
The EPs, which take effect July 1, 2018, are applicable to all Joint Commission-accredited hospitals and critical access hospitals that provide obstetric services, specifically labor and delivery. The Joint Commission stated that the EPs are "…designed to improve the identification of mothers upon admission to labor and delivery who are at risk for transmitting certain infectious diseases to their newborns so that the mother and/or the newborn can be treated promptly to prevent harm."
The EPs are part of standard PC.01.02.01 in the Provision of Care (PC) chapter of the hospital accreditation manual. They are as follows:
EP 14: For [critical access] hospitals that provide obstetric services: Upon admission to labor and delivery, the mother's status of the following diseases (during the current pregnancy) is documented in the mother's medical record:
- Human immunodeficiency virus (HIV)
- Hepatitis B
- Group B streptococcus (GBS)
- Syphilis
- HIV
- Hepatitis B
- GBS
- Syphilis
EP 16: For [critical access] hospitals that provide obstetric services: If the mother tests positive for HIV, hepatitis B, GBS or syphilis when tested in labor and delivery, that information is also documented in the newborn's medical record after delivery.
"The requirements will help improve maternal and neonatal health in Joint Commission accredited hospitals and critical access hospitals across the country," said Kathy Clark, MSN, RN, associate project director specialist, Division of Health Care Quality Evaluation, The Joint Commission, in a news release. "If left undiagnosed or untreated, infectious diseases can be extremely dangerous and even life-threatening, so it is critical that testing and treatment for both the woman and baby is completed according to clinical practice guidelines."