The Joint Commission (TJC) is an independent, not-for-profit organization created in 1951 that accredits more than 20,000 US health care programs and organizations. TJC’s goal and mission are to ensure quality healthcare for patients, prevent harm, and improve patient advocacy.

As a healthcare professional, it is essential to be vigilant about fire safety in hospitals. One effective way to identify and minimize risks is through an ongoing assessment of compliance with the Life Safety Code. In this blog post, we will discuss how the TJC Life Safety Code can help hospitals improve their fire safety measures.

The electronic Statement of Conditions™ (SOC) is a management tool that hospitals can use to continually identify, assess, and resolve Life Safety Code deficiencies. The SOC includes two main sections: Basic Building Information (BBI) and a Plan for Improvement (PFI). The BBI is used to identify the life safety features of each building or site, and the PFI outlines the steps needed to address any deficiencies.

It is important for hospitals to address specific risks and unique conditions at each of their sites and buildings. When a hospital has multiple sites, one BBI form is prepared for each site. However, a single BBI form may cover multiple buildings at that site if they are physically connected. Alternatively, the hospital may prepare a separate BBI form for each building.

It is also crucial for hospitals to establish the qualifications of the individual(s) responsible for assessing compliance with the Life Safety Code. While there are no specific education or experience requirements, knowledge of the Life Safety Code and its application in unique occupancies is important. Qualifications should be based on the scope of the Life Safety Code assessment activities and the complexity of the building and occupancy being assessed.

In conclusion, the TJC Life Safety Code and the electronic Statement of Conditions™ are valuable tools for hospitals to improve their fire safety measures. By staying vigilant and conducting ongoing assessments, hospitals can identify and address any deficiencies in their life safety features. We hope this information is helpful in ensuring the safety of patients, staff, and visitors in healthcare facilities.