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Environment of Care® & Life Safety

Clear answers from trusted experts

We have a team of experts to help you create a safe, functional and supportive environment for your patients, visitors and staff. Our Environment of Care and Life Safety practice is made up of current and former mechanical and electrical engineers, safety officers, architects, and facility directors with over 320 combined years of hands-on health care experience in settings across the continuum of care. With experts on both the environment and clinical side, Joint Commission Resources has the ideal team to identify the linkages between the environment of care and clinical settings to help reduce risk.

Learn more about our EC and LS advisory services from Lisa Hardesty MA, CHSP, CFI, Principal EOC Consultant, and Kristine Slepicka, Executive Director Domestic Consulting.

A robust set of Environment of Care & Life Safety Solutions

Our services go beyond Joint Commission survey preparation. We can help you strengthen your environment of care and life safety programs in the following areas:

Building Design & Construction

  • Evaluate the built environment before, during and after construction
  • Evaluate conceptual drawings for compliance with The Joint Commission and CMS
  • Field verify compliance with NFPA 101-2012 after occupancy is granted
  • Guide safe building design and new construction to help you achieve compliance with the Life Safety Code®, general infrastructure requirements, infection prevention and workflow
  • Assist with pre-construction and infection prevention risk assessments and interim life safety measures assessments
  • Help you prepare for Joint Commission extension surveys

Continuous Support

  • Establish a long-term program in which a JCR expert makes regular visits to help you manage continuous compliance and assist with issues as they arise
  • Mentor hospital or health system staff to become proficient in all areas of environment of care/life safety and develop best practice strategies
  • Evaluate, create, and update a facilities environment of care program
  • Conduct regular building assessments to help identify deficiencies and develop and execute plans for improvement
  • Build dashboards to monitor compliance within your program

Focused Solutions

  • Evaluate high-risk policies and programs such as life safety building assessments, interim life safety measures and pre-construction risk assessments
  • Create an action plan to help you prioritize deficiencies within the environment and drive corrective action planning
  • Perform emergency management drills
  • Help you coordinate with your outside contractors to implement plans
  • Conduct field verification of life safety drawings
  • Provide interim support to get a new manager/director up to speed or fill in when staff resources are limited

Joint Commission Preparation

  • Prepare for the Environment of Care, Life Safety and Emergency Management chapters
  • Conduct building tours based on The Joint Commission’s Surveyor Activity Guide for Environment of Care, Emergency Management and Life Safety chapters
  • Assist you with completing the evidence of standards compliance and creating and implementing action plans after a Joint Commission survey
  • Assist with helping a new facility director/manager understand the environment of care program so they can take ownership and accountability
  • Perform tracers to evaluate the organization’s compliance, including: fire barriers or air quality program for critical spaces such as surgery, invasive procedure rooms, pharmacy and where hazardous chemicals are used
  • Access our experts by phone, email or both and are billed only if services are used

Regulatory Compliance

  • Conduct a Life Safety Assessment to identify gaps with the organization’s compliance to NFPA 101-2012 and NFPA 99-2012
  • Perform a risk assessment based on NFPA99 Chapter 4
  • Evaluate compliance with NFPA 101-2012; Chapter 43 during renovation, repurposing of space or occupancy changes
  • Evaluate pharmacy compounding areas to meet USP <795>, <797>, and <800>
  • Conduct a CMS and Joint Commission standards comparison assessment
  • Facilitate a Legionella risk assessment or complete a gap analysis on an existing risk assessment

View our Environment of Care/Life Safety Advisory Services brochure for more information.


The use of Joint Commission Resources (JCR) consulting services is not necessary to obtain a Joint Commission Accreditation award, nor does it influence the granting of such awards.


  • The experts at JCR are always available to help you identify and select services that will be most beneficial to you and assist with your organization's most challenging needs.

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Life Safety Code is the registered trademark of the National Fire Protection Association, Inc.



Environment of Care Essentials for Health Care

Get ready for survey with the one book that bundles all the EC, EM, and LS standards and elements of performance in one convenient reference.

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