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New and Revised Requirements Addressing Antibiotic Stewardship for the Hospital and Critical Access Hospital Programs

Effective January 1, 2023, new and revised antibiotic stewardship requirements will apply to all Joint Commission–accredited hospitals and critical access hospitals. The 12 elements of performance (EPs) are included in the “Medication Management” (MM) chapter (Standard MM.09.01.01) and expand upon the current expectations for antibiotic stewardship programs in the hospital setting.

Standard MM.09.01.01, EPs 10–21 include updates to align with federal regulations and current recommendations from scientific and professional organizations. The revisions include the following:

  • Allocating financial resources to support the antibiotic stewardship program
  • Appointing a leader of the antibiotic stewardship program and outlining responsibilities
  • Establishing a multidisciplinary committee to oversee the antibiotic stewardship program
  • Implementing a hospitalwide antibiotic stewardship program to address inappropriate antibiotic use
  • Evaluating adherence to evidence-based guidelines for the most common indications
  • Collecting, analyzing, and reporting data about the antibiotic stewardship program
  • Identifying opportunities to improve the antibiotic stewardship program
  • Editorial revisions (renumbering EPs, clarifying language, and adding notes)

Prepublication Standards:

Prepublication Standards - Effective January 1, 2023