to main content Environment of Care Management Plan - Annual Evaluation | Hospital and Hospital Clinics | Environment of Care EC | The Joint Commission
Environment of Care Management Plan - Annual Evaluation

What is the annual evaluation requirement for Environment of Care management plans?

Any examples are for illustrative purposes only.

An annual evaluation of the management plans provides a systematic approach that the organization can use to ensure that the plans are still relevant, effective and useful. 
Organizations are required to have a written plan for managing the following: 
  • Environmental safety of patients and everyone else who enters the facility
  • Security of everyone who enters the facility
  • Hazardous materials and waste
  • Fire safety
  • Medical equipment
  • Utility systems
It is not necessary to have a separate plan for each of these environments of care risk categories, they may all be contained in a single document.  

Review of the plan since the last annual evaluation would include a determination of:
  • effectiveness of the plan 
  • whether the previous year's objectives were achieved
  • new services, programs, or sites added
  • services, programs, or sites that have been eliminated
  • new hazards that have been introduced 
  • critique of fire drills
  • review of incident reports 
  • need for new objectives areas for improvement

Additional Resources:
Manual: Hospital and Hospital Clinics
Chapter: Environment of Care EC
First published date: April 11, 2016 This Standards FAQ was first published on this date.
This page was last updated on September 14, 2022 with update notes of: Editorial changes only Types of changes and an explanation of change type: Editorial changes only: Format changes only. No changes to content. | Review only, FAQ is current: Periodic review completed, no changes to content. | Reflects new or updated requirements: Changes represent new or revised requirements.

If no, please comment on how we could improve this response.

If you have additional standards-related questions regarding this topic, please use the Standards Online Submission Form