Joint Commission revisions include IC standard and ASC survey procedures

By: October 1st, 2009 Email This Post Print This Post

The Joint Commission has released official changes to the 2010 National Patient Safety Goals along with revisions to IC.02.02.01 EP 1 and 2, which includes a new rationale for the standard, according to The Joint Commission Perspectives, October 2009. These changes are effective immediately.

The National Patient Safety Goals for hospitals have been cut down from 20 to 11, since the nine missing goals are now regular standards. For example, NPSGs 07.03.01, 07.04.01, and 07.05.01 were phase-in goals during 2009 regarding prevention of multiple drug-resistant organisms, central line-associated bloodstream infections, and surgical site infections. They are now expected to be fully implemented  as of January 1, 2010.

IC.02.02.01 focuses specifically on cleaning, disinfecting, and sterilizing medical equipment, devices, and supplies. Given The Joint Commission’s position statement on steam sterilization a few months ago, it’s no surprise they have focused on this standard. For more a breakdown of that position and tips for compliance, read IC blogger Peg Luebbert’s previous post.

EP 1 has been revised to focus specifically on “low-level disinfection,” while EP 2 deals primarily with “intermediate- and high-level disinfection.” EP 1 will be scored with a “C,” and EP 2 will be scored with an “A” to reflect the level of potential impact on patients and residents.

The newsletter also addresses specific changes for Ambulatory Surgery Centers (ASC) that use Joint Commission accreditation for deemed status purposes. Beginning October 1, the Joint Commission will align it’s survey procedures with recently revised CMS requirements to include, among others:

  • Orientation to the organization
  • Individual tracer
  • System tracers

Each of these survey procedures touches on some of the same infection control standards required from CMS such as delegation of responsibility to infection control, the use of appropriate infection control and prevention guidelines, and IC procedures and systems.

Click here for more information pertaining to ASCs, including a look at the Joint Commissions IC standards for ASCs. You can also access applicability grids for both ambulatory care and urgent and convenient care. For updated prepublication 2010 National Patient Safety Goals, click here.


By Myrna M. De Fiesta on October 17th, 2009 at 1:37 am

This publication is excellent!!!! Keep up the good work.
Thank you.


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