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SDS Accreditation Update
TJC proposes revisions to align with CMS
In order to line up with Medicare's Conditions of Participation (CoPs), The Joint Commission (TJC) has proposed some wording changes and organization to its hospital standards for 2009.
These proposed changes already are being reviewed by surveyors; however, they won't impact a hospital's accreditation decision until July 1, 2009.
One change has been to the standards for pre-anesthesia evaluation and post-anesthesia evaluation. "The Joint Commission always required assessment or evaluations pre and post-op, but the time frame is new: 48 hours," says Mary E. Brockway, MS, RN, associate director of standards in the Division of Standards and Survey Methods at TJC. (See proposed new wording, left.)
Also, some wording has been changed in the history & physical exam (H&P) standards to make it clear that the H&P must be completed prior to registration. Previously language referred to "admission," and because some facilities might not be considered outpatient to be admitted, the wording change was made, Brockway says. (See proposed new wording, left.) "[The Centers for Medicare & Medicaid Services] recently updated its language, so we included it," she says. (Editor's note: To see the changes, go to www.jointcommission.org. Under "Library," click on "What's New on the Website." Then click on "Hospital deeming application: January 2009 Update.")