Revision of MS.01.01.01 Approved

The Joint Commission (TJC) has announced that their Board of Commissioners has approved the Task Force revision of MS.01.01.01 (formerly MS.1.20) for implementation. The revisions are based on the unanimous recommendations of an 18-member expert task force representing NAMSS, the American College of Physicians, American College of Surgeons, American Dental Association, American Hospital Association, American Medical Association, Federation of American Hospitals, as well as hospital trustees and health care attorneys.

MS.01.01.01 addresses the working relationship between the Governing Body, Medical Staff, and Hospital Administration. It includes details on what should be included in the Medical Staff Bylaws or policies and procedures in order to resolve conflict and promote a collaborative relationship among these groups. TJC’s original revision of this standard in 2007 raised concerns from the field, which felt that the standard was too prescriptive and was unrelated to the goal of raising quality.

MS.01.01.01 will be effective beginning March 31, 2011. TJC will be releasing educational documents in the next few days to help facilities understand the standard and how to implement it. There are also plans to hold an audioconference in April, which will allow participants to ask TJC staff specific implementation questions. NAMSS will also be providing education on MS.01.01.01 in addition to the offerings from TJC. Information will be posted on the NAMSS homepage at www.namss.org as it becomes available.

TJC reported mostly positive feedback from their field review, which ended earlier this year. 66 percent of respondents thought that the Task Force's revision was a positive improvement, 4 percent thought it was worse, and the remaining respondents wanted more clarification.

NAMSS thanks Task Force representative and Past President Carol Ostermann for representing the views of MSPs in order to achieve a working version of this standard, as well as all members who participated in the various field reviews.

For more information, and to see the 2011 revision of MS.01.01.01, go to www.jointcommission.org.