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Joint Commission Conflict Management Standard

LD.02.04.01

The organization manages conflict between leadership groups to protect the quality and safety of care.

Elements of Performance

  1. Senior managers and leaders of the organized medical staff work with the governing body to develop an ongoing process for managing conflict among leadership groups
  2. The governing body approves the process for managing conflict among leadership groups.
  3. Individuals who help the hospital implement the process are skilled in conflict management. 
    (Note: These individuals may be from either inside or outside the hospital.)
  4. The conflict management process includes the following:
    • Meeting with the involved parties as early as possible to identify the conflict
    • Gathering information regarding the conflict
    • Working with the parties to manage and, when possible, resolve the conflict
    • Protecting the safety and quality of care
  5. The hospital implements the process when a conflict arise that, if not managed, could adversely affect patient safety or quality of care.
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