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Goals scoring stays the same in 2006, relaxes in 2007

Briefings on The Joint Commission, September 1, 2006

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.

After reading this article, you will be able to

1. -describe how the formatting of the NPSGs will changein 2007

2. -explain why 100% compliance will no longer be expected for most NPSGs

Beginning January 1, 2007, surveyors will score the National Patient Safety Goals (NPSG) during surveys just as they would any other accreditation standard. The main reason for this change is that JCAHO has reformatted the goals to be consistent with the structure for all other standards.

The changes

Reformatting the NPSGs means that there will now be more chances for being cited. Each of the NPSGs' requirements (e.g., #2a, #2b, #2d, #2e)becomes its own standard in 2007, with its own set of elements of performance (EP) or, in the case of the NPSGs, implementation expectations (IE).

Each IE has its own A or C scoring designation, with many of the Cs requiring measures of success. Unlike other standards, the NPSGs will only have A (all or nothing) or C (rate-based) scoring categories; there are no B (subjective) expectations.

In 2006, if you're noncompliant with a goal, such as #8 (medication reconciltation), you receive only one requirement for improvement (RFI). In 2007, if you're noncompliant with medication reconciliation's two subgoals (standards), such as #8a (with two IEs) and #8b (with three IEs), it could lead to two RFIs.

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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