Joint Commission Readiness

Complete regularly to maintain readiness.

  • Industry: Healthcare
  • Frequency: Weekly / Monthly
  • Estimated Time: 30-60 minutes
  • Role: Quality/Compliance Manager
  • Total Items: 30
  • Compliance: Joint Commission Standards, CMS CoP

Environment of Care

Physical environment compliance.

  • Emergency exits clear?
  • Fire extinguishers accessible and tagged?
  • Oxygen in use signs posted?
  • No extension cords for patient equipment?
  • Ceiling tiles intact?

Medication Safety

Medication storage and handling.

  • Medications secured/locked?
  • No expired medications?
  • Multi-dose vials dated?
  • High-alert meds segregated?

Infection Control

Infection prevention measures.

  • Hand hygiene supplies available?
  • Sharps containers not overfilled?
  • Isolation signage appropriate?
  • PPE readily available?

Documentation

Required documentation in place.

  • Staff licenses current?
  • Training documentation complete?
  • Policies accessible to staff?

Pre-Assessment Information

Initial assessment documentation and patient/facility identification

  • Assessor Name / Credentials
  • Assessment Date
  • Department / Unit
  • Assessment Type (Routine/Annual/Complaint)
  • Previous assessment findings reviewed?

Infection Prevention & Control

Verify infection control practices per CDC and Joint Commission standards

  • Hand hygiene compliance observed?
  • Appropriate PPE available and properly used?
  • Isolation precautions properly implemented?
  • Sharps containers available and not overfilled?
  • High-touch surfaces properly disinfected?

Patient Safety & Identification

Verify patient safety protocols and identification procedures

  • Two patient identifiers used before procedures?
  • Fall risk assessment completed?
  • Call light within patient reach?
  • Bed in lowest position with brakes locked?

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Why Use This Joint Commission Readiness?

This joint commission readiness helps healthcare teams maintain compliance and operational excellence. Designed for quality/compliance manager professionals, this checklist covers 30 critical inspection points across 7 sections. Recommended frequency: weekly / monthly.

Ensures compliance with Joint Commission Standards, CMS CoP. Regulatory-aligned for audit readiness and inspection documentation.

Frequently Asked Questions

What does the Joint Commission Readiness cover?

This checklist covers 30 inspection items across 7 sections: Environment of Care, Medication Safety, Infection Control, Documentation, Pre-Assessment Information, Infection Prevention & Control, Patient Safety & Identification. It is designed for healthcare operations and compliance.

How often should this checklist be completed?

This checklist should be completed weekly / monthly. Each completion takes approximately 30-60 minutes.

Who should use this Joint Commission Readiness?

This checklist is designed for Quality/Compliance Manager professionals in the healthcare industry. It can be used for self-assessments, team audits, and regulatory compliance documentation.

Can I download this checklist as a PDF?

Yes, this checklist is available as a free PDF download. You can also use it digitally in the POPProbe mobile app for real-time data capture, photo documentation, and automatic reporting.

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