The Joint Commission announced on July 31, 2013, that it has revised its accreditation and certification decision rules for all its programs. The revised certification decision rules are effective immediately, and the revised accreditation decision rules are effective for surveys that occur on or after January 1, 2014. According to the Joint Commission, the revisions clarify existing rules, support actual practice, and provide a more accurate set of decision rules. The revised rules include a recent Joint Commission policy intended to streamiline its certification decisions by limiting them to either “certified” or “not certified.”