Is Your Hospital in Compliance with the New Joint Commission Resuscitation Standards?

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As of January 1st, 2022, there are new and revised resuscitation requirements for Joint Commission-accredited hospitals. The change aims to improve resuscitation and post-resuscitation care in accredited hospitals and critical access hospitals (CAHs) by aligning the standards with present guidelines and evidence.

“The revised standards on resuscitation care address several interlinked factors that have been cited as critical to resuscitation performance; namely, the quality of hospital personnel training, adherence to evidence-based protocols, collection of data, and the implementation of internal quality control and case review mechanisms.”

The Joint Commission

RevitalPro is a resuscitation documentation and guidance solution that helps code teams navigate cardiac arrest events. Through fully electronic, HIPAA-compliant documentation, with instantly accessible patient and quality improvement reports, RevitalPro can assist code teams in adhering to The Joint Commission’s new and revised standards.

Below outlines some of the existing, new, and revised Joint Commission cardiopulmonary resuscitation standards and how RevitalPro can help:

2022 Joint Commission Resuscitation Standards for Hospitals How RevitalPro helps hospitals meet the new resuscitation standards
Standard PC.02.01.11: *EXISTING*

EP 1: Resuscitative services are provided to the patient according to the hospital’s policies, procedures, or protocols.
RevitalPro’s timers, safety prompts, and dosage calculators support teams in meeting protocols in real-time. The post-event data and analytics empower teams to review where policies are not followed and provide evidence of met guidelines. In a Stanford study comparing events ran using RevitalPro versus events managed without it, RevitalPro was shown to:
1. Improve overall chest compression fraction by 13%;
2. Improve the percent of chest compressions in the target rate and depth range by 17%; and,
3. Improve team dynamics by 33%.
Standard PC.02.01.20: *NEW*

EP 1: The hospital develops and follows policies, procedures, or protocols based on current scientific literature for interdisciplinary post-cardiac arrest care.
The final set of vitals from the cardiac arrest event is critical in driving post-resuscitation care. Whereas documentation on paper can take two days to two weeks for transcription into the patient’s record, RevitalPro makes this data immediately available for the receiving care team’s use.
Standard PI.01.01.01: *REVISED*

EP 10: The hospital collects data on the following:
- The number and location of cardiac arrests (for example, ambulatory area, telemetry unit, critical care unit)
- The outcomes of resuscitation (for example, return of spontaneous circulation (ROSC), survival to discharge) Note: Return of spontaneous circulation (ROSC) is defined as return of spontaneous and sustained circulation for at least 20 consecutive minutes following resuscitation efforts.
- Transfer to a higher level of care
Paper documentation of cardiac arrests results in missing, incomprehensible, or incomplete data. The aggregated data from RevitalPro is securely captured and available for instant retrieval and easy review, enabling the hospital to demonstrate compliance with the data collection requirements quickly.
Standard PI.03.01.01: *NEW*

EP 22: An interdisciplinary committee reviews cases and data to identify and suggest practice and system improvements in resuscitation performance. Note 1: Examples of the review could include:
- How often early warning signs of clinical deterioration were present prior to in-hospital cardiac arrest in patients in non-monitored or non-critical care units
- Timeliness of staff’s response to a cardiac arrest - The quality of cardiopulmonary resuscitation (CPR)
- Post–cardiac arrest care processes
- Outcomes following cardiac arrest
Note 2: The review functions may be designated to an existing interdisciplinary committee.
Data collected in RevitalPro populates a dashboard of performance charts that allow a hospital to compare their performance against generally accepted guidelines across more than 20 critical factors (and additional ones can be customized from an average of over 200 data elements available per code event documented in RevitalPro). RevitalPro’s reporting dashboard will quickly identify opportunities for resuscitation performance improvement and allow committees to make training recommendations.

The standards below are not directly affected by RevitalPro, but proper documentation and code performance analysis can assist in observing resuscitation standards.

  1. *REVISED* 02.01.11 EP 4: The hospital provides education and training to staff involved in the provision of resuscitative services. The hospital determines which staff complete this education and training based upon their job responsibilities and hospital policies and procedures. The education and training are provided at the following intervals:
    1. At orientation
    2. A periodic basis thereafter, as determined by the hospital
    3. When staff responsibilities change

Additional Solutions to Meet the Standards

A clean, systematic approach and accurate documentation are essential to creating the best resuscitation chance, but training for “code blue” situations can be extraordinarily difficult. An article from American Nurse Today discusses how a code team steadily improved its training, documentation, code-cart content organization and identified the need for additional training equipment through regular simulations. Simulations are an undisputed necessity to train for a code blue event adequately. Realistically, many facilities cannot provide the resources and time required to create practical training simulations.

In-system checks search for common mistakes and offer reminders for each epinephrine dose and additional compressions at timed intervals. RevitalPro can offer enhanced simulation training to code teams. Each effort to improve code blue performance can assure better data collection, reduce liability risk, improve overall post-resuscitation care quality and assist in adhering to the new and revised Joint Commission standards.

Track and Analyze Data to Improve Code Team Performance (Code Blue IQ)

According to the New England Journal of Medicine, survival statistics for cardiac arrest patients have changed very little over the past few decades. While there have been slight improvements in standardized post-resuscitation care, local survival rates for in-hospital cardiac arrest vary greatly. So do the standards for monitoring and tracking those outcomes of resuscitation and emergency cardiovascular care. Is your hospital prepared to adapt and manage the changes in The Joint Commission resuscitation requirements?

Code Blue IQ is used with RevitalPro as a robust data analytics and reporting system to help your team of healthcare professionals learn from past performances. Code Blue IQ visualizes your team’s real-world performance against code blue guidelines – making it easy to debrief and continuously improve the quality of post-resuscitation care immediately

The analytics and visual dashboards allow:

  • Hospitals to monitor the performance of high-risk processes
  • Analyze undesirable patterns and trends in performance
  • Make changes that improve performance and patient safety while reducing risk
  • Effectively manage the capturing, reporting, processing, and storing of clinical and non-clinical data and information

The system captures discrete and transferable data, significantly reducing the time required to report to registries and other patient safety organization reports. RevitalPro is the ONLY in-hospital solution approved by the American Heart Association for reporting data to the Get With The Guidelines Registry.

RevitalPro and CodeBlue IQ are the documentation and data management solutions needed to help your team navigate the complexity of cardiac arrest care and support your hospital in meeting The Joint Commission’s resuscitation standards.