Sep 13, 2016 by Barrins & Associates
Medication Management, Standards Compliance, Survey ReadinessBH Organizations
Effective August 1, 2016, TJC added three additional policies to the list of documents required for hospitals on the first day of survey. These have been added to the Hospital Accreditation Program Document List in the updated Survey Activity Guide and are...
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Sep 12, 2016 by Barrins & Associates
Infection Control, Standards Compliance, Survey ReadinessBH Organizations, Hospitals
The Joint Commission requirements for behavioral health organizations to implement influenza vaccination programs went into effect in 2012 and were expanded in 2013. Most BH organizations now have a process for offering influenza vaccination and educating staff about...
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Jul 15, 2016 by Barrins & Associates
Accreditation, CMS Regulations, Survey ReadinessHospitals
If you are a psychiatric hospital using TJC accreditation for deemed status, you know that TJC recently implemented some significant changes to its survey process and scoring methodology. These include closer scrutiny of the two Special Conditions of Participation...
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Jul 13, 2016 by Barrins & Associates
Outcomes Measurement, Standards Compliance, Survey Readiness, The Joint CommissionBH Organizations
TJC has published proposed standards revisions related to outcomes measurement for the Behavioral Health Accreditation Program . Currently, there is one standard in the Behavioral Health manual related to outcomes. That standard is CTS.03.01.09 which requires BH...
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Jun 16, 2016 by Barrins & Associates
CMS Regulations, Deemed Status: Standards Compliance, Survey ReadinessHospitals
Psychiatric hospitals that use TJC accreditation for deemed status and have been surveyed in the last few months have experienced a shift in focus. Many report that their recent TJC survey felt more like a CMS survey. That’s because TJC surveyors now have a mandate to...
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