Written Management Plans

How many written management plans does The Joint Commission require?

The Joint Commission requires six written management plans for safety, security, hazardous materials and waste, fire safety, medical equipment, and utility systems. The standards reference below addresses each plan.  These six plans are the heart of environment of care management.

The Joint Commission also requires a written Emergency Operations Plan (EOP), in which an organization details its plans to prepare for, respond to, and recover from a disaster. The entire “Emergency Management” chapter deals with the EOP. However, that is not technically a “management plan" as the six above are.

STANDARDS REFERENCE: EC.01.01.01, EPs 3–8.
The hospital has a written plan for managing the following:
EP 3. The environmental safety of patients and everyone else who enters the hospital’s facilities. (See also EC.04.01.01, EP 15)
EP 4. The security of everyone who enters the hospital’s facilities. (See also EC.04.01.01, EP 15)
EP 5. Hazardous materials and waste. (See also EC.04.01.01, EP 15)
EP 6. Fire safety. (See also EC.04.01.01, EP 15)
EP 7. Medical equipment. (See also EC.04.01.01, EP 15)
EP 8. Utility systems. (See also EC.04.01.01, EP 15)


From January 2012 EC News