Sep 18, 2017 by Barrins & Associates
Medical Records, Medical Staff, Standards Compliance, Survey ReadinessBH Organizations, Hospitals
As we know, there is currently an intense focus during TJC surveys on compliance with the CMS CoP for Special Medical Records Requirements for Psychiatric Hospitals (B Tags.) During surveys of psychiatric hospitals, there is a session designated for review of a sample...
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Jul 10, 2017 by Barrins & Associates
Environment of Care, Ligature Risks, Patient Safety, Suicide Risk, Survey ReadinessBH Organizations, Hospitals
As many of you know, the surveying of ligature risks in psychiatric hospitals has almost taken on a life of its own over the past four months. So, in follow-up to our June article on ligature risks, we’re providing some timely feedback from clients about how this...
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Jun 12, 2017 by Barrins & Associates
Human Resources, Standards Compliance, Survey ReadinessBH Organizations, Hospitals
Twenty-two percent of behavioral health organizations surveyed in 2016 received a survey finding related to competence assessment. Frequently, the finding relates to a staff person or contractor not having their clinical competence assessed by an individual qualified...
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May 12, 2017 by Barrins & Associates
Accreditation, Standards Compliance, Survey Readiness, The Joint CommissionHospitals
Psychiatric hospitals that use TJC accreditation for CMS deemed status were the first organizations to experience the SAFER (Survey Analysis for Evaluating Risk) methodology starting in June 2016. TJC recently published six months of compliance data for these...
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May 10, 2017 by Barrins & Associates
Environment of Care, Standards Compliance, Survey ReadinessBH Organizations, Hospitals
As you know, TJC began surveying to the 2012 edition of the National Fire Protection Life Safety Code in November 2016. Resulting changes to the Environment of Care and Life Safety standards went into effect January 2017. (See the November 2016 issue of TJC...
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