Locums, Inc. is seeking Surgical Physicians for Family Practice/Internal Medicine Physicians for full-time Adult Primary care services in the Chinle Healthcare Facility in Chinle, AZ. Assignment will be for a minimum of 1 month with extensions available. Any valid state or Federal license acceptable. About the Opportunity:- Period of Performance is approx. 4/1/23 to 7/1/23 w/ extensions to 4/1/24 available- Daily shifts: 7am 3:30pm, M-F w/ weeknight and weekend on-call time rotated among staff- Estimated 3 patients/hour- Provide local populace with surgical needs addressing chronic preventative medicine issues. - Located near the Canyon de Chelly National Monument. Perfect for the outdoor enthusiast with access to spectacular biking, hiking, and fishing. Requirements:- Active and unrestricted state or Federal license- Board Certified or Eligible in General Surgery- Active and unrestricted DEA- Active BLS/CPR, ACLS, ATLS, and PALS certifications mandatory- Full vaccinations and immunizations- 3 References- Able to commit to a month-long assignment<img src="https://www.jobg8.com/Tracking.aspx?tyIUPsNI6iF28At4AtUwegb" width="0" height="0" />

**Surgical Physician**

Locums, Inc. is seeking Surgical Physicians for Family Practice/Internal Medicine Physicians for full-time Adult Primary care services in the Chinle Healthcare Facility in Chinle, AZ. Assignment will be for a minimum of 1 month with extensions available. 

**Job Description**

- Period of performance is approximately 4/1/23 to 7/1/23 with extensions to 4/1/24 available
- Daily shifts: 7 am to 3:30 pm, Monday to Friday with weeknight and weekend on-call time rotated among staff
- Estimated 3 patients per hour
- Provide local populace with surgical needs addressing chronic preventative medicine issues
- Located near the Canyon de Chelly National Monument, perfect for the outdoor enthusiast with access to spectacular biking, hiking, and fishing

**Requirements**

- Active and unrestricted state or Federal license
- Board Certified or Eligible in General Surgery
- Active and unrestricted DEA
- Active BLS/CPR, ACLS, ATLS, and PALS certifications mandatory
- Full vaccinations and immunizations
- 3 references
- Able to commit to a month-long assignment

Physician / Surgery - Colon-Rectal / Arizona / Locum tenens / Travel Surgeon Position Job

Locums, Inc. is seeking a Family Practice or General Medicine Physician for full-time services in at the Pinon, AZ hospital working with the native Navajo people. The position is for 1 month with multiple extensions possible. All valid state or Federal licenses acceptable. Board certified and Board eligible physicians in Family Medicine and General Medicine are both accepted. About the Opportunity:- Period of Performance is approx. 4/15/22 to 5/15/22 w/ extensions available until 12/31/22- 8am - 5pm, Monday Friday with minimal overtime - Estimated 3 patients/hour- 70% Adult and 30% Pediatric patient volume- Provide local populace with Family medical care services in an out-patient and telemedicine setting.- Pinon Health Center is part of the Chinle, AZ hospital group. Lodgings will be in Chinle, AZ- Located near the Canyon de Chelly National Monument. Perfect for the outdoor enthusiast with access to spectacular biking, hiking, and fishing. Requirements:- Active and unrestricted state or Federal license- Board Certified or Eligible in FM or GM- Active and unrestricted DEA- Active CPR/BLS, ACLS, ATLS, & PALS certifications mandatory- Full vaccinations and immunizations- 3 References- Must have been practicing within discipline within the last 6 months<img src="https://www.jobg8.com/Tracking.aspx?J2IavVdPSG9S8sx8x3y26Qt" width="0" height="0" />

**Family Practice or General Medicine Physician**

Locums, Inc. is seeking a Family Practice or General Medicine Physician for full-time services at the Pinon, AZ hospital working with the native Navajo people. The position is for 1 month with multiple extensions possible. All valid state or Federal licenses are acceptable. Board certified and board eligible physicians in Family Medicine and General Medicine are both accepted.

