New TJC Requirements Related to Maternal Status Assessment and Documentation

PUBLISHED: Jan 10, 2018
Relevant to: Critical Access Hospitals, Hospitals

The Joint Commission has announced three new Elements of Performance (EPs) related to maternal status assessment and documentation that are effective as of July 1, 2018 for TJC-accredited hospitals and critical access hospitals with labor and delivery services.

Provision of Care, Treatment and Services standard PC.01.02.01 requires the organization to assess and reassess its patients. The new EPs require:

  • Organizations to document or assess the current maternal status of infectious diseases, such as human immunodeficiency virus (HIV), hepatitis B, Group B streptococcus (GBS), and/or syphilis.
  • Promote patient safety and quality of care of the mother and newborn upon arrival and admission to labor and delivery.
  • Document information in the newborn’s medical record after delivery if the mother tests positive for HIV, hepatitis B, GBS, and/or syphilis.

StayAlert! is currently reviewing these new requirements and will soon publish additional information along with example policies.

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