Joint Commission Issues New and Revised Pain Assessment Requirements, Effective January 1, 2018

PUBLISHED: Jul 7, 2017
Relevant to: Critical Access Hospitals, Hospitals

The Joint Commission (TJC) has issued new and revised pain assessment and management requirements for hospitals that are effective January 1, 2018. The prepublication standards are currently available on TJC’s website, link provided below. TJC has been developing these new and revised requirements for over a year, giving special consideration to safe opioid prescribing.

StayAlert! will review these changes in upcoming notices. Today’s notice reviews new standard, LD.04.03.13. This standard requires hospital leadership to ensure that pain management and assessment, including opioid prescribing, is an organizational priority. Under this new standard hospitals are required to:

  • Identify a leader team to oversee pain management within the organization, including performance improvement activities.
  • Ensure the availability of both pharmacologic and non-pharmacologic pain treatment methodologies.
  • Provide education to staff and licensed independent practitioners on pain assessment, pain management, safe use of opioid medications and the risks associated with pain management treatments.
  • Ensure that staff and licensed independent practitioners have access to pain management consultation services, opioid treatment programs and Prescription Drug Monitoring Program databases (when applicable by state law).

Included with today’s notice is an example policy related to the above requirements.

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