TJC Strengthens Leadership Accountability for Emergency Management
By David Stymiest, PE, CHFM, CHSP, FASHE
In the July 2014 issue of Joint Commission Perspectives, TJC officially issued new and revised leadership requirements intended to provide “a clearer description of leadership-level oversight of emergency management.” The new and revised elements of performance are all effective January 1, 2014.
- Within Leadership Standard LD.04.01.05 (the standard requiring effective management of programs, services and departments) TJC added a new EP-12 that requires the organization to identify a leader to be accountable for implementation of the 4 phases of emergency management, the 6 critical areas of emergency management, hospital-wide collaboration, and collaboration with community-response partners. This new EP is scoring category A.
- Within Standard EM.03.01.01 (the standard requiring evaluation of the effectiveness of emergency management planning activities) TJC added a new EP-4 requiring that planning reviews be forwarded to senior (vice president and officer level) leadership for review. This new EP is scoring category A.
- Within Standard EM.03.01.03 (the standard on evaluating the EOP effectiveness), TJC modified EP-13 (the EP requiring evaluation of all exercises and responses to actual emergencies) to require that relevant input from staff at all affected levels also be considered. Within the same standard, EP-15 regarding communication of emergency management deficiencies and opportunities for improvement was modified to require communication of this information to senior leadership.
- And finally, within Leadership Standard LD.04.04.01 (the standard requiring that leaders establish performance improvement priorities) TJC added a new EP-25 that requires senior leaders to direct implementation of selected hospital-wide improvements in emergency management based on three listed considerations. This new EP is scoring category A.
No comments:
Post a Comment