resources for your accreditation journey
TRANSCRIPT
August 24th 2021
Resources for your
Accreditation Journey
Yvonne Rockwood MBH MHA CPHQ
Associate Director Behavioral Health Care and Human Services Accreditation
2
copy 2018 The Joint Commission
This webinar contains basic accreditation information
3
copy 2018 The Joint Commission
Joint Commission Background
Staff Resources
E-dition our digital accreditation manual
Resources on our webpages
Resources on your webpage Joint Commission Connect
JCR Resources
Todayrsquos Agenda
3
4
copy 2018 The Joint Commission
A Bit About Us
5
copy 2018 The Joint Commission
Behavioral Health and Human Services
Accreditation
How It Benefits Your Organization
Standardizes operations to reduce variations in care to improve outcomes for individuals served
Provides a framework of national consensus-based
standards to help enhance the quality and safety of
care treatment and services
Reduces risk and improves emergency preparedness for smoother operations and reduced liability insurance rates
Strengthens business practices to position the organization for future growth
Expands reimbursement options with payors and
contracting bodies
6
copy 2018 The Joint Commission
Rating of 7 or higher on a 0-10 scale 2017 Customer Loyalty Survey from CEOs of Joint Commission accredited Behavioral Health Care organizations
1 Gold Standard in Accreditation ndash widely
recognized and respected across the
health care and human services
continuum for industry-benchmark
standards
2 Proprietary high-tech processes provide
convenient computer-based access to
the information you need
3 High touch support provides responsive
staff and unparalleled resources
4 Small cadre of experienced surveyors see
an average of 23 organizations a year to
bring you field-tested good practices
Positive client CEO perception of our program process and team
986 rated positively their overall experience with The Joint Commission
979 rated positively the relevancy of Joint Commission standards to their services provided
979 rated positively the educative value of the on-site survey
1000 rated positively the likelihood to reapply with The Joint Commission
Behavioral Health and Human Services
Accreditation
What Sets Us Apart
7
copy 2018 The Joint Commission
Serving programs services and settings across mental health
services substance use disorder or eating disorders treatment child welfarefamily services
IDDD services and more
Behavioral Health and Human Services
Accreditation
Product Mix amp Services
Option for additional assessment of the organization on certification-specific standards regarding the integration and coordination of physical and behavioral health care
50+YEARS
3500+ORGANIZATIONS
12000+LOCATIONS
with over
39 Behavioral programs within hospitals health systems ambulatory care medical
clinics and more
z
61 Community-based
organizations
8
copy 2018 The Joint Commission
The Joint Commission Surveyor Cadre
What do our customers say
ldquoI am always impressed by the experience patience and thoroughness of our surveyors With The Joint Commission as a partner in treatment I feel like we have a wise mentor prodding us to do better to think more clearly and to be more efficientrdquo
9
copy 2018 The Joint Commission
Start your journey with the experts
Staff Resources
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
2
copy 2018 The Joint Commission
This webinar contains basic accreditation information
3
copy 2018 The Joint Commission
Joint Commission Background
Staff Resources
E-dition our digital accreditation manual
Resources on our webpages
Resources on your webpage Joint Commission Connect
JCR Resources
Todayrsquos Agenda
3
4
copy 2018 The Joint Commission
A Bit About Us
5
copy 2018 The Joint Commission
Behavioral Health and Human Services
Accreditation
How It Benefits Your Organization
Standardizes operations to reduce variations in care to improve outcomes for individuals served
Provides a framework of national consensus-based
standards to help enhance the quality and safety of
care treatment and services
Reduces risk and improves emergency preparedness for smoother operations and reduced liability insurance rates
Strengthens business practices to position the organization for future growth
Expands reimbursement options with payors and
contracting bodies
6
copy 2018 The Joint Commission
Rating of 7 or higher on a 0-10 scale 2017 Customer Loyalty Survey from CEOs of Joint Commission accredited Behavioral Health Care organizations
1 Gold Standard in Accreditation ndash widely
recognized and respected across the
health care and human services
continuum for industry-benchmark
standards
2 Proprietary high-tech processes provide
convenient computer-based access to
the information you need
3 High touch support provides responsive
staff and unparalleled resources
4 Small cadre of experienced surveyors see
an average of 23 organizations a year to
bring you field-tested good practices
Positive client CEO perception of our program process and team
986 rated positively their overall experience with The Joint Commission
979 rated positively the relevancy of Joint Commission standards to their services provided
979 rated positively the educative value of the on-site survey
1000 rated positively the likelihood to reapply with The Joint Commission
Behavioral Health and Human Services
Accreditation
What Sets Us Apart
7
copy 2018 The Joint Commission
Serving programs services and settings across mental health