**Job Description**

- Period of performance is approximately 4/15/22 to 5/15/22 with extensions available until 12/31/22
- 8 am - 5 pm, Monday to Friday with minimal overtime
- Estimated 3 patients per hour
- 70% adult and 30% pediatric patient volume
- Provide local populace with family medical care services in an outpatient and telemedicine setting
- Pinon Health Center is part of the Chinle, AZ hospital group. Lodgings will be in Chinle, AZ
- Located near the Canyon de Chelly National Monument, perfect for the outdoor enthusiast with access to spectacular biking, hiking, and fishing

**Requirements**

- Active and unrestricted state or Federal license
- Board certified or eligible in Family Medicine or General Medicine
- Active and unrestricted DEA
- Active CPR/BLS, ACLS, ATLS, & PALS certifications mandatory
- Full vaccinations and immunizations
- 3 references
- Must have been practicing within discipline within the last 6 months

Physician / Family Practice / Arizona / Locum tenens / General Medicine / Family Practice Physician / Travel Position Job

Locums, Inc. is seeking a Hospitalist and a Nocturnist for the Chinle, AZ IHS hospital in located in Chinle, AZ. Minimum assignment length of 4 weeks with extensions available until the end of the year. All state and Federal licenses accepted at all government facilities.About the Opportunity:- Period of Performance will be approx. 2/15 31/21- Located in Chinle, AZ within minutes of the Canyon de Chelly National Monument and within driving distance of Telluride, Durango, and the 4 Corners region- Patients will be of all age ranges- Nocturnist Shift is 8pm to 8am; Hospitalist Shift is 8am to 8pm with On-call hours on rotation - 12hr shifts on a 7 day on/7 days off rotating schedule- Overtime rare - Provider will work days/nights during week, weekends, and holidays while on schedule- Malpractice insurance maintained and paid for by Locums, Inc.- Initial travel paid by Locums, inc. Requirements:- Active and unrestricted state or Federal license - Active and unrestricted DEA- Board certified or eligible in Internal Medicine or Family Medicine- Active CPR/BLS, ACLS, PALS, & NRP Certifications- Current vaccinations and immunizations - 3 Years of experience in chosen field- 3 References<img src="https://www.jobg8.com/Tracking.aspx?fkJRLBjFk8ZDbSi%2b0kVd9gq" width="0" height="0" />

**Hospitalist and Nocturnist**

Locums, Inc. is seeking a Hospitalist and a Nocturnist for the Chinle, AZ IHS hospital located in Chinle, AZ. Minimum assignment length of 4 weeks with extensions available until the end of the year. All state and federal licenses are accepted at all government facilities.

**Job Description**

- Period of performance will be approximately 2/15 to 31/21
- Located in Chinle, AZ within minutes of the Canyon de Chelly National Monument and within driving distance of Telluride, Durango, and the 4 Corners region
- Patients will be of all age ranges
- Nocturnist shift is 8 PM to 8 AM; Hospitalist shift is 8 AM to 8 PM with on-call hours on rotation
- 12-hour shifts on a 7 days on/7 days off rotating schedule
- Overtime is rare
- Provider will work days/nights during the week, weekends, and holidays while on schedule
- Malpractice insurance maintained and paid for by Locums, Inc.
- Initial travel paid by Locums, Inc.

**Requirements**

- Active and unrestricted state or federal license
- Active and unrestricted DEA
- Board certified or eligible in Internal Medicine or Family Medicine
- Active CPR/BLS, ACLS, PALS, & NRP certifications
- Current vaccinations and immunizations
- 3 years of experience in chosen field
- 3 references

Physician / Family Practice / Arizona / Locum tenens / Hospitalist / Nocturnist / Travel Position Job

Job DescriptionDuties and responsibilities will encompass outpatient and inpatient, Family Practice orInternal Medicine Physician Services to I.H.S. patients.IHS facility Chinle, AZ8:00 am to 5:00 pm, Monday through Friday, Forty (40) hours per week, Call-Back Hours andOvertime Hours after 5 pmTo be considered for these positions you must provide:A current CV without any gaps of 30 days or more from completion of Medical School until present; all facilities must list a city and StateOne active, unrestricted State Medical LicenseCurrent DEA3 Current References that can attest to your Clinical skills in the past 12 months (phone numbers and mailing addresses included)BLS What Top Docs, Inc. offers:Covered travel, board and rental carMalpractice insurance with tail-coverageExpedited CredentialingIn-house Credentialing and Travel Coordinator20 years experience in staffing Federal FacilitiesPlease contact me today Pamela Chesher / Physician Recruiter Top Docs, Inc.1025 Old Roswell Road, Suite 204, Roswell, GA ext / cell) /<img src="https://www.jobg8.com/Tracking.aspx?V4CFM3PGVVE6n48NF15vRAp" width="0" height="0" />

