Oct 14, 2025 by Barrins & Associates
Accreditation, Compliance, Psychiatric Hospitals, Survey ReadinessHospitals
Closing the Policy-to-Practice Gap In psychiatric hospitals, leadership responsibility extends beyond clinical excellence to include rigorous accreditation and regulatory compliance. Many programs have policies on paper, yet frontline workflows still allow variation,...
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Sep 13, 2025 by Barrins & Associates
Accreditation, Accreditation 360, Behavioral Health Care, Joint Commission, Survey ReadinessBH Organizations
Community behavioral health providers face a growing challenge: not just delivering care under resource constraints, but proving its impact. Measuring outcomes has long been standard in physical health—blood pressure, blood sugar, cholesterol—but in behavioral health,...
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Sep 9, 2025 by Barrins & Associates
Adverse Decision, CMS, Immediate Jeopardy, Joint Commission, Joint Commission surveys, Psychiatric Hospitals, Survey ReadinessHospitals
Imagine the scrutiny a facility faces after a patient’s death. When this happens, surveyors cite serious threats to patient safety—including the frequency of checks for patients in seclusion and the safety of the seclusion space—leading to a preliminary denial...
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Jul 28, 2025 by Barrins & Associates
accreditation compliance, accreditation standards, behavioral health accreditation, CMS Conditions of Participation, complaint resolution, compliance assessment, consent forms accuracy, documentation audit, grievance process, healthcare regulations, informed consent compliance, Joint Commission surveys, mock surveys, patient complaints management, Patient Rights, policy review, provider education, psychiatric hospital regulations, quality improvement, regulatory compliance, risk management, Safer Matrix, safety and quality improvement, Survey ReadinessBH Organizations
Accreditation surveys frequently reveal gaps in informed consent procedures and complaint/grievance processes. Such deficiencies can result in citations and threaten the facility’s accredited status. Therefore, proactive assessments, staff training, and ongoing...
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Jul 28, 2025 by Barrins & Associates
accreditation compliance, accreditation standards, behavioral health accreditation, CMS Conditions of Participation, complaint resolution, compliance assessment, consent forms accuracy, documentation audit, grievance process, healthcare regulations, informed consent compliance, Joint Commission surveys, mock surveys, patient complaints management, Patient Rights, policy review, provider education, psychiatric hospital regulations, quality improvement, regulatory compliance, risk management, Safer Matrix, safety and quality improvement, Survey ReadinessBH Organizations, Hospitals
The Joint Commission (TJC) is leading some of the most significant transformations we’ve seen in decades. Their “Accreditation 360” initiative, the most substantial update since 1965, signals a profound shift. It’s designed to ease...
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