There’s nothing more frustrating to a Joint Commission Life Safety Code Surveyor than a document review that exceeds 90 minutes for a single building. A well-organized document review sets the tone for your survey. This article delves into a process for making that happen.
Did you know that most life safety code deficiencies that contribute to CMS condition-level deficiencies are “low-hanging fruit”? This means that many findings could be prevented if you would simply deal with the easy-to-address deficiencies on a routine basis. For the sake of this article, I’m going to pinpoint places where the life safety code low-hanging fruit are most commonly found in hospitals and offer simple practices for quick remediation.
Over 80% of hospitals in one health system that we’ve surveyed in the past nine months were found to be in noncompliance with specific environment of care standards during their Joint Commission (TJC) mock surveys. Two commonly cited standards were EC.02.01.01 and EC.02.02.01, which require the organization to take action to minimize or eliminate identified safety and security risks, and manage risks related to hazardous materials and waste. This might involve staff, patients, and the physical environment.