Joint Commission releases least complied with standards for first half of 2010

The Joint Commission has released its list of least complied with standards for the first half of 2010. You can find the list in the September issue of Joint Commission’s Perspectives. Hospitals can use this list as a starting point for assessing their own compliance levels. If a standard is a problem area for a number of hospitals, it may be a problem for yours, too. It’s best to evaluate the problem and look for solutions before your next Joint Commission survey.

The following are notable standards from the least compliance list that MSPs may want to watch out for.

Ambulatory Care Standards

HR.02.01.03: The organization grants initial, renewed, or revised clinical privileges to individuals who are permitted by law and the organization to practice independently.

HR.01.02.05: The organization verifies staff qualifications.

Behavioral Health Care Standards

HR.02.01.03: The organization assigns initial, renewed, or revised clinical responsibilities to staff who are permitted by law and the organization to practice independently.

HR.01.02.05: The organization verifies staff qualifications.

Critical Access Hospital Standards

MS.08.01.01: The medical staff defines the circumstances requiring monitoring and evaluation of a practitioner’s professional performance.

MS.08.01.03: Ongoing professional practice evaluation information is factored into the decision to maintain existing privilege(s), to revise existing privilege(s), or to revoke an existing privilege prior to or at the time of renewal.