Behavioral Healthcare Compliance for Accreditation and Regulatory Requirements: Updates and Resources
See behavioral healthcare compliance posts below from our recent newsletters and access our newsletter archive and behavioral healthcare industry links.
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...
Joint Commission Fire Drill Requirement: Vary the Timing
An important Joint Commission fire drill requirement is you must vary the timing of your drills. Seems simple, right? Surprisingly, many organizations overlook this requirement. As a result, they get a finding on their survey. So, let’s review what’s needed to be in...
Joint Commission Tailored Surveys
Does TJC accredit your organization under more than one accreditation manual? If so, that means you get a Joint Commission “tailored survey.” In a tailored survey, TJC applies standards from different accreditation manuals based on your services and settings. For...
Behavioral Health Care Accreditation: 2021 Survey Trends
Does The Joint Commission survey your organization under the Behavioral Health Care Accreditation Program (now formally known as Behavioral Health Care & Human Services Accreditation?) If so, we have important feedback about current high focus areas we’re seeing in 2021 surveys.
New TJC Performance Improvement Requirements
Get Ready! Effective January 1, 2022, new TJC Performance Improvement Requirements go into effect. They’ll be in both the Hospital Standards PI chapter and the Behavioral Health Standards PI chapter. The new TJC Performance Improvement Requirements essentially “raise the bar” on what TJC expects to see in your Performance Improvement program. So, let’s take a look at the details …
Joint Commission BH Pain Management Standards: Training Requirements
Does TJC survey your organization under the Behavioral Health & Human Services standards? If so, it’s important to be aware of the training requirements for the Joint Commission BH pain management standards. We notice organizations sometimes overlook these...
New TJC Workplace Violence Prevention Requirements
Get Ready! Effective January 1, 2022, new TJC Workplace Violence Prevention Requirements go into effect. They apply to all TJC accredited hospitals. Currently, the requirements don’t apply to organizations accredited under the Behavioral Health Care standards. However, we recommend these organizations also review the new requirements to see what best practices they may want to adopt …
Boarding Psychiatric Patients in the ED: Joint Commission Recommendations
Boarding psychiatric patients in the Emergency Department is recognized as a significant problem nationwide. Technically, “boarding” is the process of holding an admitted patient in the ED while waiting for an inpatient bed. Best Practices for Boarding Psychiatric...