Joint Commission Requirements for Pain Assessment and Management
Effective January 1, 2018, Joint Commission implemented a series of new and revised pain management standards applicable to hospitals. The standards represent a comprehensive set of requirements that address key areas such as:
- The role of hospital leadership and medical staff in pain assessment and management
- The responsibility of the hospital to ensure all patients receive appropriate assessment and management of pain
- The importance of involving patients in their pain management treatment planning process
- Quality improvement including data collection and performance monitoring as well as implementation of interventions and evaluation of intervention effectiveness
Specifically, TJC-accredited hospitals should have written policies and procedures that address:
- Establishing a clinical team dedicated to pain assessment and managemen.
- Improving pain assessment and management including ways to decrease the use of opioids and minimizing the risks associated with opioids, including but not limited to:
- Providing access to a minimum of one non-pharmacological pain treatment modality
- Facilitating access to prescription drug monitoring programs
- Considering and evaluating how pain is affecting patients’ physical function
- Involving patients in treatment decisions about their pain management
- Patient education that includes 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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