TJC & CMS News Blog Information
for Hospitals and Behavioral Healthcare
To read articles written prior to January 2015, please view our Newsletter Archive.
COVID-19: Suicide Risk Monitoring
COVID-19 and suicide risk: definitely two challenging patient care issues. Recently, The Joint Commission (TJC) answered a question about monitoring COVID-19 patients who are a high suicide risk. Specifically, the question was whether staff doing a 1:1 observation for...
COVID-19: CMS Surveys and Top Priority Areas
In light of COVID-19, CMS has suspended routine surveys. CMS wants to allow healthcare organizations to focus on their top priority – responding to the COVID-19 pandemic. However, that suspension applies only to routine survey activity. It doesn’t mean all CMS surveys...
COVID-19: Behavioral Healthcare Resources
Searching for COVID-19 behavioral healthcare resources? We know as a Behavioral Healthcare organization you’re facing some unique challenges with COVID-19 in terms of your patient population and your varied settings. Clearly, you want to continue to provide your...
The Joint Commission Suspends Surveys
The Joint Commission has announced that effective March 16, 2020 they are suspending all “regular surveying.” TJC implemented this survey suspension in light of the declaration of a National Emergency regarding the COVID-19 virus. TJC wants to allow healthcare...
TJC Survey: Changes to the Survey Agenda
Are you ready for the changes TJC has made to the survey agenda? TJC recently announced “minor modifications” to the survey agenda effective March 1st. Although they’re small changes, they do have implications for your onsite survey – and how you manage it. So, best...
TJC Restraint vs. Physical Holding: What’s the Difference?
Are you a behavioral health organization that uses restraint or physical holding as interventions? Does TJC survey your organization under the Behavioral Health Care manual? If so, make sure you understand the TJC restraint definition and the distinction between restraint and physical holding …
TJC Tracer: Patient Transferred to Emergency Room
Heads up on a potential TJC tracer to keep on your radar. It's patients transferred from an inpatient behavioral health setting to the ER. We frequently see TJC (and also CMS) surveyors select this type of case for a tracer. So, what are the key things they’re looking...
NPSG 15 Suicide Risk Reduction: Feedback from the Field
It’s now been seven months since the new requirements for NPSG 15 on Suicide Risk Reduction took effect on July 1st. So, how is this important topic playing out on surveys? First, we know surveyors are closely scrutinizing each of the seven elements of performance...
New CMS Survey Process for Psychiatric Hospitals
On January 13, 2020, CMS announced it will change its survey process for psychiatric hospitals. Certainly, this is a significant change so it’s important to understand all the details.
TJC Standards Update: New Requirements for Substance Use Disorder Treatment
Heads up! Does your behavioral health organization/program provide treatment for substance use disorders? If so, you’ll need to address new TJC standards going into effect on July 1, 2020. TJC Standards: Behavioral Health Care Manual TJC accredits opioid treatment...