Joint Commission Update - January 2026

Evelyn Dougherty • January 5, 2026

Joint Commission: Accreditation 360: Continuous Engagement option 

Beginning January 1, 2026, Joint Commission will offer its accredited hospitals and critical access hospitals optional flexible support between surveys to strengthen performance and improve patient care. Part of Accreditation 360, the Continuous Engagement option is not intended to monitor performance or compliance but instead to foster collaboration in elevating care.


Hospitals that choose Continuous Engagement receive either a virtual touchpoint(s) or an on-site touchpoint between surveys, guided by their needs and voluntary participation. The touchpoints offer hospital leaders the opportunity to seek clarity, explore areas for improvement and collaborate on real solutions for quality and safety with a Joint Commission survey specialist.


Touchpoint discussions may include:

  • Key strengths and opportunities identified by the organization or from prior survey events
  • Challenging standards selected by the organization
  • Performance strengths and real-world solutions
  • Support with administrative elements in the accreditation process


Continuous Engagement was designed with flexibility in mind—allowing hospitals to choose timing, format and focus topics. Developed based on feedback from Joint Commission–accredited organizations, it fosters a more collaborative and consistent relationship between surveys, supporting hospitals on their journey toward sustained excellence

 

Highlights of Joint Commission January 2026 process changes 

Jack Evans MBA, PMP, CHFM, CHSP from the Karmanos Cancer Institute EvansJ@karmanos.org summarized a number of the key changes now in effect: 

  • Name change. Now just "Joint Commission"
  • Reduce the number of requirements by 50%
  • Combined Life Safety (LS) and Environment of Care (EC) chapters into the new Physical Environment Chapter (PE)
  • Retire the National Patient Safety Goal (NPSG) and replace it with the National Performance Goal (NPG) chapter
  • Public access to searchable Standards documents. Added crosswalks and a disposition report.


Recall that on September 1st, 2025, Joint Commission expanded its Life Safety physical building tour into off-site practice facilities that are licensed under the hospital.

  • Life Safety surveyor and clinical surveyor collaborating to plan which sites will be visited
  • Life Safety surveyor walking through some of these off-site properties that, in the past, was not assessed by a LS surveyor.  


