The Joint Commission introduced several notable changes in 2024, including new certifications and revisions to key standards.
Below are 50 actions and updates from the accrediting body Becker's has covered since the start of the year, starting with the most recent:
October 21-December 3:
1. Inova has become the first health system in the U.S. to earn The Joint Commission's Responsible Use of Health Data certification, a voluntary program that recognizes hospitals and health systems for responsible practices when using data outside of clinical care. Falls Church, Va.-based Inova earned the certification for its efforts in de-identifying data, and establishing clear parameters for data uses, according to a Dec. 2 news release.
2. In November, the accrediting body announced a strategic partnership with the National Association for Healthcare Quality to standardize quality training and certification. The organizations will collaborate on training and educational resources that align with NAHQ's quality competency framework. The CEO of each organization will join the other's board of directors, though the two will remain independent.
3. The group published a sentinel event alert Nov. 13, urging healthcare leaders to strengthen their organization's disaster planning protocols to ensure patient and staff safety during weather- and climate-related emergencies.
4. The Joint Commission hired William Walders to serve as vice president and chief digital and transformation officer. He previously served as senior vice president and CIO of BayCare Health System in Clearwater, Fla.
5. New reporting requirements through the accrediting body's Oryx program will take effect in January. Critical access hospitals and those with fewer than 26 beds will be required to submit at least one electronic clinical quality measure for the year, as well as two measures that are relevant to their patient base or services. Read more about the changes here.
August 22-October 21:
1. On Oct. 21, The Joint Commission launched a badge initiative program with Archangels, a caregiving platform. The free badge is meant to improve support and visibility for unpaid caregivers.
2. The Joint Commission on Oct. 9 revised the home health agency accreditation survey process. The revisions are meant to better align with CMS guidelines, which were updated in March.
3. In September, the accrediting body announced plans to launch a sustainability certification program for international healthcare organizations in 2025. The program will give organizations a framework for developing and measuring progress in environmental sustainability practices.
4. The Joint Commission issued a statement recognizing World Patient Safety Day Sept. 10. The theme of this year's annual observance day for safety was diagnostic safety. Around 16% of preventable harm to patients stems from diagnosis-related issues. In June, the accrediting body also appointed Neelam Dhingra, MD, as vice president and chief patient safety officer. In her previous role at the World Health Organization, Dr. Dhingra's team created the inaugural World Patient Safety Day in 2019.
5. Applications for The Joint Commission and National Quality Forum's 2024 John M. Eisenberg Patient Safety and Quality Awards opened Aug. 30. The awards honor "groundbreaking initiatives" that lead to measurable patient safety improvements at the national, local and individual level. Applications are being accepted through Oct. 29.
July 1-August 22:
1. The Joint Commission has released new and revised emergency management requirements for accredited nursing care centers. The changes are effective Jan. 1 and include a new numbering system and elimination of redundant requirements. Read more here.
2. On Aug. 14, the group announced that a platform for accredited healthcare organizations to upload electronic clinical quality measure, or eCQM, data is now open. Through the Direct Data Submission Platform, organizations can now upload the data and starting in January, they can begin submitting data for all four quarters of calendar year 2024.
3. CMS has renewed The Joint Commission's deeming authority as an accreditor of ambulatory surgery centers. The renewal is effective through Sept. 1, 2030.
4. The accrediting body has named Kevin Zacharyasz as its inaugural director of healthcare sustainability. Mr. Zacharyasz previously served as the sustainability program manager at Boston-based Beth Israel Deaconess Medical Center.
5. On July 10, The Joint Commission launched the Workforce Safety and Well-Being Resource Center as a tool for hospitals and healthcare workers to address violence prevention, burnout and manage exposure to hazards.
May 22-July 1:
1. On June 27, the group announced that CMS has renewed its deeming authority as an accreditor for laboratory and point-of-care testing. The renewal is effective through 2030. Clinical labs seeking Medicare reimbursement may be accredited by a CMS-approved accrediting organization.
2. Long-term care hospitals accredited by The Joint Commission perform significantly better on key infection control measures, according to a study published in the June issue of The Joint Commission Journal on Quality and Patient Safety. The findings showed patients at accredited long-term care hospitals were less likely to get catheter-associated urinary tract infections and central line-associated bloodstream infections.
3. The accrediting body updated its position on the use of secure text messaging for patient information and orders June 5, stating that accredited organizations may text patient orders to other care team members as long as they use a secure texting platform that transfers data to the EHR.
