If you do tests to measure competency, you do not need to keep those tests in your files, Longhenry says. But do keep a checklist of how you assessed the results of the tests. Standard PE.8.3 requires that staff members performing these tests receive specific training and orientation and demonstrate satisfactory competence. This requirement applies, for instance, to nursing staff who perform blood glucose checks. You need to document that training.
Most organizations tie competence assessment in with their annual performance review.
You must do a competence assessment and evaluation at least once during the triennial survey process, Longhenry says. Surveyors will look for competency-based annual performance evaluations. Match it to the employee job description and assess how well a person performs those duties. A clarification The Joint Commission addresses the issue of what it means by the ongoing assessment of staff competence in a clarification that it updated January 1. According to the clarification, which is subject to change at any time, an organization must assess some aspect of each employee's competence at least once within the three-year accreditation cycle.