Behavioral Healthcare Compliance for Accreditation and Regulatory Requirements: Updates and Resources
In today’s dynamic regulatory environment, up-to-date information and resources are critical for ongoing regulatory compliance. Our team will help you stay on top of JC and CMS behavioral healthcare compliance updates so your organization can ensure continuous regulatory readiness.
See behavioral healthcare compliance posts below from our recent newsletters and access our newsletter archive and behavioral healthcare industry links.
Patient Safety: Evaluating your Organization’s Culture
The standard is LD.03.01.01 Element requires leaders to “regularly evaluate the culture of safety and quality.” With this standard, TJC is emphasizing that the culture within an organization directly impacts the safety and quality of care provided.
Provision of Care Chapter: Highlights from 2014 TJC Surveys
Findings in the Provision of Care chapter typically account for a significant number of Requirements for Improvement (RFIs) on surveys for both psychiatric hospitals and behavioral health organizations/programs. These findings relate primarily to assessment, treatment...
New Patient Safety Systems Chapter
There is a new Patient Safety Systems Chapter in the 2015 Hospital Accreditation Manual. There are no new standards in this chapter. Rather, it describes how existing standards can be used to build an integrated patient safety system. While this new chapter exists...
Revised Requirements for Psychiatric Hospitals with Deemed Status
Effective February 1, 2015, revised requirements go into effect for psychiatric hospitals that use Joint Commission accreditation for deemed status. TJC added one new requirement and revised nine elements of performance in order to ensure alignment with the CMS...
New Sentinel Event Chapter
Be aware that TJC has revised its Sentinel Event Policy and the Sentinel Event chapter in both the Hospital and Behavioral Health manuals. The revisions were effective January 1, 2015. While the essential components of the Sentinel Event Policy have not changed, there are some new terms and definitions that are important.
Q&A on Behavioral Health Human Resource Standards and Requirements
As reported in our October newsletter, there are revisions to the standards in the Behavioral Health Human Resources chapter (effective January 2015) that will make the process for "credentialing and privileging" of licensed independent practitioners simpler. As our...
National Patient Safety Goal on Alarm Management: Relevance for Psychiatric Hospitals
In January 2014, TJC introduced the National Patient Safety Goal on Alarm Management (NPSG.06.01.01) for hospitals and critical access hospitals. Since psychiatric hospitals are surveyed under the Hospital standards, this National Patient Safety Goal is applicable in...
TJC Behavioral Health Home Certification
Another highlight of the Annual Behavioral Health Care Conference in Chicago last week was the presentation on TJC's new Behavioral Health Home Certification. Several BH organizations have achieved this exciting new certification option! So, here's some information to...
Changes to Behavioral Health Human Resources Chapter
At the TJC Annual Behavioral Health Conference in Chicago last week, a key presentation focused on the revisions to the Human Resources chapter in the Behavioral Health Manual that go into effect on January 1, 2015. So, what are the changes and what do you need to do...
Suicide Risk Assessment Now # 2 in Top Ten Compliance Issues for Behavioral Health
TJC recently published the Top Ten Standards Compliance Issues for the First Half of 2014. (See table below.) There is not much new or different from previous years but it's worth noting that suicide risk assessment has now climbed to the # 2 spot on the list with 21%...