TJC Clarifications about Emergency Department (ED) Occupancy Classification

PUBLISHED: May 31, 2017
Relevant to: Ambulatory Care, Hospitals

The Joint Commission recently issued clarifications for certain standards related to Life Safety Code requirements. According to TJC’s clarifications, Emergency Departments could be classified as health care occupancies or ambulatory health care occupancies under Life Safety (LS) LS.02.01.10, Element of Performance (EP) EP 1, LS.03.01.10, EP 1.

TJC cites the following:

According to NFPA 101-2012, 18/19.1.1.1.5 and 18/19.1.1.1.9 if a facility provides sleeping accommodations for individuals who are mostly incapable of self-preservation or if a facility provides housing on a 24-hour basis then the facility is classified as a health care occupancy.

According to NFPA 101-2012, 3.3.188.1 ambulatory health occupancies provide services and treatment simultaneously for four or more patients on an outpatient basis including one or more of the following:

  • “Treatment for patients that renders the patients incapable of taking action for self-preservation under emergency conditions without the assistance of others.
  • Anesthesia that renders the patients incapable of taking action for self-preservation under emergency conditions without the assistance of others.
  • Emergency or urgent care for patients who, due to the nature of their injury or illness, are incapable of taking action for self-preservation under emergency conditions without the assistance of others.”

Want to read the full alert and receive alert emails?

Browse Additional Alerts