TJC Reviews Leadership Responsibilities for Monitoring and Performance Improvement Activities Under New Pain Management Requirement

Published: 08/22/2019

  • The Joint Commission
Relevant To:
  • Critical Access Hospitals,
  • Hospitals,
  • Ambulatory Care,
  • Office-Based Surgery

The Joint Commission (TJC) recently published a Frequently Asked Question reviewing leadership responsibilities for monitoring and performance improvement activities under LD.04.03.13, EP 1. According to TJC, organizational leaders must demonstrate active involvement in the implementation of processes and practices related to the safe and effective delivery of pain assessment and pain management services, including opioid prescribing.

LD.04.03.13, EP 1 requires the hospital to have a leader or

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