The Joint Commission’s newest report on National Performance GoalsTM for the Hospital Program (effective January 2026) makes one thing clear for 2025 and beyond: language access is now a formal patient safety requirement, not just a quality initiative.
Healthcare teams have been working for years to improve communication with Non-English Preferred (NEP) patients — this guidance simply raises the bar and aligns accreditation standards with what clinicians already know: great care requires clear understanding.
Here’s what changed, why it matters, and what providers need to be ready for.
The National Patient Safety Goals (NPSGs) reinforce what many clinicians experience daily: miscommunication is a leading cause of preventable harm. Language barriers aren’t edge cases anymore — they sit at the core of patient safety.
The Joint Commission references goals #4 and #7 in its latest "National Performance Goals™ Effective January 2026 for the Hospital Program."
This goal now requires hospitals to:
Stratify outcomes by preferred language
Provide community materials in the most common patient languages
This shift treats language preference as a critical variable in quality, equity, and care planning — not a detail on a form.
JC is explicit: patients need information delivered in the language they understand, especially for:
Informed consent
Discharge
Care planning
Medication instructions
A leading study (Divi et al., International Journal for Quality in Health Care, 2007) shows:
LEP patients experience more adverse events
Those events are more likely to have serious clinical consequences
Professional interpreters significantly reduce communication errors
Poor performance on patient safety doesn’t just affect a score — it affects accreditation, reimbursements, and trust. Strengthening language access reduces both clinical and operational risk.
Here’s the short list of real-world impacts:
Accreditation riskJC findings can trigger follow-up surveys or, in severe cases, jeopardize accreditation — a prerequisite for Medicare/Medicaid billing |
CMS repercussionsCommunication-related harm impacts Conditions of Participation, which can lead to frozen reimbursements or corrective action plans |
Liability exposureCases involving poor communication or inadequate consent carry higher legal risk, especially when documentation is thin |
Financial + reputation effectsSafety outcomes influence value-based purchasing programs and appear in public reports that shape community trust |
Staff moralePoor communication leads to errors, near misses, and emotional burnout. Strong language access protects clinicians too |
Better outcomesAs stated earlier, skilled interpreters significantly improve NEP patient outcomes, LOS, and rate of recurrence |
The bottom line: Investing in language access protects patients and the organization.
To meet these rising expectations, providers need a reliable, world-class language access partner they can count on.
At Jeenie, we support thousands of healthcare teams with fast, accurate Human+AI interpreting — backed by reporting, quality controls, and the data visibility needed for confident Joint Commission audits. We're here to make the compliance part easier, the safety part stronger, and the day-to-day workflow smoother.
Healthcare teams are already committed to delivering safe, equitable, informed care. The Joint Commission’s update simply clarifies the standard and gives providers a stronger framework to meet it. By strengthening language access and ensuring patients receive information in the language they understand, providers elevate safety, support staff, and build trust.