services substance use disorder or eating disorders treatment child welfarefamily services
IDDD services and more
Behavioral Health and Human Services
Accreditation
Product Mix amp Services
Option for additional assessment of the organization on certification-specific standards regarding the integration and coordination of physical and behavioral health care
50+YEARS
3500+ORGANIZATIONS
12000+LOCATIONS
with over
39 Behavioral programs within hospitals health systems ambulatory care medical
clinics and more
z
61 Community-based
organizations
8
copy 2018 The Joint Commission
The Joint Commission Surveyor Cadre
What do our customers say
ldquoI am always impressed by the experience patience and thoroughness of our surveyors With The Joint Commission as a partner in treatment I feel like we have a wise mentor prodding us to do better to think more clearly and to be more efficientrdquo
9
copy 2018 The Joint Commission
Start your journey with the experts
Staff Resources
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
3
copy 2018 The Joint Commission
Joint Commission Background
Staff Resources
E-dition our digital accreditation manual
Resources on our webpages
Resources on your webpage Joint Commission Connect
JCR Resources
Todayrsquos Agenda
3
4
copy 2018 The Joint Commission
A Bit About Us
5
copy 2018 The Joint Commission
Behavioral Health and Human Services
Accreditation
How It Benefits Your Organization
Standardizes operations to reduce variations in care to improve outcomes for individuals served
Provides a framework of national consensus-based
standards to help enhance the quality and safety of
care treatment and services
Reduces risk and improves emergency preparedness for smoother operations and reduced liability insurance rates
Strengthens business practices to position the organization for future growth
Expands reimbursement options with payors and
contracting bodies
6
copy 2018 The Joint Commission
Rating of 7 or higher on a 0-10 scale 2017 Customer Loyalty Survey from CEOs of Joint Commission accredited Behavioral Health Care organizations
1 Gold Standard in Accreditation ndash widely
recognized and respected across the
health care and human services
continuum for industry-benchmark
standards
2 Proprietary high-tech processes provide
convenient computer-based access to
the information you need
3 High touch support provides responsive
staff and unparalleled resources
4 Small cadre of experienced surveyors see
an average of 23 organizations a year to
bring you field-tested good practices
Positive client CEO perception of our program process and team
986 rated positively their overall experience with The Joint Commission
979 rated positively the relevancy of Joint Commission standards to their services provided
979 rated positively the educative value of the on-site survey
1000 rated positively the likelihood to reapply with The Joint Commission
Behavioral Health and Human Services
Accreditation
What Sets Us Apart
7
copy 2018 The Joint Commission
Serving programs services and settings across mental health
services substance use disorder or eating disorders treatment child welfarefamily services
IDDD services and more
Behavioral Health and Human Services
Accreditation
Product Mix amp Services
Option for additional assessment of the organization on certification-specific standards regarding the integration and coordination of physical and behavioral health care
50+YEARS
3500+ORGANIZATIONS
12000+LOCATIONS
with over
39 Behavioral programs within hospitals health systems ambulatory care medical
clinics and more
z
61 Community-based
organizations
8
copy 2018 The Joint Commission
The Joint Commission Surveyor Cadre
What do our customers say
ldquoI am always impressed by the experience patience and thoroughness of our surveyors With The Joint Commission as a partner in treatment I feel like we have a wise mentor prodding us to do better to think more clearly and to be more efficientrdquo
9
copy 2018 The Joint Commission
Start your journey with the experts
Staff Resources
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
4
copy 2018 The Joint Commission
A Bit About Us
5
copy 2018 The Joint Commission
Behavioral Health and Human Services
Accreditation
How It Benefits Your Organization
Standardizes operations to reduce variations in care to improve outcomes for individuals served
Provides a framework of national consensus-based
standards to help enhance the quality and safety of
care treatment and services
Reduces risk and improves emergency preparedness for smoother operations and reduced liability insurance rates
Strengthens business practices to position the organization for future growth
Expands reimbursement options with payors and
contracting bodies
6
copy 2018 The Joint Commission
Rating of 7 or higher on a 0-10 scale 2017 Customer Loyalty Survey from CEOs of Joint Commission accredited Behavioral Health Care organizations
1 Gold Standard in Accreditation ndash widely
recognized and respected across the
health care and human services
continuum for industry-benchmark
standards
2 Proprietary high-tech processes provide
convenient computer-based access to
the information you need
3 High touch support provides responsive
staff and unparalleled resources
4 Small cadre of experienced surveyors see
an average of 23 organizations a year to
bring you field-tested good practices
Positive client CEO perception of our program process and team
986 rated positively their overall experience with The Joint Commission
