TJC & CMS News Blog Information
for Hospitals and Behavioral Healthcare
To read articles written prior to January 2015, please view our Newsletter Archive.
Joint Commission PI Standards: Data Collection Requirements
Recently, we covered the new Joint Commission PI requirements effective January 2022. We’re now seeing a clear uptick in the amount of attention surveyors are paying to this topic. Moreover, they’re issuing Requirements for Improvement in their survey reports. While...
Joint Commission Rights Standards: New Requirements
Heads up! The Joint Commission Rights standards have new requirements effective July 1, 2022. These new requirements are in both the Hospital and Behavioral Health Care & Human Services standards. So, that means they apply to both psychiatric hospitals and any programs TJC surveys under the Behavioral Health Care & Human Services standards …
Joint Commission Performance Improvement Standards 2022
Have you addressed the new Joint Commission Performance Improvement standards that went into effect January 1st? They’re in both the Hospital manual and the Behavioral Health Care & Human Services manual. If not, now’s the time to do so. These new PI requirements...
Joint Commission COVID-19 Staff Vaccination Standard
Be aware! There’s a new Joint Commission COVID-19 staff vaccination standard effective July 1, 2022. The new standard is in the Infection Control chapter: IC.02.04.02. This Joint Commission standard mirrors the recent CMS COVID-19 staff vaccination requirements which...
Preliminary Denial of Accreditation: How to Respond
Your Joint Commission survey ended 10 days ago. TJC just posted your final report. The decision is Preliminary Denial of Accreditation (PDA.) Not what you were hoping for. So, what exactly does PDA mean? And, equally important, what should you do next? The good news:...
Joint Commission Surveys Getting Back on Schedule
Be prepared! Joint Commission surveys are getting back on schedule. The pandemic is easing up in many counties across the country. As a result, TJC is catching up on surveys. Joint Commission Surveys: Current Status TJC is catching up on triennial surveys in all...
Joint Commission Grievance Review: New Survey Session
Heads up! There’s a new session on the Hospital survey agenda in 2022. It’s the Joint Commission Grievance Review session. So, let’s take a look at what’s involved and how you can best prepare. Joint Commission Grievance Review: What’s Included? First, the surveyors...
CMS COVID-19 Staff Vaccination Requirements
As an Accrediting Organization (AO) for CMS, TJC is now surveying deemed status organizations for compliance with the CMS COVID-19 staff vaccination requirements. Specifically, TJC is surveying to the CMS Omnibus COVID-19 Health Care Staff Vaccination interim final...
NPSG 15 Suicide Prevention: Training & Competency Requirements
As we know, compliance with TJC’s National Patient Safety Goal 15 on Suicide Prevention continues to be a challenge for many organizations. Survey findings related to inadequate suicide risk assessment abound. But what about the requirements for training and...
Joint Commission 2022 Standards: What’s New?
The New Year has arrived! So, are you all squared away with the Joint Commission 2022 standards effective 1/1/22? Now’s the time for a final check to be sure you’re fully compliant with the new 2022 requirements. Experience tells us when a new year kicks in, surveyors...