Mary Madison, RN, RAC-CT, CDP
Clinical Consultant – Briggs Healthcare
For those providers who have Joint Commission accreditation: Prepublication Standards – Effective August 27, 2023.
Last year, The Joint Commission reviewed the hospital accreditation requirements that are above and beyond the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) and reduced the requirements for hospitals, as well as related requirements across accreditation programs. The second phase of this project includes reviewing requirements that are above and beyond CoPs with a focus on our other accreditation programs. The continued work on this initiative will further help health care organizations address the many challenges they face by eliminating requirements that do not add value to accreditation surveys so that the organizations and surveyors can focus on strategies and structures that support quality and safety.
The Joint Commission has completed the second part of this review and has identified requirement reductions and revisions for ambulatory health care organizations, behavioral health care and human services organizations, critical access hospitals, hospitals, home care organizations, laboratories, nursing care centers, and office-based surgery practices that will be effective August 27, 2023.
The review included elements of performance (EPs) that met all of the following criteria:
- The EP does not support a CMS CoP or state regulation.
- The EP has been in effect for at least three years.
- The EP has been scored five times or less during full triennial surveys between 2017 and 2019 (the three years prior to the COVID-19 public health emergency).
Prepublication Standards:
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