**Family Practice or Internal Medicine Physician**

Duties and responsibilities will encompass outpatient and inpatient Family Practice or Internal Medicine Physician Services to I.H.S. patients at the IHS facility in Chinle, AZ. The position is from 8:00 am to 5:00 pm, Monday through Friday, totaling forty (40) hours per week, with call-back hours and overtime hours after 5 pm.

**Job Description**

- Provide outpatient and inpatient Family Practice or Internal Medicine Physician Services to I.H.S. patients.
- Work at the IHS facility in Chinle, AZ.
- Maintain a schedule of 8:00 am to 5:00 pm, Monday through Friday.

**Requirements**

- A current CV without any gaps of 30 days or more from completion of Medical School until present; all facilities must list a city and state.
- One active, unrestricted State Medical License.
- Current DEA.
- Three current references that can attest to your clinical skills in the past 12 months (phone numbers and mailing addresses included).
- BLS certification.

**Benefits**

- Covered travel, board, and rental car.
- Malpractice insurance with tail coverage.
- Expedited credentialing.
- In-house credentialing and travel coordinator.
- 20 years of experience in staffing federal facilities.

Physician / Family Practice / Arizona / Locum tenens / Physician / Internal Medicine or Family Practice / Locum Tenens / IHS Chinlie, AZ Job

100% out-patient care to patients seen in the clinic: Includes examinationDiagnosisTreatmentReferral to outside facilities as neededPerforms complex diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Makes preliminary diagnosis, directs, prescribes or provides treatment.Provides emergency care as required. Monday-Friday 8am-5pm. No Holidays.<img src="https://www.jobg8.com/Tracking.aspx?j6Qf8g2lYZP91pM5adKZEQu" width="0" height="0" />

**Outpatient Care Physician**

Join our team as an Outpatient Care Physician, providing comprehensive care to patients in a clinic setting. This position focuses on delivering high-quality medical services with a commitment to patient well-being.

**Job Description**

- Provide 100% outpatient care to patients seen in the clinic
- Conduct examinations, diagnoses, and treatments
- Refer patients to outside facilities as needed
- Perform complex diagnostic tests and examinations to gather necessary information related to each case
- Make preliminary diagnoses and direct, prescribe, or provide treatment
- Provide emergency care as required
- Work schedule: Monday-Friday, 8 am - 5 pm. No holidays.

Physician / Family Practice / Arizona / Locum tenens / Family Practice Physician Needed at Pinon Health Center Job

Job Description:100% out-patient care to patients who come to Urgent Care to be evaluated when needed: Includes examination Diagnosis Treatment Referral to outside facilities as needed Performs complex diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Makes preliminary diagnosis, directs, prescribes or provides treatment.Provides emergency care as required.<img src="https://www.jobg8.com/Tracking.aspx?7qsCmd0cFYHFyAPTDf4txgx" width="0" height="0" />

**Job Description**

100% out-patient care to patients who come to Urgent Care to be evaluated when needed: Includes examination, diagnosis, treatment, and referral to outside facilities as needed. Performs complex diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Makes preliminary diagnosis, directs, prescribes, or provides treatment. Provides emergency care as required.

Physician / Urgent Care / Arizona / Locum tenens / IHS Urgent Care Chinle, AZ Job

DescriptionPerform outpatient and inpatient consults including Emergency RoomProvide direct psychiatric care to a wide range of patients with particular emphasis on children, adolescents, adults and their familiesServices include but not limited to: o Evaluation services o Crisis stabilizations o Psychopharmacology o Psychotherapy (individual, family and group) o Interactive therapies for children, adolescent and adults o Behavior modification planningWork any location with your current Medical License Locum Tenens Independent Contractor Status Paid malpractice Insurance Paid travel & housing Chance to give back to those who have servedPlease contact:Pamela ChesherPhysician Recruiter x 5425<img src="https://www.jobg8.com/Tracking.aspx?aC9pJ12ofIez6PyA9Wy1XQw" width="0" height="0" />

**Psychiatrist**

Join our team as a Psychiatrist, where you will perform outpatient and inpatient consults, including in the Emergency Room. This position provides direct psychiatric care to a wide range of patients, with a particular emphasis on children, adolescents, adults, and their families.

