A Presentation for The Florida Healthcare

Transcript:A Presentation for The Florida Healthcare:
A Presentation for The Florida Healthcare Engineering Association 2016 AHCA / FHEA Joint Conference Orlando, Florida September 19, 2016 Presented by Jack L. Waisblat, President JT Service Contractor Corp. Accreditation and Regulatory Compliance Management Consultants 1 Joint Commission EC, EM & LS Standards Revisions and CMS COP Updates. 2016 / 2017 Joint Commission and DNV: What’s new 2 TJC - Major Revisions to EC and LS Standards. TJC - No more PFI’S. TJC - Major Revision in scoring methodology. CMS – 42CFR-3178F, RIN0938-A091: Emergency Preparedness requirements for Medicare and Medicaid Participating providers and suppliers. TJC and DNV – Adaptation of 2012 Life Safety Code. TJC and DNV – NFPA 101, Chapter 43 (Building Rehabilitation). TJC and DNV – Adaptation of new NFPA editions: 10-(2010), 13(2010), 25(2011), 72(2010), 80(2010), 90A(2012), 96(2011), 99(2012), 105(2010), 110(2010), 1962(2008). TJC and DNV- 2014 FGI Guidelines. DNV – No major changes other than reference to 2012 Life safety Code. Key Changes 3 Isolation panel boards in anesthetizing locations. Separation of branches (critical, life safety, equipment). EC.02.03.05 EP25: Annual door inspection program. NFPA 99 risk assessment by category. Door Testing and Inspection Management system. Documented inventories. Calculating exhaust quantities for medical gas storage / manifold rooms. Weekly inspections on generators and batteries. Policy for compressed gas cylinder management. Lighting in stairwells .2 FC. Bulk oxygen farms 10 foot rule. LS.01.01.01 EP2: “In time frames defined by the organization, the organization performs a building assessment to determine compliance with the life safety chapter”. Effective 1/1/17 RFI’S can only be clarified why the survey team is on-site; no more clarification submissions. Effective 1/1/17 TJC will only manage equivalencies related to SPFI’S; you can no longer request an equivalency. Proposed Revisions to EC Standards (effective 11/1/16) 4 EC.02.03.01 EP9 & 10 were combined into new EP9 which addresses the fire response plan. EC.02.02.03 EP1: added note 2 . EC.02.03.03 EP3: Added notes 1 &2 and requires fire drills to include evidence of transmission of fire alarm signal to the central station as well as conducting drills “at unexpected times and under varying conditions” meaning don’t hold all 3rd shift drills at 5:45AM, all 2nd shift at 7PM, etc. and alternate days of the week. EC.02.03.05 EP1: Added note 2 defining what supervisory signal devices are. EC.02.03.05 EP2: Revised frequency for water flow devices from quarterly to every 6 months, also revised code editions and added note 2. EC.02.03.05 EP3: removed