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JCAHO 96 Hour Rules

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Simulation Education Services (SES)

Simulation Education Services and The Joint Commission's "96 Hour" Principle

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Beginning in January of 2008, the Joint Commission put into effect significant changes to its requirements for emergency preparedness impacting accredited acute care hospitals, critical access hospitals and long term care organizations.   These changes came about as a result of the lessons learned from a variety of disasters that impacted health care organizations over the past six years.  

One of the key elements of the new standards, the "96 Hour" Principle is found under the Environment of Care chapter.   This often-misunderstood change does not require that hospitals and long term care organizations be able to sustain themselves without community support for 96 hours.   It does , however, require healthcare leaders and planners to understand and recognize the limitations of their resources, assets, utility systems and supply chain to endure up to 96 hours.   It is a principle that requires significant thought and leadership involvement to determine strategies for the organization to sustain itself and if it cannot, what are the decision steps that lead to evacuation.  

Keys to the determination of sustainability are the six critical areas addressed in the standards:  

  • communication
  • resources and assets
  • safety and security
  • staff responsibilities
  • utilities management
  • patient clinical and support activities

Simulation Education Services (SES), a leading provider of emergency preparedness training, exercise, and assessment solutions for public and private organizations has taken these new requirements and embedded them into selected services.   In compliance with the Joint Commission's exercise requirements, the "96 Hour" Principle and the Six Critical Areas can be customized into most exercise offerings in a variety of ways:

  1. SES can construct a Desktop Exercise using audio and internet conferencing to specifically target an organization's means and methods of addressing the six critical factors and the "96 Hour" Principle.
  2. SES can construct a SimPat Exercise(Simulated Patient Influx or Evacuation) to specifically target an organization's means and methods of addressing the six critical factors and the "96 Hour" Principle during influx or evacuation scenarios.
  3. SES can customize many of its' current DeskTop exercise scenarios to include elements of the "96 Hour" Principle and the effective use of the six critical factors.
  4. SES can deliver a follow-up exercise to either our DeskTop or SimPat   products specifically designed to build off of the initial exercise and carry it into the management of the six critical factors and the "96 Hour" Principle.

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