TJC Announces Changes to Requirements

PUBLISHED: Nov 19, 2018
Relevant to: Ambulatory Care, Home Health

The Joint Commission (TJC) has announced some recent changes to certain requirements. A summary of the changes is provided below.

  • Ambulatory Surgical Centers (ASCs): Effective July 1, 2019 Performance Improvement (PI) Standard PI.01.01.01, Element of Performance (EP) 21 is deleted. This EP, which is currently applicable to ASCs that use TJC for deemed-status, requires organizations to collect data on medical necessity and appropriateness of procedures. The EP was designed to comply with U.S. Centers for Medicare & Medicaid Services (CMS) Conditions for Coverage (CFCs) but since CMS has changed their regulatory requirement, TJC has determined the requirement is no longer needed.
  • Thrombectomy-Capable Stroke Center (TSC) Certification Program/Comprehensive Stroke Center (CSC): eligibility requirements for the training of individual physicians and their volume in performing mechanical thrombectomy that are currently applicable for TSC certification, and that are set to be effective January 1, 2019 for the CSC certification program have been suspended effective immediately. Feedback from the field has raised concerns that TJC is now evaluating and these requirements are undergoing further review for possible changes.
  • Home Health Care: Effective January 1, 2019, Provision of Care, Treatment, and Services Standard PC.01.03.01, Element of Performance (EP) 10, which requires home care organizations to provide patients a written individualized plan is deleted. TJC states that this change is a result of communications with CMS and changes to CMS requirements. See StayAlert! Notice published on May 4, 2018 for additional information
  • Comprehensive Cardiac Center: Effective January 1, 2019 TJC has made modifications to Comprehensive Cardiac Center Management (CCCM) Standards CCCM.4 and CCCM.5, continuous quality improvement addressed at Performance Improvement (CCCPI) Standard CCCPI.1 and population health needs, including community education, addressed at Standard CCCM.10.

Follow the links below to read more details about these revised TJC requirements. Included with today’s notice are example policies reflecting the plan of care revision to Home Health and the requirement deletion in Ambulatory Care.

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