At Home with The Joint Commission

A discussion highlighting developments in home health, DMEPOS, hospice, pharmacy and personal care.

Availability of Non-Invasive Ventilators in Home Care

04/17/2020

Robert Campbell, PharmD, director, Clinical Standards Interpretation for Hospital/Ambulatory Programs

Editor’s Note: This blog post is part of The Joint Commission’s daily communication on issues relevant to organizations managing the COVID-19 pandemic. The full list of FAQs is available here. All examples are for illustrative purposes only.

We hear a lot from organizations providing non-invasive ventilators to rent for home care patients. Many are looking for guidelines as to how many to have on hand. A frequent question: Is there a number of back-up ventilators we should have available?

The Joint Commission does not mandate and/or prescribe how many non-invasive ventilators (NIVs) organizations should have as back-up for their NIV patients. 

Our standards are not written to that level of detail to define those requirements. Home ventilator services are determined by any applicable state or federal law/regulations and your organization's "Home Ventilator Program" policies and procedures. Your agency could perform a risk assessment based on:

  • the geographic location of your patients
  • complexity of the patients
  • potential equipment failures for the services you’re providing.

Organizations that use Joint Commission accreditation for deemed status purposes should monitor the Centers for Medicare and Medicaid Services(CMS)website as waivers are being approved frequently and may include state-specific waivers.

 

Robert Campbell, PharmD, is director, Clinical Standards Interpretation Hospital/Ambulatory Programs and director, Medication Management. Prior to these roles, he served as the pharmacist for Clinical Standards Interpretation in the Division of Healthcare Improvement at The Joint Commission. Campbell also surveys as a field representative for The Joint Commission in the Hospital Accreditation and Critical Access Hospital Accreditation Programs and is a reviewer in the Medication Compounding Certification Program. Prior to joining The Joint Commission, Campbell worked in health care organizations and held leadership positions with oversight responsibilities for performance improvement, accreditation readiness, risk management, infection control, medical staff services, as well as inpatient and outpatient pharmacy services.