4. On June 5, The Joint Commission launched a medication safety campaign titled "Speak up About Your Medications." The public health education initiative is meant to encourage patients to be stewards of their own medication safety and lays out essential questions for patients to ask their physicians and pharmacists when prescribed a new drug.
5. The Joint Commission's Direct Data Submission Platform now allows accredited organizations that meet certain requirements to resubmit performance measurement data.
April 12-May 21:
1. The Joint Commission released its annual sentinel event report May 15, showing patient falls were once again the most common safety event reported by healthcare organizations in 2023. See the 10 most common sentinel events reported to the organization here.
2. Starting this summer, rural health clinics seeking Medicare reimbursement can apply through a new accreditation program from The Joint Commission. The accrediting body on May 7 announced it received deeming authority from CMS for a new rural health clinic accreditation program.
3. Beginning July 1, eligible hospitals, ambulatory and behavioral healthcare organizations will be able to apply for a new telehealth accreditation program through The Joint Commission. Read more about the program here.
4. The Joint Commission named four new executives in April. Among them is Elizabeth Mort, MD, who was appointed vice president and chief medical officer. She is the former chief quality officer and senior vice president of quality and safety at Massachusetts General Hospital in Boston.
March 15 to April 3:
1. In 2023, managing infection prevention and control during disinfection and sterilization activities was the most challenging compliance standard for hospitals. See the top five requirements hospitals were most frequently out of compliance with last year here.
2. On March 27, the accrediting body announced an update to how infection prevention and control, and medication management systems are evaluated during hospital surveys. Effective May 1, surveyors will assess these processes during individual tracer sessions rather than evaluating them in a meeting format.
3. The Joint Commission has published a simplified breakdown of eight patient safety goals for hospitals in 2024, which include identifying patients correctly, improving staff communication and medication safety.
4. Several changes to elements of performance for hospitals will take effect July 1, including one that covers the handling of medical waste. Previously, The Joint Commission required hospitals to have procedures in place for the routine storage and prompt disposal of trash, with the standard revised to also include medical waste.
5. The Joint Commission has named Carla Pugh, MD, PhD, as its inaugural "president's fellow" — a newly created role that reports directly to Jonathan Perlin, MD, PhD, president and CEO of the organization. Dr. Pugh is a professor of surgery at Stanford (Calif.) School of Medicine.
Feb. 13 to March 11:
1. Four hospitals within Edison, N.J.-based Hackensack Meridian Health system are the first in the nation to earn The Joint Commission's newly launched sustainable healthcare certification, the group announced March 6.
2. A recent study published in The Joint Commission Journal on Quality and Safety found hospital staff experience 1.17 verbal and/or physical aggressive events for every 40 hours worked. Read more of the key findings here.
3. Massachusetts is the first state in the nation where all hospitals are meeting a health equity accreditation standard The Joint Commission introduced last year, the organization announced Feb. 26. Achieving the standard is the first step to obtain The Joint Commission's recently launched health equity certification, which all of the state's hospitals plan to earn by 2025.
4. On Feb. 13, the accrediting body and the National Quality Forum announced the winners of the annual John M. Eisenberg awards. The national award went to the Veterans Health Administration for a surgical pause initiative that reduced six-month mortality of patients determined to be frail from 25% to 8%.
Jan. 1 to Feb. 7:
1. CMS has renewed The Joint Commission's authority to accredit home infusion services.The renewal is effective through Dec. 15, 2029.
2. Eight hospitals have earned the new health equity certification, the accrediting body confirmed to Becker's on Feb. 2. To earn the certification, hospitals must make "healthcare equity a strategic priority and collaborate with patients, families, caregivers and external organizations to identify and address needs that help translate equitable healthcare into better health outcomes," according to the group's president and CEO, Jonathan Perlin, MD, PhD.
3. The Joint Commission on Feb. 1 also published new guidelines for total hip and knee replacements. The move is part of broader, ongoing revisions and will take effect July 1. Recommendations to include evaluation of risk factors before surgery, including a patient's risk of opioid use history, are among the changes.
4. In late January, the group issued updated guidelines for emergency management and ambulatory care; they will become effective July 1. The Joint Commission rewrote the chapter on emergency management, which marks a 40% cut in the elements of performance it previously used to measure success in this area.
5. The Joint Commission removed 70% of performance elements for infection control accreditation, which will take effect July 1. Waste reduction and responding to an influx of infectious patients were two elements that will be removed since they are covered by other emergency management techniques.