The Joint Commission’s Advanced Certification Program for Palliative Care, launched in 2011, recognizes hospital inpatient programs that demonstrate exceptional patient and family-centered care and optimize the quality of life for adult and pediatric patients with serious illness. Palliative care addresses a patient’s, physical, emotional, social and spiritual needs, and facilitates patient autonomy, access to information and choice. The Advanced Certification Program for Palliative Care emphasizes:
A formal, organized palliative care program led by an interdisciplinary team whose members have advanced training in palliative care
Leadership endorsement and support of the program’s goals for providing care, treatment and services
A special focus on patient and family engagement
Processes that support the coordination of care and communication among all care settings and providers
The use of evidence-based national guidelines or expert consensus to support patient care processes
Eligible organizations must have:
A full-time service, where patients can access palliative care as needed, 24 hours per day
The ability to provide palliative care to the entire inpatient population
On-site certification reviews are conducted by reviewers with expertise in palliative care. The certification decision is based on the evaluation of standards, clinical practice guidelines and performance measurement and improvement activities. Palliative care programs that successfully demonstrate compliance are awarded certification for a two-year period. To maintain certification, the cycle repeats with an on-site review conducted every two years and a bi-annual submission of an acceptable assessment of compliance by the organization.
The standards for palliative care advanced certification are built on the National Consensus Project’s Clinical Practice Guidelines for Quality Palliative Care, 3rd edition 2013 and the National Quality Forum’s National Framework and Preferred Practices for Palliative and Hospice Care Quality. Standards and expectations were developed using experts in palliative care and key stakeholder organizations.
Certified palliative care programs must use performance measurement to improve care over time. Measures selected by the program or service should be evidence-based, relevant, valid and reliable. Data collection for at least four performance measures is required. At least two of the four measures must be clinical measures related to or identified in practice guidelines for the program. Four months of performance measure data must be available at the time of the initial on-site certification review.
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