X X X X X X X X X X
2 X X X X X X X X X X X4 X X X X X X X23 X X X X X X X X X X X
PC.01.02.03 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X
CAMAC, January 2013 SAP – 23
�Comprehensive Accreditation Manual for Ambulatory Care
Standard/RequirementNumber EP # A
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9 X X X X X X X X XPC.01.02.07 1 X X X X X X
2 X X X X X X X3 X X X X X X4 X X X X X X X
PC.01.02.09 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X6 X X X X X X X X X7 X X X X X X X X X
PC.01.02.15 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X5 X X X X6 X X X X7 X X X X
PC.01.03.01 1 X X X X X X X X X X X44 X45 X
PC.02.01.01 1 X X X X X X X X X X X16 X17 X
PC.02.01.03 1 X X20 X X X X X X X X X
PC.02.01.05 1 X X X X X X X X X X XPC.02.01.07 2 X X X X
12 X XPC.02.01.09 1 X X X X X X X X X
3 X X X X X X X X X4 X X9 X10 X
PC.02.01.21 1 X2 X
PC.02.02.01 1 X X X X X X X X X X X
SAP – 24 CAMAC, January 2013
Standards Applicability Process�
Standard/RequirementNumber EP # A
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2 X X X X X X3 X X X X X X X X X X X10 X X X X X X X X X X X15 X17 X X X X X X X X X X X24 X25 X
PC.02.02.03 7 X X X X X X X X11 X X X X X X X X
PC.02.03.01 1 X X X X X X X X X4 X X X X X X X X X5 X X X X X X10 X X X X X X X X X25 X X X X X X X X X27 X X X X X X X X X28 X
PC.02.04.01 1 X2 X3 X
PC.02.04.03 1 X2 X3 X4 X5 X
PC.02.04.05 1 X2 X3 X4 X5 X6 X7 X8 X9 X10 X11 X12 X13 X
CAMAC, January 2013 SAP – 25
�Comprehensive Accreditation Manual for Ambulatory Care
Standard/RequirementNumber EP # A
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PC.03.01.01 1 X X X X X2 X X X X X6 X X X X X7 X X X X X8 X X X X X
PC.03.01.03 1 X X X X X X2 X X X X X X3 X X X X X X4 X X X X X X5 X X X X X X6 X X X X X7 X X X X X X8 X X X X X X9 X X10 X X12 X X13 X X14 X X15 X X16 X X17 X X
PC.03.01.05 1 X X X X X XPC.03.01.07 1 X X X X X X
2 X X X X X X4 X X X X X X5 X X6 X X X X X X9 X X
PC.03.02.03 1 X X X X X XPC.03.02.07 1 X X X X X
2 X X X X X3 X X X X X X
PC.04.01.01 1 X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X4 X X X X X X X X11 X X
SAP – 26 CAMAC, January 2013
Standards Applicability Process�
Standard/RequirementNumber EP # A
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PC.04.01.03 2 X X X X X X X X X3 X X X X X X X X4 X X X X X X X X X
PC.04.01.05 1 X X X X X X X X X7 X X X X X X X X X8 X X X X X X X X X9 X X10 X X11 X X12 X X13 X X14 X X
PC.04.02.01 1 X X X X X X X XPI.01.01.01 1 X X X X X X X X X X X
2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X5 X X X X X6 X X X X7 X X8 X X14 X X X X X X X X15 X X X X X X X X16 X X X X X X X X X28 X X29 X X30 X X X X X X X X X X X36 X X40 X41 X42 X X X X X X X X X
PI.02.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X
CAMAC, January 2013 SAP – 27
�Comprehensive Accreditation Manual for Ambulatory Care
Standard/RequirementNumber EP # A
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PI.03.01.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X10 X X11 X
RC.01.01.01 1 X X X X X X X X X X X5 X X X X X X X X X X X6 X X X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X X X9 X X X X X X X X X X X11 X X X X X X X X X X X12 X X X X X X X X X X X13 X X X X X X X X X X X14 X X X X X X X X X X X
RC.01.02.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X4 X X X X X X X X X X X5 X X X X X X X X X X X
RC.01.03.01 1 X X X X X X X X X X X2 X X X X X X X X X X X3 X X X X X X X X X X X
RC.01.04.01 1 X X X X X X X X X X XRC.01.05.01 1 X X X X X X X X X X X
8 X X X X X X X X X X XRC.02.01.01 1 X X X X X X X X X X X
2 X X X X X X X X X X X4 X X X X X X X X X X X21 X X X X28 X29 X30 X X X X X X X X X X X
RC.02.01.03 1 X X X X X X X
SAP – 28 CAMAC, January 2013
Standards Applicability Process�
Standard/RequirementNumber EP # A
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CAMAC, January 2013 SAP – 28a
�Comprehensive Accreditation Manual for Ambulatory Care
This page is blankdue to revisions through
the CAMAC update.
