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This is an excerpt from a member-only article. To read the article in its entirety, please login or subscribe.

TJC, other AOs told to step up on finding EoC, LSC violations

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November 10, 2019

By A.J. Plunkett (aplunkett@decisionhealth.com)

Expect CMS to continue its crackdown on The Joint Commission (TJC), HFAP, and other accrediting organizations (AO) for fire safety and physical environment oversight. In its latest report to Congress on AO performance, CMS said accreditors continue to miss too many condition-level deficiencies during surveys, particularly in those areas.

CMS is recommending that the main way for AOs to improve their performance is to focus on the top conditions that each organization repeatedly misses—which for hospitals are almost entirely within the environment of care (EoC) or the Life Safety Code? (LSC).

Expect CMS to continue its crackdown on The Joint Commission (TJC), HFAP, and other accrediting organizations (AO) for fire safety and physical environment oversight. In its latest report to Congress on AO performance, CMS said accreditors continue to miss too many condition-level deficiencies during surveys, particularly in those areas.



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