The Joint Commission recently shared its top 5 most challenging compliance requirements for 2022.
 
At the top of the list was the requirement for standard precautions, including personal protective equipment. (IC.02.01.01, EP 2)
 
The other four identified most frequently as “not compliant” during surveys in reviews in 2022:
  • RC.02.01.01, EP 2: The patient record contains the following clinical information:
    • Any medications administered, including dose.
    • Any activity restrictions.
    • Any changes in the patient’s condition.
    • Any summaries of the patient’s care, treatment, or services furnished to the patient’s physician or allowed practitioner.
    • The patient’s medical history.
    • Any allergies to medications.
    • Any adverse drug reactions.
    • The patient’s functional status.
    • Any diet information or any dietary restrictions.
    • Diagnostic and therapeutic tests, procedures, and treatments, and their results.
    • Any specific notes on care, treatment, or services.
    • The patient’s response to care, treatment, or services.
    • Any assessments relevant to care, treatment, or services.
    • Physician or allowed practitioner orders.
    • Any information required by organization policy, in accordance with law and regulation.
    • A list of medications, including dose, strength, frequency, route, date and time of administration for prescription and nonprescription medications, herbal products, and home remedies that relate to the patient’s care, treatment, or services.
    • The plan(s) of care.
    • For Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) suppliers serving Medicare beneficiaries: The DMEPOS prescription, any certificates of medical necessity (CMN), and pertinent documentation from the beneficiary’s prescribing physician or allowed practitioner.
  • IC.02.02.01, EP 1: The organization implements infection prevention and control activities when doing the following: Cleaning and performing disinfection of medical supplies and devices.
  • PC.01.03.01, EP 10: For home health agencies that elect to use The Joint Commission deemed status option: The individualized plan of care specifies the care and services necessary to meet the needs identified in the comprehensive assessment and addresses the following:
    • All pertinent diagnoses.
    • Mental, psychosocial, and cognitive status.
    • Types of services, supplies, and equipment required.
    • The frequency and duration of visits.
    • The patient’s prognosis.
    • The patient’s potential for rehabilitation.
    • The patient’s functional limitations.
    • The patient’s permitted activities.
    • The patient’s nutritional requirements.
    • All medications and treatments.
    • Safety measures to protect against injury.
    • A description of the patient’s risk for emergency department visits and hospital readmission, and all necessary interventions to address the underlying risk factors.
    • Patient-specific interventions and education.
    • Measurable outcomes and goals identified by the organization and patient as a result of implementing and coordinating the plan of care.
    • Patient and caregiver education and training to facilitate timely discharge.
    • Information related to any advance directives.
    • Identification of the disciplines involved in providing care.
    • Any other relevant items, including additions, revisions, and deletions that the home health agency, physician, or allowed practitioner may choose to include.
  • PC.01.03.01, EP 5: The written plan of care is based on the patient’s goals and the time frames, settings, and services required to meet those goals.
Read more at the Joint Commission website: