IN Sight

July 2007

This column informs you of developments and potential revisions that can affect your accreditation and tracks proposed changes before they are implemented. Items may drop off this list before the approval stage if they were rejected at some point in the process.  (Reprinted from Perspectives®, July 2007)

APPROVED

  • 2008 National Patient Safety Goals for the ambulatory care, critical access hospital, home care, hospital, long term care, and Medicare/Medicaid-based long term care programs effective January 1, 2008 (see pages 10–22 in this issue)
  • Revisions to Standard MS.1.20 regarding medical staff bylaws for the critical
    access hospital and hospital programs effective July 1, 2009 (see an upcoming issue of Perspectives for more information)
  • Revisions to the “Leadership” (LD) chapter for the ambulatory care, behavioral health care, critical access hospital, home care, hospital, laboratory, long term care, and office-based surgery programs effective January 1, 2009 (see an upcoming issue of Perspectives for more information)

JOINT COMMISSION FIELD REVIEW

Field review notifications are sent out electronically, as well as posted on The Joint
Commission Web site. If you would like to be added to the electronic notification list,
please contact the Division of Standards and Survey Methods at 630-792-5912.

  • Standards Improvement Initiative: Revised “Management of Human Resources” (HR) chapter for the ambulatory care, critical access hospital, hospital, home care, and office-based surgery programs

IN COMMITTEE OR BOARD REVIEW

  • Review of the Disease-Specific Care program standards to determine the need for revisions and address needed editorial changes to standards and addenda and the order of the chapters
  • Health Care Staffing Services manual revision to clarify standards and elements of performance
  • Transplant Center certification program standards to recognize the unique care needs of solid organ (for example, kidney, liver, heart) transplant patients

CURRENTLY IN DEVELOPMENT
—STANDARDS—

  • Development of an advanced Disease-Specific Care certification program for
    Chronic Obstructive Pulmonary Disease
  • Development of a Health Care Services Certification Program for services such as palliative care
  • Comprehensive Standards Improvement Initiative encompassing the ambulatory care, critical access hospital, home care, hospital, and office- based surgery programs
  • Proposed revisions to medication management standards MM.4.10 and
    MM.8.10 for the critical access hospital and hospital programs
  • Potential 2009 National Patient Safety Goals