[Intl_DxMedPhys] Revised TCJ standards 1/1/2026

[Mary Ellen Jafari]

In case you haven't heard, TJC is consolidating and revising its requirements effective 1/1/2026 to more closely align with CMS requirements.  The EPs specific to imaging and radioactive materials will be in different sections and have different reference numbers.
I don't think there are any major changes in the content though.

As an example, the Environment of Care and Life Safety chapters have been replaced with a new Physical Environment (PE) chapter.

I have attached a very helpful document that lists each EP and its new location and number.  I have also attached the new Hospital Accreditation Survey Process Guide which is the guide the surveyors use.   The Hospital Radiologic Services Evaluation Module starts on page 188.


One item that concerns me in the Hospital Radiologic Services Evaluation module is on page 192.   It sounds like TJC is not on same page as AAPM, however I would think that as long as we are following our facility policy, we should be fine.

*                   Proper shielding is applied to a patient who is undergoing a procedure using ionizing radiation.

Mary Ellen

Mary Ellen Jafari, MS, DABR (D,N), MRSE, MRSO, FACR, FAAPM, CIIP
Chief Physicist and Regional Radiation Safety Officer

Kaiser Permanente
Southern California Permanente Medical Group Medical Imaging Technology and Informatics
199 S. Los Robles Ave., Pasadena CA 91101
626-430-1231 (office mobile)
Maryellen.Jafari at kp.org<mailto:Maryellen.Jafari at kp.org>

NOTICE TO RECIPIENT:  If you are not the intended recipient of this e-mail, you are prohibited from sharing, copying, or otherwise using or disclosing its contents.  If you have received this e-mail in error, please notify the sender immediately by reply e-mail and permanently delete this e-mail and any attachments without reading, forwarding or saving them. v.173.295  Thank you.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <http://lists.osu.edu/pipermail/intl_dxmedphys_wd_osu_list/attachments/20250715/c64fb6ff/attachment.html>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: HAP_Prepub_CoP_Rewrite_Disposition_Jan2026.pdf
Type: application/pdf
Size: 3809741 bytes
Desc: HAP_Prepub_CoP_Rewrite_Disposition_Jan2026.pdf
URL: <http://lists.osu.edu/pipermail/intl_dxmedphys_wd_osu_list/attachments/20250715/c64fb6ff/attachment.pdf>