Accreditation

A look at Joint Commission scoring 101

Briefings on The Joint Commission, February 1, 2009

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No more B EPs

Let’s look at the basics. The first question you must ask yourself is, “Which type of a standard am I looking at?”

B EPs are gone. Put supplemental findings out of your head. We are now dealing only with A and C EPs.

The A EPs can be broken down as structural requirements (e.g., policies or plans) or they may address an issue even though it focuses on performance or outcomes (e.g., the National Patient Safety Goals). A EPs are there or they’re not. There’s no middle ground. They are scored as 0 or 2.

C EPs are frequency-based, with hospitals scored between 0 and 2 depending on occurrences. C EPs are broken down by the following:

  • One or no occurrences of noncompliance. The hospitals receives a score of 2.
  • Two occurrences of noncompliance. The hospital receives a score of 1.
  • Three or more occurrences of noncompliance. The hospital receives a score of 0.

Note: Even though a C element might be scored as 1, the standard will still be scored as 0. In 2008, any EP scored as 1 results in a standard score of 2, whereas in 2009, any EP score of 1 results in a standard score of 0.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on The Joint Commission.

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