We hope you find the following resources helpful for your ongoing compliance with TJC and CMS requirements. We have included articles from the current issue of our newsletter as well as access to our newsletter archives and useful Industry Links for Behavioral Healthcare.

To read articles written prior to January 2015, please view our Newsletter Archive.

 

As we know, there is an intense focus now during TJC surveys on compliance with the CMS CoP for Special Medical Records Requirements for Psychiatric Hospitals, i.e. the B Tags. During surveys, there is a session devoted to the review of a sample of medical records for compliance with the specific requirements listed in B Tags 113 and 116. One area that is frequently found noncompliant these days is documentation of the mental status exam.
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The Behavioral Health Care Accreditation manual has undergone some revisions over the past several months as part of TJC’s Standards Review Project. The final round of changes is now complete and will be effective January 2018.
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Congratulations to our client Appliedtx in Los Angeles, California who recently achieved initial Joint Commission accreditation. Appliedtx provides addiction and dual diagnosis outpatient treatment for adults with substance abuse and co-occurring disorders.
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Congratulations to our client Potomac Pathways in Cabin John, Maryland who recently achieved initial Joint Commission accreditation. Potomac Pathways offers treatment programs for young adults facing substance abuse and mental health challenges.
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Diamond Healthcare provides a wide variety of management and consulting services for the behavioral healthcare industry.
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Maine Medical Center in Portland, Maine, provides inpatient psychiatric services on its specialized geropsychiatric unit and is part of Maine Behavioral Healthcare.
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Mt. Sinai Beth Israel Hospital in New York City provides inpatient psychiatric services and a Comprehensive Psychiatric Emergency Program and is part of the Mt. Sinai Behavioral Health System.
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University Behavioral Center in Orlando, Florida, provides intensive mental health services for children, adolescents and adults as well as detox and substance abuse programs for adults.
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The surveying of ligature risks in psychiatric hospitals has almost taken on a life of its own over the past four months. In follow-up to our June article on ligature risks, we’re providing some timely feedback from clients about how this issue has been reviewed during recent surveys. We’ve had six psychiatric hospital clients surveyed since the March 1 announcement from TJC on this topic, and the scrutiny on it has been intense. Here’s a summary of the issues cited for the four hospitals.
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Congratulations to our client Beachside Recovery in Newport Beach, California, who recently achieved initial Joint Commission accreditation. Beachside Recovery provides a full range of detox, inpatient, and outpatient substance abuse treatment.
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