Joint Commission After Hours Pharmacy Access Requirements

Published: 03/06/2023

  • The Joint Commission
Relevant To:
  • Critical Access Hospitals,
  • Hospitals

The Joint Commission (TJC) recently issued new FAQs, applicable to Hospital and Hospital Clinics and Critical Access Hospital accreditation programs, addressing requirements for pharmacy access.

According to TJC, requirements outlined at MM.05.01.13, EP 2 require organizations to have a process to ensure they can provide medications to meet patient needs, even when pharmacy services are not open. Specifically:

  • Non-pharmacist health care professionals, such as trained prescribers and/or

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