Learn how UCDH conducted an in-depth inventory of the current EM
program and used a focused self-assessment protocol to identify
and address gaps that can be easily applied to your hospital’s EM
Program. Hear how this collaboration opportunity with
stakeholders increased the success of the EM program, and what
The Joint Commission surveyors thought of these efforts.
Available tools for attendees include an updated Hazard
Vulnerability Analysis template and standards cheat sheet
spreadsheet.
Presenters:
Kristina Spurgeon, Emergency Manager,
UC Davis Health
Charles Schafer, Emergency Management
Coordinator, UC Davis Health
This presentation provides information about the new and revised
Emergency Management chapter standards and elements of
performance (EPs) and provide recommendations for implementing
the new and revised standards/Eps as well as understand the new
survey process . It is specifically for Joint Commission
Accredited Hospitals and Critical Access Hospitals. At the
conclusion of this presentation, participants will be able to:
Describe new and revised Emergency Management chapter
standards for HAP/CAH Accreditation Programs
Discuss and understand the new Survey Process
Identify Emergency management available chapter resources
The Joint Commission accredits and certifies over 22,000 health
care organizations and programs in the United States. It is the
nation’s oldest and largest standards-setting and accrediting
body in health care. Join us as Field Director James Kending
discusses changes to the Emergency Management survey process,
overviews the review tool and lays out the updated standards and
Elements of Performance (EPs).
The Centers for Medicare & Medicaid Services (CMS) has approved
The Joint Commission’s updated emergency management standards,
which were created in response to the CMS final rule on emergency
preparedness. According to The Joint Commission, the most
significant changes are to home health settings — with 39 new
performance elements — and ambulatory health care, with 29
new performance elements. Hospitals and critical access hospitals
each have 21 new requirements. The Joint Commission will begin
surveying to the updated emergency management requirements as of
the final rule’s Nov. 15 implementation date. For more
information, visit
The Joint Commission website.
TJC is an independent, not-for-profit organization which
accredits and certifies health care organizations and
programs. Joint Commission accreditation and certification is
recognized nationwide as a symbol of quality that reflects an
organization’s commitment to meeting certain performance
standards.
