Joint Commission checking the standards

Sept. 15, 2022

The Joint Commission announced the beginning of a review of all Joint Commission “above-and-beyond” requirements, those that go beyond the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation (CoPs) and are not on crosswalks to the CoPs.

During the COVID-19 public health emergency (PHE), CMS put many requirements on hold. As the PHE nears its end, CMS has been reviewing the waived requirements to determine whether some should be permanently retired. The Joint Commission will similarly address the necessity of our own unique requirements.

Specifically, we will review each requirement to answer:

Does the requirement still address an important quality and safety issue?

Is the requirement redundant?

Are the time and resources needed to comply with the requirement commensurate with the estimated benefit to patient care and health outcomes?

In addition to a direct review of each requirement, we will conduct quantitative analyses of scoring patterns and tests for redundancy. Where necessary, we also will conduct literature and field reviews and engage experts within the field.

American healthcare still has a long way to go to fully recover from COVID-19 and to reach a new equilibrium – especially as we are now witnessing secondary effects from the pandemic. At The Joint Commission, we are committed to working with healthcare organizations and other stakeholders to help address the many challenges healthcare is facing, as well as to making our own requirements as efficient and impactful on patient safety and quality as possible.

Joint Commission release

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