**Job Description**

- Provide evaluation services
- Conduct crisis stabilizations
- Administer psychopharmacology
- Offer psychotherapy (individual, family, and group)
- Implement interactive therapies for children, adolescents, and adults
- Develop behavior modification planning
- Work at any location with your current Medical License

**Benefits**

- Locum Tenens Independent Contractor Status
- Paid malpractice insurance
- Paid travel and housing
- Opportunity to give back to those who have served

Physician / Psychiatrist / Arizona / Locum tenens / IHS Psychiatry Chinle, AZ Job

Board Certified/Board Eligible3 Years in EM training (residency in Emergency Medicine required)6 Months in EM practicingDEA LicenseBLS, ACLS, PALSAdvanced airway management endotracheal intubation, Rapid Sequence intubation8 AM- 8 PM or 8 PM-8 AM Sat-Sun including Holidays (12 Hour Shifts) (May be OT)Chinle Comprehensive Healthcare Facility60 bed inpatient hospitalAnnual volume 30,000 patientsHealthcare hub for regionCurrent CVOne active, unrestricted state licenseDEA3 Current ReferencesBLS, ACLS, PALS<img src="https://www.jobg8.com/Tracking.aspx?Llj9fQCJGSj3dDLt9DHULQg" width="0" height="0" />

**Emergency Medicine Physician**

Join our team at Chinle Comprehensive Healthcare Facility, a 60-bed inpatient hospital serving as a healthcare hub for the region. This position offers the opportunity to work in a dynamic environment with an annual volume of 30,000 patients.

**Job Description**

- Board Certified/Board Eligible in Emergency Medicine
- 3 years of training in Emergency Medicine (residency required)
- 6 months of experience practicing Emergency Medicine
- DEA License required
- BLS, ACLS, and PALS certifications
- Advanced airway management skills including endotracheal intubation and rapid sequence intubation
- Work schedule includes 12-hour shifts from 8 AM to 8 PM or 8 PM to 8 AM on Saturdays and Sundays, including holidays (may include overtime)

**Requirements**

- One active, unrestricted state license
- Current DEA
- Three current references



Physician / Emergency Medicine / Arizona / Locum or Permanent / 3 Emergency Medicine Physicians Needed in Chinle, Arizona Job

Job Description: Prevention therapy Maintenance and rehabilitation of patients by performing interviews and examineseach patient Review past medical history and requests or performs complex diagnostic tests and examinations deemed necessary to obtain all possibleinformation related to each case. Make preliminary diagnosis, directs, prescribes or provide treatment or arranges for specialized care or patient referral as required.8:00 am to 5:00 pm, Monday through Friday, 40 hours per week, Call-Back Hours and Overtime Hours after 5 pm. Overtime: Contractor shall be subject to working longer hours if patient load demands are present and rotating shifts to provide coverage in the Outpatientand Inpatient Departments. Weeknight On-Call/Standby Hours: 15 Hours per night, 5:00 pmto 8:00 am, Monday through Friday. Weekend/Holiday On-Call/Standby Hours: 24 Hours per day.<img src="https://www.jobg8.com/Tracking.aspx?Kavu8oog38lKBqHmBa8RdQk" width="0" height="0" />

**Job Description**

Prevention therapy maintenance and rehabilitation of patients by performing interviews and examining each patient. Review past medical history and request or perform complex diagnostic tests and examinations deemed necessary to obtain all possible information related to each case. Make preliminary diagnosis, direct, prescribe or provide treatment, or arrange for specialized care or patient referral as required.

