(The Joint Commission: Oakbrook Terrace, Illinois) -- The Joint Commission’s revised standards, rationales, and elements of performance for 2009 are now available online. The standards will take effect January 1, 2009, giving all health care organizations time to become familiar with the new language, ordering, and numbering. The changes are part of the Standards Improvement Initiative (SII) launched in 2006 as part of The Joint Commission’s quality improvement efforts.