Customized Joint Commission Continuous Readiness
The landscape of regulatory compliance in today’s behavioral healthcare industry is complex. For this reason, ongoing compliance with TJC and CMS standards is the only way to ensure continued accreditation and CMS certification.
A customized TJC continuous readiness plan allows you to manage your regulatory compliance in a planful, cohesive manner. Many of our clients have moved to this approach in recent years and reaped the value of successful surveys and reduced organizational stress.
Components of a Customized TJC Continuous Readiness Plan
We work closely with you to develop your customized continuous readiness plan. We offer several different components. You choose the services that meet your needs.
Mock Surveys: We conduct mock TJC surveys that simulate your actual survey agenda. You receive a comprehensive report detailing our findings and recommendations. You have the roadmap for your action plan for survey success.
Annual Mock Surveys: Rather than conducting a mock survey only once in the 3 year TJC accreditation cycle, we have several clients who have us conduct annual TJC mock surveys. Reviewing standards compliance on an annual basis definitely strengthens your continuous readiness capacity. It also allows ample time to address deficiencies. Much better than the last minute mock survey a few months before your due date with little time to implement corrective actions.
Validation Surveys: More and more clients are having us do validation surveys. Here’s how this works. First, we first conduct a full mock survey. You then implement your corrective actions. A few months later, we return to conduct a resurvey. We evaluate how well your corrective actions have been implemented. We also give on-the-spot feedback about where they need to be adjusted. This helps you “close the loop” and know exactly where you stand in terms of survey readiness.
Focused Reviews: Our focused reviews zero in on high risk compliance areas. These are either areas you’ve identified as weak spots or ones that are high on the TJC/CMS radar. Frequent topics for focused reviews include suicide risk assessment, treatment planning, active treatment, clinical documentation, conducting root cause analysis, and medical staff credentialing/privileging. Our customized TJC continuous readiness consultants conduct a laser sharp assessment of your high risks for compliance and strategies to address them.
Webinars: We conduct webinars and long distance training sessions for your team. These keep you abreast of TJC and CMS developments, new standards, and strategies for compliance. Your team gets to hear the latest information from consultants with a nationwide perspective.
System-Wide Accreditation Support
We provide customized Joint Commission continuous readiness services for several multi-hospital systems. Each one has a customized continuous readiness plan designed for their unique needs. They also receive the following services designed for multi-hospital systems:
- Quarterly reports of our surveys and reviews at their hospitals/programs
- Technical assistance to address common compliance challenges across the system
- Presentations by our consultants at their annual conferences
- Continuous off-site availability of their Barrins & Associates consultant
Why Choose Barrins & Associates for Customized TJC Continuous Readiness?
Our expertise is based on our 20 years’ experience as nationally recognized consultants in behavioral healthcare. We know what it takes to keep your behavioral healthcare organization in a state of continuous readiness.
Join the other behavioral healthcare organizations that have partnered with us to implement successful customized continuous readiness programs. Call us at 1-888-742-4621 to get started or fill out our online contact form.