Joint Commission clarifies IM.02.02.01
As part of its Standards Improvement Initiative, The Joint Commission has moved the National Patient Safety Goal on abbreviations into the information management standard IM.02.02.01, element of performance 2. The wording also was clarified as The Joint Commission says organizations thought they had to create lists of approved abbreviations, acronyms, symbols, and dose designations, which was not the intention. Effective July 1, the language will return to the 2009 language stating: "The organization uses standardized terminology, definitions, abbreviations, acronyms, symbols, and dose designations."
Most challenging requirements in '09
According to The Joint Commission, these five requirements were most frequently cited for noncompliance in hospitals.
- RC.01.01.01: The hospital maintains complete and accurate medical records.
- LS.02.01.10: Building and fire protection features are designed and maintained to minimize the effects of fire, smoke, and heat.
- LS.02.01.20: The hospital maintains the integrity of the means of egress.
- EC.02.03.05: The hospital maintains fire safety equipment and fire safety building features.
- RC.02.03.07: Qualified staff receive and record verbal orders.
MOS requirements on several EPs deleted
A Joint Commission spokesman says, "The Joint Commission periodically reviews elements of performance (EP) categories and measures of success (MOS) as part of the normal process of updating and revising the standards." And as part of that, several MOS requirements were deleted effective April 26, 2010. While compliance with the EP is still required, you will no longer need to relay MOS data for the following EPs:
Environment of Care (EC)
EC.02.01.01 EPs 7, 11
EC.02.01.03 EP 6
EC.02.02.01 EPs 7*, 8
EC.02.03.01 EP 1
EC.02.03.05 EPs 3, 4, 7*, 9*, 12*, 16*, 17*, 18*, 19*, 20*
EC.02.04.01 EP 3
EC.02.04.03 EP 1
EC.02.05.01 EP 3
EC.02.05.05 EP 1
EC.02.05.07 EP 2
Information Management (IM)
IM.02.02.01 EP 1*
IM.02.02.03 EP 2*
Leadership (LD)
LD.04.01.07 EP 3*
Medication Management (MM)
MM.05.01.17 EP 2*
Medical Staff (MS)
MS.02.01.01 EP 5*
Provision of Care (PC)
PC.02.02.03 EPs 3, 4, 6, 9, 11
PC.03.05.17 EP 3
Performance Improvement (PI)
PI.01.01.01 EPs 3*, 16*, 17*, 18*, 19*, 20*, 21*
Record of Care, Treatment, and Services (RC)
As part of its Standards Improvement Initiative, The Joint Commission has moved the National Patient Safety Goal on abbreviations into the information management standard IM.02.02.01, element of performance 2.RC.01.01.01 EPs 11, 19
RC.01.04.01 EP 2
RC.01.05.01 EPs 2*, 3*
RC.02.03.07 EP 4
* The EP is changing to the "A" scoring category effective July 1, 2010.
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