New Joint Commission R3 Report Pain Assessment and Management Standards for Hospitals
The Joint Commission (TJC) has released a new R3 Report addressing pain assessment and management standards for hospitals. TJC R3 Reports provide in-depth rationale and references for TJC requirements; a link to the report is provided below. TJC issued new and revised pain assessment and management standards that became effective January 1, 2018. The standards spanned several chapters and are intended to improve quality and safety of care provided to patients.
The new and revised standards represent a comprehensive set of requirements in areas such as:
- Leadership: specifically, the role of hospital leadership/medical staff in pain assessment and management.
- Pain Assessment and Management: specifically, the responsibility of the hospital to ensure all patients receive appropriate assessment and management of pain.
- Patient Involvement: specifically, the importance of involving patients in their pain management treatment planning process.
- Quality improvement: specifically, data collection and performance monitoring as well as implementation of interventions and evaluation of intervention effectiveness
Hospitals are reminded that under the new and revised standards they should have written policies and procedures that:
- Establish a clinical team that is dedicated to pain assessment and management
- Incorporated methods to decrease opioid use including but not limited to providing access to non-pharmacological pain treatment modalities, facilitating access to prescription drug monitoring programs. involving the patient in pain management treatment decisions.
- Provide patient education that includes safe use, storage and disposal of opioids
- Referral to treatment programs for patients addicted to opioids.
Included with today’s notice are example policies and procedures related to TJC pain assessment requirements for hospitals.
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