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.

 

If your organization operates an Opioid Treatment Program (OTP), be sure to review the recent changes to the TJC Behavioral Health standards that apply to these programs. There are some changes to the following chapters: Care, Treatment and Services Medication Management Information Management Rights and Responsibilities of the Individual Although the changes are not extensive, […]
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One of our clients that operates a residential treatment program recently underwent their initial TJC survey. They were surveyed under the Life Safety Code Residential Occupancy requirements for Lodging and Rooming Houses that have from 4 to 16 occupants. The organization had a finding that we had never seen before in the Life Safety chapter […]
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Barrins & Associates engineer Tim O’Rourke, CHFM has an alert for our psychiatric hospital clients surveyed under Joint Commission Hospital standards. Tim has worked with many of you over the years on mock surveys and compliance with the Life Safety and Environment of Care standards. He wants you to be aware of upcoming changes to […]
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Barrins & Associates is pleased to welcome our new client Haven Behavioral Healthcare Inc. which offers specialized psychiatric services in Colorado, New Mexico, Ohio, Pennsylvania, and Arizona. Haven Behavioral Healthcare hospitals provide inpatient psychiatric stabilization and treatment to senior adults.  The Haven Behavioral Military Services Davison offers specialized services to meet the unique needs of Armed Forces […]
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During surveys of both psychiatric hospitals and behavioral health organizations, issues continue to arise around how the organization is assessing the competence of its clinical staff. We have seen several survey findings for organizations not clearly defining competencies and not having a process for ongoing evaluation of clinical competencies. So, in this article, we are […]
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The TJC focus on the discharge process continues in 2014. During surveys, surveyors will frequently request a sample of closed records. In the past, the focus for closed records was on determining if the discharge summary had been completed on time. More recently, however, surveyor focus has been on evaluating whether the patient/client was given […]
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For several years, the common topic for the leadership interview on the last day of the survey was the five “pillars of leadership” as described in standards LD.03.01.01 – LD.03.06.01: Using data Planning Communicating Changing Performance Staffing This topic is still often used during leadership interviews on Behavioral Health surveys. Thus, BH leaders should be […]
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Congratulations to our client Bayes Achievement Center located in Huntsville, Texas who recently underwent their highly successful initial survey from The Joint Commission! Bayes Achievement Center provides a full continuum of prevention services, residential treatment and a day school program for special needs students with significant behavioral difficulties. Congratulations to the Bayes team on their […]
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Barrins & Associates is pleased to welcome our new client Black Bear Lodge located in the foothills of northern Georgia. Black Bear Lodge offers a holistic model of integrated substance abuse and mental health treatment and is working toward initial Joint Commission accreditation. The program is part of Foundations Recovery Network with headquarters in Nashville, Tennessee.
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Be aware that effective January 2014 TJC will no longer be mailing complimentary hard copies of the standards manuals and standards updates to accredited organizations. Standards manuals and standards updates will be available to accredited organizations via E-dition (the electronic version of the standards) on their Joint Commission Connect extranet site. (See December 2013 TJC […]
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