The May issue of The Joint Commission Perspectives is voluminous, totaling 28 pages. The lead article this month is about the deletion of elements of performance from the non-hospital accreditation programs. The deletion in the other programs mirrors and evaluates the deletions discussed in the hospital program in 2016. There are also thirteen pages of listed elements of performance.
History and Physical:
In April TJC posted 4 new frequently asked questions or standards interpretations, at least 3 of which are very important and frequently asked. The first discusses an inpatient who has an H+P performed at the time of admission, who will later in the hospitalization undergo a surgical procedure and, if there must be any update to the H+P. This subject was addressed in an FAQ years ago that was later removed and its return is very welcomed. The answer is no, there is no need to update the H+P for the inpatient because there are daily assessments and progress notes since the time of admission.
The Clarifications and Expectations column in the April 2017 issue of The Joint Commission Perspectives continues this month with additional insights into changes to the life safety code as a result of conversion to the 2012 LSC. Everyone appears to be having difficulty getting their arms around all these changes, including TJC trying to maintain alignment with CMS, ourselves as consultants trying to understand what is a current requirement and what is soon to become a current requirement, and of course hospitals which we continue to see slammed by all these changes. Some of the changes described in this article apply differently to existing facilities or planned new construction or remodeling. However other sections of the article describe requirements that we must maintain all the time. You will want to share this article with your facilities leadership and ask them to evaluate your level of compliance. To aide in this evaluation we will pose some of the issues discussed in this article as questions to be answered.