Achieve Successful Survey Outcomes

Reduce Organizational Stress

Focus and Prioritize Survey Preparation

Build Your Internal Expertise

Accreditation Consulting Services for Behavioral Healthcare

Barrins & Associates delivers Survey Preparation and Continuous Survey Readiness services exclusively to the Behavioral Healthcare field. We help organizations achieve successful outcomes on TJC and CMS surveys and assist organizations seeking initial TJC accreditation. Our ongoing consultation throughout the survey cycle enables you to avoid the “last minute rush” for TJC (formerly JCAHO) and CMS surveys.

Survey Preparation Services

  • Organizational Assessment
  • Survey Process Training
  • Customized Survey Preparation
  • Mock Surveys
  • Standards Training
  • EOC/Life Safety Code Reviews

Continuous Survey Readiness

  • Organizational Assessment
  • Annual Standards Training
  • Focused Medical Record Review
  • Mock Surveys
  • Internal Tracer Process
  • Off-Site Support

CMS Certification & Compliance Support

  • Training on CoPs
  • CMS and TJC Integration
  • Mock CMS Surveys
  • Post-survey Technical Assistance

Our team has extensive experience in TJC and CMS survey preparation. All associates have been senior leaders of Behavioral Healthcare organizations with extensive experience in accreditation compliance. Disciplines include psychiatry, nursing, social work, psychology, health information management, and engineering with specialization in NFPA Life Safety Code and Environment of Care.

Joint Commission Accreditation and Continuous Survey Readiness is Our Specialty

19-Year Track Record

More Than 300 Clients Served

100% Success Rate for TJC Initial Accreditation

Psychiatric Hospitals: Be Prepared for CMS Validation Surveys

As we know, TJC has deeming authority from CMS for both acute care hospitals and psychiatric hospitals. As part of its oversight of TJC’s deemed status survey process, CMS conducts validation surveys to assess TJC’s performance in evaluating a hospital’s compliance with the CMS Conditions of Participation (COPs.)  These validation surveys are conducted within 60 days after a hospital’s triennial TJC survey. The annual sample size for these validations surveys ranges from 2% to 5% of deemed hospitals.

read more

Suicide Prevention Recommendations for Non-Hospital Behavioral Health Settings

In our January newsletter, we covered the suicide prevention recommendations issued by TJC earlier this year for non-hospital behavioral health settings. These were published in the January 2018 issue of TJC Perspectives and apply to residential, partial hospitalization, day treatment, and intensive outpatient behavioral health programs.

read more

Be Ready for the Program-Specific Tracer on Suicide Prevention

We all know the topic of suicide risk assessment is an important focus of TJC surveys in behavioral health settings — whether it’s an inpatient psychiatric unit or a community-based behavioral health program. You may not be aware that surveyors are instructed to conduct a specific tracer on suicide prevention in these behavioral health settings. Surveyors have clear instructions on what to include in the scope of this tracer. So, here are some insights into what surveyors are expected to evaluate.

read more

Ready for an evaluation of your organization’s TJC and CMS Survey Preparation and Continuous Survey Readiness needs?