CHA News Article

CMS Guidance to Include The Joint Commission Standards for Ligature Risk

The Centers for Medicare & Medicaid Services (CMS) announced in the attached memo that its interpretive guidance for helping to reduce suicide and self-harm in health care facilities will include The Joint Commission’s ligature risk recommendations. CMS states in the memo that, until it releases its guidance, state survey agencies and accrediting organizations “may use their judgment as to the identification of ligature and other safety risk deficiencies, the level of citation for those deficiencies, as well as the approval of the facility’s corrective action and mitigation plans to minimize risk to patient safety and remedy the identified deficiencies.”

The American Society for Health Care Engineering, a professional membership group of the American Hospital Association, has created several tools and resources to help hospitals address ligature risk and patient safety.