Office-based Surgery - Life Safety Chapter
How does the Life Safety chapter apply to Joint Commission–accredited office-based surgery practices?
Any examples are for illustrative purposes only.
The Life Safety (LS) chapter of the Accreditation Manual has not been applicable for non-deemed status Joint Commission accredited office-based surgery practices since January 1, 2015. The criteria limits office-based surgery practices to a business occupancy, which is an occupancy having three or fewer patients at the same time who are undergoing treatment or anesthesia that renders them incapable of taking action for self-preservation under emergency conditions without the assistance of others.
The LS chapter applies to office-based surgery organizations classified as an ambulatory health care occupancy, which is an occupancy having at least four patients at the same time who are either rendered incapable of self-preservation in an emergency or are undergoing general anesthesia. Note: CMS considers the Life Safety code applicable to ambulatory health care occupancies with at least one person who is either rendered incapable of self-preservation or undergoing general anesthesia; therefore, TJC will survey the LS standards if there is only one person meeting this criteria.
Reference LS.01.01.01
The Life Safety (LS) chapter of the Accreditation Manual has not been applicable for non-deemed status Joint Commission accredited office-based surgery practices since January 1, 2015. The criteria limits office-based surgery practices to a business occupancy, which is an occupancy having three or fewer patients at the same time who are undergoing treatment or anesthesia that renders them incapable of taking action for self-preservation under emergency conditions without the assistance of others.
The LS chapter applies to office-based surgery organizations classified as an ambulatory health care occupancy, which is an occupancy having at least four patients at the same time who are either rendered incapable of self-preservation in an emergency or are undergoing general anesthesia. Note: CMS considers the Life Safety code applicable to ambulatory health care occupancies with at least one person who is either rendered incapable of self-preservation or undergoing general anesthesia; therefore, TJC will survey the LS standards if there is only one person meeting this criteria.
Reference LS.01.01.01
Manual:
Office Based Surgery
Chapter:
Life Safety LS
First published date: April 11, 2016
This Standards FAQ was first published on this date.
This page was last updated on November 01, 2021