Performance Improvement Chapter Revisions - Performance Improvement (PI) Chapter

PI.02.01.01 EP: 3 PI.03.01.01 EP: 3 Current EP Text: Revision Type: Moved New EP Text: The critical access hospital uses statistical tools and techniques to analyze and The critical access hospital uses statistical tools and techniques to analyze and display data. [...] Page 2 of 5 Prepublication Standards © 2021 The Joint Commission Effective 1/1/2022 Critical Access Hospital (CAH) Accreditation Program PI.02.01.01 EP: 4 PI.03.01.01 EP: 4 Current EP Text: Revision Type: Moved New EP Text: The critical access hospital analyzes and compares internal data over time to The critical access hospital analyzes and compares internal data over time to identify levels of p. [...] (See also TS.01.01.01, EP 1) PI.02.01.01 EP: 8 PI.03.01.01 EP: 8 Current EP Text: Revision Type: Moved New EP Text: The critical access hospital uses the results of data analysis to identify improvement The critical access hospital uses the results of data analysis to identify improvement opportunities. [...] Page 3 of 5 Prepublication Standards © 2021 The Joint Commission Effective 1/1/2022 Critical Access Hospital (CAH) Accreditation Program PI.02.01.01 EP: 19 PI.03.01.01 EP: 19 Current EP Text: Revision Type: Moved New EP Text: The critical access hospital monitors the use of opioids to determine if they are being The critical access hospital monitors the use of opioids to determine if they are bein. [...] also LD.04.03.13, EP 1) (See also LD.04.03.13, EP 1) PI.02.01.01 EP: 20 PI.03.01.01 EP: 20 Current EP Text: Revision Type: Moved New EP Text: For critical access hospitals that provide fluoroscopic services: The critical access For critical access hospitals that provide fluoroscopic services: The critical access hospital reviews and analyzes instances where the radiation exposure and skin dose hos.