**Work Schedule**

- 8:00 am to 5:00 pm, Monday through Friday, 40 hours per week
- Call-back hours and overtime hours after 5 pm
- Overtime: Contractor shall be subject to working longer hours if patient load demands are present and rotating shifts to provide coverage in the outpatient and inpatient departments
- Weeknight on-call/standby hours: 15 hours per night, 5:00 pm to 8:00 am, Monday through Friday
- Weekend/holiday on-call/standby hours: 24 hours per day

Physician / Family Practice / Arizona / Locum tenens / Internal Medicine and Family Practice Physicians Needed in Chinle, AZ Job

Radiologist - MD/DO Not all who wander are lost The Community - Chinle AZ The Chinle Comprehensive Health Care Facility (CCHCF) is based in Chinle, Arizona (Northeast Arizona near Canyon De Chelly National Monument). The CCHCF is a 60 bed hospital which serves as the health care hub for the region. The medical staff includes Family Physicians, Internists, Pediatricians, General Surgeons, OB/GYN's, Anesthesiologists, and a Psychiatrist. In addition to routine outpatient and inpatient primary care, services available to our patients include: Adult Intensive Care, General Surgery (including laparoscopic surgery), routine and operative Obstetrics, and 24-Hour Emergency Room Services. Health care services are provided to approximately 37,000 active users. Strong Navajo cultural traditions exist within the community, offering an opportunity to learn the Navajo language, or to learn about traditional Navajo medicine. The service unit is located on the Colorado Plateau with excellent opportunities for photography, hiking, running, road biking, cross country skiing, and mountain biking. Canyon de Chelly National Monument is within 5 miles of the hospital and is a wonderful place for exploring and sightseeing, running and mountain biking. Explore the Canon de Chelly Chinle Comprehensive Health Care Facility (CCHCF) CCHCF provides medical care for approximately 35,000 Navajo. Serving a rural area, many of our patients travel 100 miles round trip to receive care and do not have electricity or running water in their homes. In addition, most of our elderly patients speak only Navajo, and live according to traditional Navajo cultural practices. The CCHCF and Ambulatory Care Center is a 60-bed inpatient hospital and outpatient facility. Services offered include: • Adult Inpatient • Labor & Delivery • Pharmacy • Adult Intensive Care • Mental Health • Physical Therapy • Anesthesiology • Nurse Phone Triage Services • Podiatry • Audiology • OB/GYN & Midwifery • Public Health • Dental • Occupational Therapy • Radiology • Emergency Medicine • Optometry • School Health • General Surgery • Outpatient Primary Care • Speech Pathology • Lab • Pediatric Inpatient • Women's Health RESPONSIBILITIES The Radiologist shall provide outpatient and inpatient professional radiology medical services or direct patient care services under the terms of this contract, appropriate and timely medical services in accordance with the standards of care established by recognized medical care organizations and in accordance with the policies and procedures of CCHCF's Medical Staff Bylaws and Rules & Regulations, including attendance at department and medical staff meetings at CCHCF. There is some variability of daily and weekly hours based on workload, emergency cases, scheduling of cases and staffing variability. The Radiologist shall be subject to working longer hours if patient load is high after their regularly scheduled shift during the week. The Radiologist will be required to work shifts as directed by the Assistant Clinical Director or his designee. <ul><li> The Radiologist shall provide direct patient care services as follows: A. The Radiologist shall evaluate and interpret all diagnostic imaging examinations (including XR, US, CT, and MRI) and prepare comprehensive interpretive reports of findings. Mammogram and obstetric ultrasound NOT required. </li><li> The Radiologist shall read required modalities in a timeframe consistent with industry average. </li><li> The Radiologist shall perform a wide variety of common and special radiologic diagnostic roentgeonologic procedures. </li><li> The Radiologist shall prepare interpreted studies reports using voice recognition technology and assess the adequacy of patient care and/or services rendered to identify causes of inadequacies and correct deficiencies. </li><li> The Radiologist shall provide consultant services to other department heads and visiting/contract physician to interpret radiological findings and assist in determining appropriate methods and extent of treatments necessary. The Radiologist shall provide only plain films at Tsaile and Pinon Health Stations. </li><li> The Radiologist's routine duties shall include providing medical care and public health services to individuals eligible for services provided by the Client in homes, schools, clinics, job sites, and other community locations within the service unit. </li><li> The Radiologist shall contact the ordering physician immediately if the interpretation of a study suggests a significant health risk to the individual. All other x-ray discrepancies (without major clinical significance) will be documented through a reporting system established in the Department of Radiology </li><li> The Radiologist shall provide consultative services by determining and recommending methods and procedures for coordination of radiology services. The Radiologist shall provide leadership and guidance to the radiology technicians to secure maximum utilization of skills and abilities. </li><li> The Radiologist shall provide appropriate documentation on rendered patient care utilizing CCHCF's EHR system. The Radiologist is responsible for utilizing the CCHCF EHR system to obtain, dictate, electronically enters and assures preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. Clinical data reports shall be completed in a timely manner and shall be maintained in compliance with Joint Commission standards. It is the responsibility of the Radiologist to use the training resources provided by the CCHC<img src="https://www.jobg8.com/Tracking.aspx?AiQGX5dS5TB2JViiXKhu0Qc" width="0" height="0" />

