6th Edition in Depth: Preventing Patient Falls in Inpatient and Outpatient Settings
Each month the JCInsight newsletter highlights a section of the new 6th edition hospital standards. These articles provide a closer look at areas of concern for JCI-accredited hospitals and any health care organization focused on patient safety and quality improvement. We hope you enjoy this new feature.
Standard IPSG.6:The hospital develops and implements a process to reduce the risk of patient harm resulting from falls for the inpatient population.
Standard IPSG.6.1: The hospital develops and implements a process to reduce the risk of patient harm resulting from falls for the outpatient population.
Patient falls continue to be a top adverse event in hospital settings, often resulting in injury and even death. Although fall risk is more common among elderly and frail patients, any patient can be at risk for a fall due to physiological changes related to medications, surgery, procedures, diagnostic tests, or a medical condition, among other factors. In addition, the patient’s location, or physical environment, should be considered as it may be a factor leading to increased fall risk. Despite these risks, many falls are preventable in the hospital’s inpatient and outpatient settings. An important element to preventing falls is implementing appropriate measures and interventions for those patients, situations, and locations assessed to be at risk.
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Announcement of Changes to the JCI Hospital Accreditation Survey Process
With the publication of the Joint Commission International Accreditation Standards for Hospitals, 6th edition, JCI Accreditation is implementing changes to the survey process in 2017. The intention of these changes is to encourage JCI-accredited organizations to pursue a more effective continuous compliance framework and to align more closely to the patient safety philosophy that lies at the core of JCI’s standards.
Revision of Accreditation Decision Rules
Currently, hospitals and academic medical center hospitals must meet the requirements of five decision rules in order to be accredited. The decision rules were recently reviewed and determined to need updating in order to maintain their relevance. As such, JCI Accreditation has made changes to these rules that will become effective 1 July 2017. Details of the changes will be reviewed at the 2017 JCI Accreditation Update education events and published in the Joint Commission International Survey Process Guide for Hospitals,6th edition, scheduled for release 1 April 2017. Decision rule changes are not planned for any other accreditation programs—such as ambulatory care, laboratory, or long term care—at this time.
Revisions to the Track Record or Look-back Period
Hospitals and Academic Medical Center Hospitals Undergoing INITIAL Surveys
JCI wants to encourage organizations that are starting on the JCI accreditation journey to be well prepared. These health care organizations should establish sustainable processes and systems that will enable them to be in continuous and robust compliance with JCI’s accreditation standards. As such, hospitals and academic medical center hospitals that will undergo their first survey on 1 January 2018 or later are required to have a six-month track record (increased from the current requirement of four months).
Hospitals and Academic Medical Center Hospitals Undergoing TRIENNIAL Surveys
Once a health care organization receives JCI accreditation, it should strive to implement policies, procedures, and processes that support continuous compliance with the standards as well as year-round data collection and recordkeeping. As such, beginning 1 January 2018, JCI Accreditation will begin actively informing all hospitals and academic medical center hospitals undergoing surveys that continuous compliance with the standards must be in place starting the day after their accreditation survey.
The intent is that for any survey conducted on or after 1 January 2021, JCI surveyors will be able to evaluate the performance of an organization and the effectiveness of its systems by looking as far back as the date of the organization’s previous survey. At that time, 1 January 2021, the current 12-month look-back period for triennial surveys will be retired.
If you have questions regarding this announcement, please contact your JCI Accreditation Account Executive or submit your questions via email to firstname.lastname@example.org.
Bundle your 6th edition compliance resources in one electronic package!
All JCI hospital and academic medical center surveys that begin on or after 1 July 2017 will be surveyed under the Joint Commission International Accreditation Standards for Hospitals, 6th edition. JCI offers a package of two PDF books:
JCI Accreditation Standards for Hospitals, 6th editionJCI Survey Process Guide for Hospitals, 6th edition
The standards are divided into two main sections: patient-centered care and health care organization management. In addition, two chapters are included for hospitals that meet eligibility criteria for academic medical center accreditation—these address additional requirements for human subjects research and medical professional education. The survey process guide is designed to help hospitals and academic medical center hospitals learn about and prepare for the JCI on-site accreditation survey.
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Still time to register for spring 2017 JCI Education Programs
The following spring 2017 JCI education programs have room for a few more participants:
Singapore International Practicum (3-8 April)
Dubai Accreditation Update (30 April-1 May)
Amsterdam Foundations of Accreditation (15-17 May)
Amsterdam Accreditation Update (18-19 May)
Don’t miss the chance to be among the first to learn about changes to JCI’s requirements and survey process. Sign up today!