The JCRQSN program is a monthly series of video conference training sessions produced by 
Joint Commission Resources  (JCR) in partnership with The Wellness Network.  The Wellness Network is 
the distributor of the series and has no  influence on the content.  

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Life Safety Code (LSC) and Statement of Conditions (SOC): 
An Update
Premiere Date:
Thursday, July 27, 2017
2:00 PM to 3:00 PM ET
1:00 PM to 2:00 PM CT
12:00 PM to 1:00 PM MT
11:00 AM to 12:00 PM PT

Program Description
Recent changes identified by the Centers for Medicare & Medicaid Services (CMS) have resulted in modifications to the Statement of Conditions™ (SOC) component of The Joint Commission survey process. The changes, which became effective August 1, 2016, also affect the survey of “Life Safety” (LS) chapter requirements in the Comprehensive Accreditation Manuals for the ambulatory care, behavioral healthcare, critical access hospital, hospital, home care, and nursing care center programs.

As of August 1, 2016, important survey process changes include:
  • All LS chapter deficiencies identified during survey will become Requirements for Improvement (RFIs) with a 60-day Evidence of Standards Compliance (ESC).
  • For those deficiencies that require more than 60 day, a Time-Limited Waiver process is available.

Through in-depth expert discussion and featured case studies, this 60-minute live event analyzes and explains the changes to the SOC and LS chapter, with an emphasis on the process for completing a Time-Limited Waiver. Common Life Safety compliance issues related to doors are also covered. 

After completing this activity, the participant should be able to:
  • ​Identify the modifications to the Statement of Conditions (SOC).
  • Describe the process for the completion of a Time-Limited Waiver.
  • Identify common compliance concerns related to Life Safety, emphasizing issues with doors.

Target Audience
This activity is relevant to all hospital staff, medical staff, volunteers, and contracted staff, particularly those responsible for Life Safety-related activities, including safety officers and committees, engineering staff, facility managers, department managers and supervisors, performance improvement (PI) staff, training and education staff, and risk managers.

Department of Engineering
Division of Healthcare Improvement
The Joint Commission

Keith E. Pardoe, FDAI, DAHC, CDC, CDT
Founder and CEO
Door Safety, LLC and
Culpeper, Virginia

Kathy Tolomeo, CHEM, CHSP
Department of Engineering
The Joint Commission

These presenters do not have any financial arrangements or affiliations with corporate organizations that either provide educational grants to this program or may be referenced in this activity. These presenters have also attested that their discussions will not include any unapproved or off-label use of products.

Accreditation Information:
The Joint Commission is accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC) to provide continuing education for the healthcare team.

Note: No ACPE credit was provided for this program.

The Joint Commission is provider approved by the California Board of Registered Nursing, provider number CEP 6381, for 1 contact hour.

The Joint Commission is authorized to award the listed hours of pre-approved ACHE Qualified Education credit for this program toward advancement, or recertification, in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants should log into their MyACHE account and select ACHE Qualified Education Credit.

This activity has been approved by the National Association for Healthcare Quality (NAHQ) for 1.0 Certified Professional Healthcare Quality (CPHQ) credit. 

The Joint Commission Enterprise has been accredited as an Authorized Provider by the International Association for Continuing Education and Training (IACET).

This education offering qualifies for 1.0 Certified Joint Commission Professional (CJCP) credit hours towards CJCP recertification. In order to obtain CJCP credit hours, an individual must first be certified before they start acquiring CJCP credit hours. CJCP credit hours will not be retroactive.

Full attendance at every session is a prerequisite for receiving full continuing education credits. If a participant needs to leave early, his or her continuing education credits will be reduced.

Successful completion of this CE activity includes the following:
  • View the presentation and read the accompanying Resource Guide.
  • Complete the online Evaluation Form and Post Test.
  • A CE certificate/statement of credit can be printed online following successful completion of the Post Test and the Evaluation Form