Safety

The JCAHO posts new accreditation standards

Emergency Management Alert, June 19, 2003

The Joint Commission on Accreditation of Healthcare Organizations (JCAHO) on June 13 posted its new accreditation standards at "www.jcaho.org/accredited+organizations/2004+standards.htm", which take effect January 1, 2004. Organizations should receive the published standards in November.

Since 2000, the Joint Commission's standards review task force has examined each standard for all of the JCAHOs accreditation programs excluding assisted living, critical access hospitals, networks, and office-based surgery.

The JCAHO revamped the standards with the following goals in mind:

* Reduce the number of standards by eliminating those that are no longer relevant

* Improve the clarity and relevance

* Lessen paperwork and documentation burdens to demonstrate compliance

* Align the standards requirements now called elements of performance with surveyor assessment and scoring protocols

In doing so, the JCAHO consolidated standards from the assessment and care of patients (TX) chapters, the continuum of care, and education chapters into a new provision of care chapter. The TX medication standards now appear in a medication management (MM) chapter.

The JCAHO says the resulting standards are not new. Modifications embody deletions, consolidations, or clarifications of existing standards. However, the accreditor did add some new requirements that appear in the MM chapter, for example. Also, some elements of performance that appeared in one manual may now apply across all manuals, so new expectations may appear in some manuals.

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