Which organizational department typically holds responsibility for managing and updating a hospital's Statement of Conditions (SOC) according to TJC standards?

The organizational department typically responsible for managing and updating a hospital's Statement of Conditions (SOC) according to The Joint Commission (TJC) standards is the Facilities Management or Engineering Department, often in collaboration with the Safety Department and sometimes with Risk Management. The Statement of Conditions is a document required by TJC that describes the current status of the organization's compliance with life safety code standards and identifies any deficiencies. The Facilities Management or Engineering Department is responsible for the physical environment of the hospital, including maintaining building systems, ensuring fire safety, and addressing any life safety code deficiencies. They are also responsible for conducting regular inspections and assessments to identify potential hazards and ensure compliance with applicable codes and standards. Because the SOC reflects the physical plant's compliance, and Facilities bears responsibility for its upkeep and any corrective actions, it naturally falls to this group. They then work with Safety and Risk Management to ensure completeness and accuracy for TJC surveys.