ENVIRONMENTAL COMPLIANCE AND IMPROVEMENT GUIDE

To improve compliance with JCAHO Environment of Care Standards

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Table of Contents

JCAHO Standards

Elements of performance

JCAHO
Full Text

Environment of Care Standards
EC 1.10 The organization manages safety risks.

EC 1.10.1  Written management plan for environmental safety

EC 1.10.2  Safety Coordinator

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EC 1.20 The organization maintains a safe environment.

EC 1.20.1, 4, 5 Environmental tours

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EC 2.10 The organization identifies and manages its security risks.

EC 2.10.1  Written management plan to effectively manage security risks

EC 2.10.6  Control of entrance and egress from security-sensitive areas

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EC 3.10 The organization manages hazardous materials and waste risks.

EC 3.10.1  Hazardous Materials and Waste Management Plan

EC 3.10.2  Hazardous Materials and Waste Inventory

EC 3.10.3  Implementation of Hazardous Materials and Waste Program

EC 3.10.4  Space & Equipment for Handling of Hazardous Materials & Waste

EC 3.10.5  Hazardous Gases and Vapors

EC 3.10.6  Procedures and Implementation for Emergency Response

EC 3.10.7  Documentation, Permits and Licenses

EC 3.10.8  Manifest Management

EC 3.10.9  Labeling of Hazardous Materials and Waste

EC 3.10.10 Hazardous Materials and Waste Storage

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Human Resources Standards

HR 2.10 Staff members, students and volunteers are oriented to their jobs as appropriate and the work environment before providing care, treatment and services.  

HR 2.10.1  Staff oriented to organization’s mission and goals

HR 2.10.2  Staff oriented to organization's policies and procedures

HR 2.10.9  Organization assesses competency

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HR 2.20 Staff members, students and volunteers can describe or demonstrate their roles and responsibilities based on their job duties, relative to safety.

HR 2.20.1  Describe and demonstrate environment risks

HR 2.20.2  Demonstrate actions to eliminate and minimize risks

HR 2.20.3  Demonstrate procedures to follow in event of incident

HR 2.20.4  Knowledgeable regarding reporting processes

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Leadership Standards
LD 1.30 The organization complies with applicable law and regulation.

LD 1.30.1  Services provided in accordance with rules

LD 1.30.2  Organization acts upon reports, recommendations as appropriate

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