The Joint Commission’s Revised Elements of Performance

August 18, 2011


It’s common knowledge that not everyone qualifies for Medicare or Medicaid. Each of these programs is geared toward a certain segment of the at-need population, and to help prevent program abuse, the U.S. government regulates each program’s benefit retrieval system using specific financial and lifestyle patient qualifiers. Just as not all patients qualify to receive Medicare or Medicaid, not all healthcare organizations qualify to participate as a provider of these programs. Qualifying to present patients with these assumedly standard service lines requires facilities to meet certain Conditions of Participation (CoPs) and Conditions for Coverage (CfCs) outlined by the U.S. Department of Health & Human Services’ Centers for Medicare & Medicaid Services (CMS). Recently, The Joint Commission (TJC) has revised their standard elements of performance (EPs) to more accurately align with the CMS’s expectations for healthcare providers and provide a clearer and more comprehensive performance reading to the facilities it evaluates.

The new changes will affect compliance in the realms of:

  • Environment of Care (EC): These standards determine a facility’s testing and inspection programs with regard to alarms, standard evacuation tools & procedures, staff responsibilities and power system reserves.
  • Emergency Management (EM): This determines the quality of the organization’s standard facility Emergency Operation Plan (EOP).
  • Life Safety (LM): These qualifiers determine how well a facility’s structures ensure the safety of persons within during an emergency.

Vanguard Resources facility-specific regulation compliance team is always on hand to educate our client partners on new compliance standards and what they mean for us and our patients. We will make sure that, even during times of policy change, your facility complies with the TJC and CMS to the highest standard of care possible.

For more information on the details of the revised TJC standards contact the Joint Commission directly, or for more customized feedback and compliance advice on how the new regulations will directly impact your institution, contact Vanguard Resources.