The hospital submits information to Joint Commission as required.

(1)

The hospital meets all requirements for timely submissions of data and information to Joint Commission. Note 1: Joint Commission will impose the following consequence for failure to comply with this APR: If the hospital consistently fails to meet the requirements for the timely submission of data and information to Joint Commission, the hospital will be required to undergo an Accreditation with Follow-up Survey. Failure to resolve this issue at the time of the Accreditation with Follow-up Survey may result in an accreditation decision change. Note 2: The proposed consequences address only compliance with the requirement itself. They do not address the content of the hospital’s submissions to Joint Commission. For example, if information in a hospital’s electronic application for accreditation (E-App) leads to inaccuracies in the appropriate length of the survey and a longer survey is required, the hospital will incur the additional costs of the longer survey. In addition, if there is evidence that the hospital has intentionally falsified the information submitted to Joint Commission, the requirement at APR.01.02.01, EP 1 and its consequences will apply. (See also APR.01.02.01, EP 1)