Pu‘ulu Lapa‘au
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Joint Commission Requirements

In 2001, The Joint Commission issued Requirement MS.11.01.01, which mandates hospitals and other health organizations to design a process that provides education about physician health; address prevention of physical, psychiatric, or emotional illness; and facilitates confidential diagnosis, treatment and rehabilitation of healthcare providers who suffer from a potentially impairing condition.  

Further, MS.11.01.01 states "...the purpose of this process is to facilitate rehabilitation, rather than discipline, by assisting a practitioner to retain and or regain optimal professional functioning that is consistent with the protection of patients.  If at any time during the diagnosis, treatment, or rehabilitation phase of the process it is determined that a practitioner is unable to safely perform the privileges he or she has been granted, the matter is forwarded for appropriate corrective action that includes strict adherence to any state or federally mandated reporting requirements."

Most healthcare facilities or organizations lack the resources and/or expertise to follow the strict guidelines set forth by MS.11.01.01.  Moreover, maintaining confidentiality within a specific healthcare facility is difficult, at best, but is also part of the Requirement.  The Joint Commission recognized that meeting the requirements could be difficult to fulfill, so they accept delegation of these duties to existing external programs to meet these standards.  

Pu‘ulu Lapa‘au's is able to meet the Joint Commission requirements outlined in MS.11.01.01. Pu‘ulu Lapa‘au has been serving in this role for many healthcare organizations in the State of Hawai‘i.    



  • Home
  • About Us
    • Our History
    • Directors and Staff
    • Affiliations and Networks
    • Confidentiality and Privacy
    • Funding
  • Services
    • Advocacy
    • Education
    • Information and Consultation
    • Monitoring
    • Joint Commission Requirements
  • Making a Referral
  • Forms
  • FAQ
    • General Questions
    • Drug Testing
  • Contact Us
  • COVID-19 Update