**Radiologist - MD/DO**

Not all who wander are lost.

**Community Overview**

The Chinle Comprehensive Health Care Facility (CCHCF) is based in Chinle, Arizona (Northeast Arizona near Canyon De Chelly National Monument). The CCHCF is a 60-bed hospital that serves as the health care hub for the region. The medical staff includes Family Physicians, Internists, Pediatricians, General Surgeons, OB/GYNs, Anesthesiologists, and a Psychiatrist. In addition to routine outpatient and inpatient primary care, services available to our patients include: Adult Intensive Care, General Surgery (including laparoscopic surgery), routine and operative Obstetrics, and 24-Hour Emergency Room Services. Health care services are provided to approximately 37,000 active users. Strong Navajo cultural traditions exist within the community, offering an opportunity to learn the Navajo language or to learn about traditional Navajo medicine. The service unit is located on the Colorado Plateau with excellent opportunities for photography, hiking, running, road biking, cross-country skiing, and mountain biking. Canyon de Chelly National Monument is within 5 miles of the hospital and is a wonderful place for exploring and sightseeing, running, and mountain biking.

**Job Description**

- The Radiologist shall provide outpatient and inpatient professional radiology medical services or direct patient care services under the terms of this contract, appropriate and timely medical services in accordance with the standards of care established by recognized medical care organizations and in accordance with the policies and procedures of CCHCF's Medical Staff Bylaws and Rules & Regulations, including attendance at department and medical staff meetings at CCHCF. 
- There is some variability of daily and weekly hours based on workload, emergency cases, scheduling of cases, and staffing variability. 
- The Radiologist shall be subject to working longer hours if patient load is high after their regularly scheduled shift during the week. 
- The Radiologist will be required to work shifts as directed by the Assistant Clinical Director or his designee. 
- The Radiologist shall evaluate and interpret all diagnostic imaging examinations (including XR, US, CT, and MRI) and prepare comprehensive interpretive reports of findings. Mammogram and obstetric ultrasound NOT required.
- The Radiologist shall read required modalities in a timeframe consistent with industry average.
- The Radiologist shall perform a wide variety of common and special radiologic diagnostic procedures.
- The Radiologist shall prepare interpreted studies reports using voice recognition technology and assess the adequacy of patient care and/or services rendered to identify causes of inadequacies and correct deficiencies.
- The Radiologist shall provide consultant services to other department heads and visiting/contract physicians to interpret radiological findings and assist in determining appropriate methods and extent of treatments necessary. The Radiologist shall provide only plain films at Tsaile and Pinon Health Stations.
- The Radiologist's routine duties shall include providing medical care and public health services to individuals eligible for services provided by the Client in homes, schools, clinics, job sites, and other community locations within the service unit.
- The Radiologist shall contact the ordering physician immediately if the interpretation of a study suggests a significant health risk to the individual. All other x-ray discrepancies (without major clinical significance) will be documented through a reporting system established in the Department of Radiology.
- The Radiologist shall provide consultative services by determining and recommending methods and procedures for coordination of radiology services. 
- The Radiologist shall provide leadership and guidance to the radiology technicians to secure maximum utilization of skills and abilities.
- The Radiologist shall provide appropriate documentation on rendered patient care utilizing CCHCF's EHR system. 
- The Radiologist is responsible for utilizing the CCHCF EHR system to obtain, dictate, electronically enter, and assure preparation of appropriate medical records for all patients seen to assure the accumulation and organization of all pertinent clinical data needed to provide comprehensive medical care. 
- Clinical data reports shall be completed in a timely manner and shall be maintained in compliance with Joint Commission standards. 

