Program Description
On May 3, 2016, the Centers for Medicare & Medicaid Services (CMS) announced a Final rule to update healthcare facilities’ fire protection guidelines to improve protection from fire for all Medicare beneficiaries in facilities.

This rule adopts updated provisions of the National Fire Protection Association’s (NFPA) 101, 2012 edition of the Life Safety Code® (LSC), as well as provisions of the NFPA’s 99, 2012 edition of the Health Care Facilities Code, with the exceptions of four chapters. CMS strives to promote health and safety for all patients, family, and staff in every provider and supplier setting, and fire safety requirements are an important part of that effort. Chapter 43 in NFPA 101, 2012 is a new chapter that defines construction within healthcare occupancies, differentiating the requirements for new vs. existing construction. The NFPA 99 emphasizes the use of “Risk-Based Methodology” and categorizes the risk to patient and staff safety by room usage.

Also, on September 8, 2016, CMS produced a Final rule to establish consistent emergency preparedness requirements for healthcare providers that participate in Medicare and Medicaid, which increases patient safety during emergencies and establishes a more coordinated response to natural and man-made disasters. The Final rule on emergency preparedness has emphasis in chapters that were not included in the 2012 NFPA 99 adoption process. 

​After completing this module, the participant should be able to:
  • Identify the NFPA’s 2012 edition of the LSC.
  • Understand the “Risk-Based Methodology” in the 2012 NFPA 99 and identify chapters that are included in the adoption process.

Target Audience.
This activity is relevant to all hospital staff, medical staff, volunteers, and contracted staff, particularly those who are 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.

Vincent Avenatti, CFPCA, NFPA, ICC
Life Safety Code® Specialist 
CMS Consultant
Joint Commission Resources

This presenter does 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. This presenter has also attested that his discussion 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.  

To learn more, please contact Customer Service at or call 1-888-219-4678.
To learn more please contact us at 888-219-4678.
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Centers for Medicare & Medicaid Services (CMS):
Risk-Based Methodology for Hospitals 

Premiere Date:
Thursday, March 28, 2019