Barrins Bulletin
February 2024
Greetings to Our Colleagues in Behavioral Health!
As we embrace the second month of the year 2024, February invites us to reflect on themes of love, resilience, and growth. Whether it’s celebrating Valentine’s Day with cherished loved ones or acknowledging Black History Month and its profound impact on our collective journey, this month offers a rich tapestry of experiences and opportunities for connection. This is a time to nurture our mental and emotional well-being and engage in discussions on personal and professional development. Join us as we navigate through this month with intentionality, compassion, and a spirit of curiosity.
This month we continue to expand our horizons as we delve into topics important to the Accreditors, CMS, Hospitals, Psychiatric Hospitals, Community Behavioral Health, and Human Services providers.
Starting this year, we are expanding our content to encompass insights and updates from additional behavioral health accreditors. We value your feedback on the newsletter. Please share your comments and tell us what you think. We would also like to hear about topics you’d like to see in future issues.
We look forward to hearing from you! Feel free to forward this newsletter to your colleagues, their perspectives are equally important to us.
Best Regards,
Julia Finken, RN, BSN, MBA, CPHQ, CLSSMBB
Senior Vice President
“Diverse Perspectives, Comprehensive Solutions:
Tailoring Standards to Your Organization’s Needs”
Tailoring Standards to Your Organization’s Needs”
In any healthcare system, the rights and responsibilities of patients/clients and their families are vital. One critical aspect of this is the ability to voice concerns and have them addressed in a timely and effective manner. Let’s delve into the principles behind these standards and their significance in ensuring quality care. We will also uncover some of the common findings driving standard non-compliance findings during surveys from the accreditors and regulatory agency…
As of July 1, 2024, Joint Commission Accredited Psychiatric Hospitals accredited under the Comprehensive Accreditation Manual for Hospitals, must comply with new and revised infection prevention and control requirements. This overhaul involves a comprehensive rewrite…
In 2023, the healthcare industry witnessed a considerable number of citations issued to hospitals across the United States. According to data from the Centers for Medicare & Medicaid Services (CMS), a total of 4,980 citations were delivered to hospitals during the…
Barrins & Associates is pleased to welcome our new clients TrustPoint Hospital and Crestwyn Behavioral Health Hospital!
TrustPoint Hospital treatment center provides an array of medical and psychiatric services on both an inpatient and outpatient basis in Murfreesboro, TN. They provide inpatient psychiatric programs for individuals experiencing crisis from substance abuse or mental health issues.
Crestwyn Behavioral Health Hospital is an acute psychiatric inpatient treatment hospital in the Memphis, TN, area. They provide comprehensive care for adults who are struggling with substance abuse, addiction, and a wide range of mental health disorders.
Barrins & Associates provides Joint Commission and CMS consulting services for the Behavioral Healthcare industry. Our clients include psychiatric hospitals and freestanding Behavioral Healthcare organizations and we specialize in providing Survey Preparation and Continuous Survey Readiness services for the Behavioral Healthcare industry.
Barrins & Associates was founded by Anne Barrins, a Joint Commission surveyor for 13 years and is succeeded by Julia Finken with a 17 year tenure from The Joint Commission as a surveyor, the Associate Director of Business Development for the Home Care Program, and Executive Director of Business Development for the Behavioral Health Care and Psychiatric Hospital Programs.
Are You Compliant with the Most Often Cited High-Risk Standards?
Our Mock Survey is your best preparation for all standards considered at risk. Contact us today to become fully prepared for your next accreditation survey.
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TIP OF THE MONTH
Recommendations for Documenting Medical Staff Appointments and Re-Appointments
An action on the list of potential appointees should be documented in the minutes of the committee assigned to that approval process. This documentation demonstrates the agreement of the committee regarding the list of potential appointees.
We recommend that the governing body meeting minutes include at least a list, could be an addendum, that lists all appointees, new privileges, reappointments, and renewal of privileges that are being recommended by the MEC for action by the board. The board considers and acts on the recommendation as a consent agenda item, or takes each action individually (not necessary) and that action to approve should be memorialized in the minutes presented at the next meeting. Of course, the board can take exception to a recommendation of the MEC and deny the appointment or privilege request, or send back for further investigation.
Why Choose Us
“Again, I can’t begin to tell you what a pleasure it was to work with your Life Safety consultant during the survey. He is a wealth of knowledge and a true professional.”
Manuel Alfonso
Facilities Management Administrator
Englewood Health