By Evelyn Dougherty April 16, 2026
See OSHA Fact Sheet: Lithium-ion Battery Safety Prismatic Li-ion battery cell on fire Potential risks include fires, explosions, and exposure to harmful chemicals. Preventing Damage to Your Lithium-ion Batteries For battery safety it is important to prevent damage to your lithium-ion batteries. Damage to lithium batteries can occur immediately or over a period of time, from physical impact, exposure to certain temperatures, and/or improper charging. Mechanical abuse – the crushing or penetrating of a battery cell causing the separator to deform or tear through physical force exerted on the battery. Try not to drop your lithium batteries. Thermal abuse – when batteries are exposed to high temperatures, around 150 F or greater depending on the cell type and battery chemistry, the separator can become damaged or may collapse. Electrical abuse – repeated over/undercharging can lead to dendrite growth. Dendrites are a branch-like structure that forms on the anode or cathode and can grow to pierce the separator. Charging a device or battery without following manufacturer’s instructions may cause damage to rechargeable lithium-ion batteries. For example, some manufacturer-authorized chargers will cycle the power to the battery on and off before it is fully charged to avoid overcharging. Since ultra-fast chargers may not cycle power, do not use them unless the manufacturer’s instructions include them as an option. Water exposure can result in corrosion to the battery electrodes and may lead to failures similar to mechanical or thermal abuse. After the battery experiences one of these types of abuse, it is considered DDR per DOT. EPA Li-ion Response Guide A Feb 5, 2026 article in EHS Today summarizes that health care facilities can help reduce these dangers by taking practical safety steps such as: Implementing hazard controls during battery design and production Ensuring proper ventilation Storing batteries in cool, dry locations Monitoring storage areas for flammable or toxic gases Using designated recycling facilities for disposal Providing safety showers and eyewash stations when handling battery mate
By Evelyn Dougherty April 16, 2026
One of the major causes of an emergency generator not to start is starting batteries. Corrosion, sulfation, and loss of electrolyte are the most common reasons. With proper maintenance and testing, these failures can be prevented and extend the life of your battery. Not caring for your starting batteries could cost the life of a patient, or possible financial loss, from extensive downtime. In this article, we will explain the different types of generator starting batteries and battery conductance testing. See MGI website: www.mgiepss.com under blog or https://www.mgiepss.com/blog/battery-conductance Generator Starting Batteries There are three types of batteries in use today for emergency and standby power systems, flooded lead-acid, valve-regulated lead-acid (VRLA), and nickel-cadmium (NiCad). Each includes charging plates and are subject to electrolyte loss. During charging, hydrogen and oxygen vents from the battery decreasing levels of electrolyte. Improper maintenance and charging could severely limit the life of your starting batteries. Flooded Lead-Acid Flooded lead-acid batteries include a removable cap for each cell, allowing visual inspection of the battery plates and electrolyte level. Venting is standard during charging. To replenish electrolyte levels always use deionized water. If electrolyte levels are not “topped off” during scheduled maintenance, permanent damage may occur. VRLA (Valve Regulated Lead-Acid) Valve regulated batteries, also known as “maintenance free” or sealed batteries, do not have a removable cap. Instead, gas escapes through vents designed to release at increased pressure levels. The term “sealed” means there is no way to access the individual battery cells as you can with a flooded lead-acid battery. Therefore, the battery charger must be set correctly to prevent the battery from drying out. Electrolyte levels are not replenishable. Nickel Cadmium or “NiCad” While not as common as lead-acid, the nickel-cadmium battery, or NiCad, is best for its ability to operate through a high-temperature range. It has a higher life span and fewer maintenance requirements. Also, NiCad batteries initially cost more than lead-acid and include cadmium, a potentially hazardous material. Battery Conductance Testing Lead-acid and NiCad batteries have been around for a long time. However, until the introduction of the battery conductance tester, battery maintenance was a slow and challenging process. Taking specific gravity readings from each battery cell and recording on maintenance checklists is time-consuming. The use of a hydrometer is no longer needed. Maintenance Requirements NFPA 110, 8.3.6.1 “Battery conductance testing shall be permitted in lieu of the testing of specific gravity when applicable or warranted.” With the battery conductance tester, personnel can save time and money with more accurate results, quickly identify battery health, and uncover potential problems before an actual emergency. Batteries fail due to buildup on charging plates. This buildup disrupts the flow of energy increasing the batteries resistance to charge. A battery conductance test will measure impedance and provide a report on the batteries health. Personal Protective Equipment (PPE) Before performing any maintenance or testing task, appropriate PPE is mandatory. Personal protective equipment should include gloves, apron, and goggles or a face shield. Visually inspect the battery for any signs of: Cracking, buckled, or leaking cases. Corroded, loose, or damaged cables and connections. Corrosion on the battery terminals. Dirt or acid on the case top. Testing Procedures Depending on the brand of battery conductance tester, set up may vary. The tester should guide you through the steps in selecting the correct settings. The most important will be “Cold Cranking Amps” or CCA. This specification is the measure of a battery’s ability to supply a certain amount of power for a short period. Make sure the CCA setting is identical to the rating of your battery. When connecting the battery conductance tester to the battery ensure the positive (+) clamp attaches to the positive terminal, and the negative (-) clamp connects to the negative terminal. Make sure both clamps grip the terminals. A poor connection will prevent testing. Most testers will indicate if the link is weak or not so you can make adjustments if necessary. Some also come pre-installed with a printer, or the ability to add one, or transfer the data to a computer for further analysis and archiving. Conclusion Whichever method you choose, written, printed, or electronic format, ensure you keep good records. Analyzing results over time will allow you to make informed maintenance decisions and avoid costly downtime. Although conductance testing will give you a good indication of the batteries health, cranking voltage is the truest test of readiness. Be on the lookout for an additional article on Voltage Drop Testing in our upcoming news.
By Evelyn Dougherty April 1, 2026
Joe Saldivar, Jr., MiSHE President