Joint Commission Proposes New requirements on Maternal Status Documentation

PUBLISHED: Jul 6, 2017
Relevant to: Critical Access Hospitals, Hospitals

The Joint Commission is seeking input from the field on new requirements for their Hospital and Critical Access Hospital accreditation programs. The proposed new requirements are for hospitals that provide obstetric services and are related to maternal status documentation.

The new Elements of Performance (EPs) would be added to the Provision of Care, Treatment, and Services (PC) chapter. Specifically the new EPs would require hospitals to assess and document a mother's status, upon admission to the labor and delivery unit, to include the following:

  • Human immunodeficiency virus (HIV)
  • Hepatitis B
  • Group B streptococcus (GBS)
  • Syphilis

Further, the proposed requirements would require that if a mother tests/tested positive for any of the above conditions, that information would also be documented in the newborn’s medical record after delivery.

TJC is accepting feedback on these proposed requirements through August 16, 2017. Follow the link below for additional information and for comment submission instruction.

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