Accreditation

Joint Commission updates education, EM requirements

Briefings on Accreditation and Quality, February 1, 2018

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The latest update to The Joint Commission’s Comprehensive Accreditation Manual for Hospitals (CAMH) is available and includes the most recent revisions related to the new federal requirements for emergency preparedness as well as more updates because of the adoption of the 2012 NFPA Life Safety Code® (LSC).

The revisions to the Emergency Management standards to align with the new emergency preparedness Conditions of Participation are effective as of November 15, while the latest LSC-related revisions took effect January 1 along with revisions to the National Patient Safety Goals, Medication Management, and Leadership, plus other notable changes.

While all of the changes have been previously announced, note that the revisions include four updates to EPs on education and training:

  • Environment of Care standard EC.03.01.01, which required staff and independent licensed practitioners to understand their roles within the environment of care, adds a new element of performance (EP) on education and training of staff expected to maintain, test, inspect, and use equipment within that environment of care. Those staff members now are required to undergo continuing training and education so that they are competent using the various equipment, including fire safety systems, within the EOC.

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