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.
During a national emergency, can organizations defer completing the annual performance evaluation requirements for medical imaging equipment, such as computed tomography (CT) and magnetic resonance imaging (MRI) equipment outlined in Joint Commission Environment of Care standards EC.02.04.03, elements of performance (EP 20-25, and 34)?
Yes. During the COVID-19 pandemic, when a state of emergency has been declared and the organization has activated their emergency operations plan, organizations may defer completing the performance evaluations for diagnostic imaging equipment, such as:
- nuclear medicine (NM)
- positron emission tomography (PET)
- fluoroscopy equipment and acquisition monitors for these modalities
After the state of emergency ends (national, federal, or local level depending upon which allows the most time to address), organizations have 60 days to complete these requirements.
This response applies only to the requirements found in the EC chapter of the applicable accreditation manuals at EC.02.04.03 EPs 20 –25, 34. This requirement does not apply to mammography equipment.