Program Description
The Joint Commission regularly aggregates standards compliance data to identify areas that present the greatest challenges to accredited organizations and certified programs. These data help The Joint Commission recognize trends and tailor education around challenging standards; National Patient Safety Goals (NPSGs); the Universal Protocol for Preventing Wrong Site, Wrong Procedure, and Wrong Person Surgery; and Accreditation or Certification Participation Requirements (APRs or CPRs).

Many of the standards data collected revealed that some of the more challenging standards identified as non-compliant include those in the Life Safety chapter of the Comprehensive Accreditation Manual for Hospitals (CAMH). 

Through in-depth expert panel discussion and featured case studies, this 60-minute event identifies the most common standards compliance issues related to the Life Safety (LS) standards. 

​After completing this module, the participant should be able to:
  • Identify the most problematic LS standards.
  • Describe practical solutions for compliance with the most problematic LS standards

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.

Lisa Hardesty, MA, CFI-I, CHSP, HEM
Principal Consultant
Joint Commission Resources

Herman A. McKenzie, MBA, CHSP 
Engineer, Department of Engineering
Standards Interpretation Group
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-AMA PRA Category 1 ™), 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 1.0 contact hour 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 wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification.

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

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 Chapter: The Most Challenging Standards

Premiere Date:
Thursday, August 22, 2019
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

We Want to Hear from You!  
Subscribers can submit questions before or after the August 22nd program.

To submit your question or for additional details, please send an email to

Please CLICK HERE to learn more and access course materials. User guide is located at bottom of page.

If you have questions, please contact JCR Customer Technical Support by phone at (877) 223-6866 option 2 or 
by email at, Monday – Friday 8:30am-5:00pm Central Time.