In June 2025, The Joint Commission announced a major overhaul to its hospital and critical access hospital accreditation standards under a new initiative called Accreditation 360. The goal? To eliminate outdated or low-value standards and streamline the compliance process for healthcare organizations.
The result is historic: 777 standards eliminated, reducing the total number of requirements by nearly 50%. While this reduction is designed to ease the burden of compliance, it also shifts more responsibility onto hospitals to demonstrate real, measurable performance—especially in areas tied to facility safety, maintenance, and emergency readiness.
So what does this mean for your facility team? And how can you prepare for these changes before they take effect on January 1, 2026?
Key takeaways:
777 standards eliminated, including 714 specific to hospitals
Reductions span environment of care, life safety, and documentation-heavy requirements
The goal is to shift focus from administrative tasks to outcomes that directly affect safety and quality
Hospitals still need to meet the remaining standards and be ready to prove compliance with clearer documentation and accountability.
While some documentation requirements are easing, facility teams remain on the front lines of compliance. Joint Commission surveyors will continue to examine critical areas tied to:
Equipment maintenance and preventive care (EC.02.04.01)
Utility systems inspections (EC.02.05.01)
Emergency preparedness
Fire and life safety systems (LS series)
Environment of care documentation and readiness
In short, fewer standards don’t mean fewer expectations. In fact, hospitals are now expected to demonstrate excellence in fewer but more meaningful areas.
Work order history on critical assets
Emergency system testing records
Building-specific compliance documentation
Real-time reporting dashboards
Hospitals that rely on outdated systems or siloed spreadsheets may struggle to deliver this level of transparency, especially during unannounced surveys.
FacilityONE has helped large U.S. healthcare systems maintain Joint Commission readiness by providing complete visibility, automation, and documentation across all facility operations.
In one case, a large hospital system using FacilityONE passed its most recent Joint Commission survey with zero EC or LS deficiencies—thanks in part to the ability to instantly provide service records, floorplan documentation, and asset data during the visit.
The Joint Commission may be reducing standards, but it’s raising the bar for operational efficiency and documentation. FacilityONE gives healthcare facility teams the tools to stay ahead—without scrambling during survey season.