The Joint Commission announced it was changing its interim life safety measure (ILSM) evaluation process back in November 2016. From now on, the accreditor stated, when a surveyor identifies a Requirement for Improvement (RFI) level deficiency they’ll confer with the facility to pick the most suitable ILSM to use.
The Joint Commission also created a new element of performance (EP) for the LS.01.02.01 standard. EP 15 states that if the hospital’s policy allows for ILSMs not addressed in EPs 2–14 to be used, then they must be documented in the “other” section of the hospital’s Survey-Related Plan for Improvement (SPFI).
To learn more about ILSMs, we spoke with three experts to pick their brains on proper life safety compliance and policy.