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Defining Repeat Findings:

By March 8, 2019On the Radar

Recently we had the opportunity to clarify Repeat Findings with The Joint Commission.   We wanted to share the following with you:

How are Repeat Findings defined?

For example: If an organization has a finding at a specific standard and element of performance in 2016, but in 2019 the essence of that finding now has its own Standard or EP and the finding is scored there, is that a repeat finding? Is a Repeat finding defined as a reoccurrence of the Standard or EP or a reoccurrence of the “essence of the requirement”, regardless of where it may now be scored?

The Joint Commission advises the following, if a similar issue is scored at the same standard/EP, it would be a repeat.  If a similar issue is scored at a different standard/EP and that EP was not available three years ago and the new EP captures the same intent as the original standard/EP, then it would be a repeat.  Finally, if a similar issue is scored at a different standard/EP and that EP was not available three years ago and the new EP captures a different intent from the original standard/EP, then it would not be a repeat.

Patricia Cook

Author Patricia Cook

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