CAMAC, January 2013SAP – 28b
Standards Applicability Process�
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6 X X X X X X X7 X X X X X X X8 X X X X X X X9 X X X X X X X10 X X X X X X X11 X X X X X X X12 X X13 X X14 X X
RC.02.01.05 1 X X X X X X X XRC.02.01.07 1 X X X X X X
2 X X X X X X3 X X X X X X4 X X X X X X
RC.02.03.07 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X4 X X X X X X X X X
RI.01.01.01 1 X X X X X X X X X X X2 X X3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X6 X X X X X X X X X7 X X X X X X X X X X X8 X X X X X X X X X10 X X X X X X X X X13 X X
RI.01.01.03 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X4 X X5 X X
RI.01.02.01 1 X X X X X X X X X X3 X X X X X X X X X X6 X X X X X X X X X X7 X X X X X X X X X X
CAMAC, January 2013 SAP – 29
�Comprehensive Accreditation Manual for Ambulatory Care
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RI.01.03.01 1 X X X X X X X X X X2 X X X X X X X X X X3 X X X X X X X X X X6 X X X X X X X X X X7 X X X X X X X X X X9 X X X X X X X X X X11 X X X X X X X X X X12 X X X X X X X X X X13 X X X X X X X X X X15 X X
RI.01.03.03 1 X X X X X X X X X X2 X X X X X X X X X X6 X X X X X X X X X X7 X X X X X X X X X X8 X X X X X X X X X
RI.01.03.05 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X4 X X X X X X X X X5 X X X X X X X X X6 X X X X X X X X X7 X X X X X X X X X
RI.01.04.01 1 X X X X X X X X X2 X X X X X X X X X
RI.01.04.03 1 X2 X3 X4 X5 X6 X
RI.01.05.01 1 X X X X X X X X X4 X X X X X X X X X
SAP – 30 CAMAC, January 2013
Standards Applicability Process�
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RI.01.06.03 1 X X X X X X X X X2 X X X X X X X X X3 X X X X X X X X X6 X X
RI.01.07.01 1 X X X X X X X X X2 X X X X X X X X X4 X X X X X X X X X10 X X11 X X21 X X22 X X23 X X24 X X25 X X26 X X27 X X
RI.02.01.01 2 X X X X X X X X XTS.03.01.01 1 X X X
2 X X X3 X X X4 X X X5 X X X6 X X X7 X X X8 X X X9 X X X10 X X X11 X X X
TS.03.02.01 1 X X X2 X X X3 X X X4 X X X5 X X X
CAMAC, January 2013 SAP – 31
�Comprehensive Accreditation Manual for Ambulatory Care
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TS.03.03.01 1 X X X2 X X X3 X X X4 X X X5 X X X
WT.01.01.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X6 X X X X X X X X7 X X X X X X X X8 X X X X X X X X
WT.02.01.01 1 X X X X X X X X2 X X X X X X X X
WT.03.01.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X6 X X X X X X X X
WT.04.01.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X
WT.05.01.01 1 X X X X X X X X2 X X X X X X X X3 X X X X X X X X4 X X X X X X X X5 X X X X X X X X
SAP – 32 CAMAC, January 2013