Effective March 15, 2020 – New Joint Commission Elements of Performance Removes the term Licensed dependent Practitioner from restraint and seclusion standards

The new Elements of Performance:

PC.03.05.05
The hospital initiates restraint or seclusion based on an individual order.

Elements of Performance for PC.03.05.05
1. A physician, clinical psychologist, or other authorized licensed independent practitioner primarily responsible for the patient’s ongoing care orders the use of restraint or seclusion in accordance with hospital policy and law and regulation.

www.jointcommission.org/-/media/tjc/documents/standards/…

This is in response to A Centers for Medicare and Medicaid Services (CMS) final rule, Medicare and Medicaid Programs; Regulatory Provisions to Promote Program Efficiency, Transparency, and Burden Reduction, published 9/30/19 that removed the modifying word “Independent”, changing the term “Licensed Independent Practitioner” to “Licensed Practitioner” in Federal regulations to clearly demonstrate that PAs are authorized to order restraint and seclusion.

Hospital bylaws and policies, state laws and regulations, and PA practice agreements and granted privileges may need to be updated to authorize PAs to order restraint and seclusion.

Per AAPA Advocacy