979 rated positively the relevancy of Joint Commission standards to their services provided
979 rated positively the educative value of the on-site survey
1000 rated positively the likelihood to reapply with The Joint Commission
Behavioral Health and Human Services
Accreditation
What Sets Us Apart
7
copy 2018 The Joint Commission
Serving programs services and settings across mental health
services substance use disorder or eating disorders treatment child welfarefamily services
IDDD services and more
Behavioral Health and Human Services
Accreditation
Product Mix amp Services
Option for additional assessment of the organization on certification-specific standards regarding the integration and coordination of physical and behavioral health care
50+YEARS
3500+ORGANIZATIONS
12000+LOCATIONS
with over
39 Behavioral programs within hospitals health systems ambulatory care medical
clinics and more
z
61 Community-based
organizations
8
copy 2018 The Joint Commission
The Joint Commission Surveyor Cadre
What do our customers say
ldquoI am always impressed by the experience patience and thoroughness of our surveyors With The Joint Commission as a partner in treatment I feel like we have a wise mentor prodding us to do better to think more clearly and to be more efficientrdquo
9
copy 2018 The Joint Commission
Start your journey with the experts
Staff Resources
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
5
copy 2018 The Joint Commission
Behavioral Health and Human Services
Accreditation
How It Benefits Your Organization
Standardizes operations to reduce variations in care to improve outcomes for individuals served
Provides a framework of national consensus-based
standards to help enhance the quality and safety of
care treatment and services
Reduces risk and improves emergency preparedness for smoother operations and reduced liability insurance rates
Strengthens business practices to position the organization for future growth
Expands reimbursement options with payors and
contracting bodies
6
copy 2018 The Joint Commission
Rating of 7 or higher on a 0-10 scale 2017 Customer Loyalty Survey from CEOs of Joint Commission accredited Behavioral Health Care organizations
1 Gold Standard in Accreditation ndash widely
recognized and respected across the
health care and human services
continuum for industry-benchmark
standards
2 Proprietary high-tech processes provide
convenient computer-based access to
the information you need
3 High touch support provides responsive
staff and unparalleled resources
4 Small cadre of experienced surveyors see
an average of 23 organizations a year to
bring you field-tested good practices
Positive client CEO perception of our program process and team
986 rated positively their overall experience with The Joint Commission
979 rated positively the relevancy of Joint Commission standards to their services provided
979 rated positively the educative value of the on-site survey
1000 rated positively the likelihood to reapply with The Joint Commission
Behavioral Health and Human Services
Accreditation
What Sets Us Apart
7
copy 2018 The Joint Commission
Serving programs services and settings across mental health
services substance use disorder or eating disorders treatment child welfarefamily services
IDDD services and more
Behavioral Health and Human Services
Accreditation
Product Mix amp Services
Option for additional assessment of the organization on certification-specific standards regarding the integration and coordination of physical and behavioral health care
50+YEARS
3500+ORGANIZATIONS
12000+LOCATIONS
with over
39 Behavioral programs within hospitals health systems ambulatory care medical
clinics and more
z
61 Community-based
organizations
8
copy 2018 The Joint Commission
The Joint Commission Surveyor Cadre
What do our customers say
ldquoI am always impressed by the experience patience and thoroughness of our surveyors With The Joint Commission as a partner in treatment I feel like we have a wise mentor prodding us to do better to think more clearly and to be more efficientrdquo
9
copy 2018 The Joint Commission
Start your journey with the experts
Staff Resources
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
6
copy 2018 The Joint Commission
Rating of 7 or higher on a 0-10 scale 2017 Customer Loyalty Survey from CEOs of Joint Commission accredited Behavioral Health Care organizations
1 Gold Standard in Accreditation ndash widely
recognized and respected across the
health care and human services
continuum for industry-benchmark
standards
2 Proprietary high-tech processes provide
convenient computer-based access to
the information you need
3 High touch support provides responsive
staff and unparalleled resources
4 Small cadre of experienced surveyors see
an average of 23 organizations a year to
bring you field-tested good practices
Positive client CEO perception of our program process and team
986 rated positively their overall experience with The Joint Commission
979 rated positively the relevancy of Joint Commission standards to their services provided
979 rated positively the educative value of the on-site survey
1000 rated positively the likelihood to reapply with The Joint Commission
Behavioral Health and Human Services
Accreditation
What Sets Us Apart
7
copy 2018 The Joint Commission
Serving programs services and settings across mental health
services substance use disorder or eating disorders treatment child welfarefamily services
IDDD services and more
Behavioral Health and Human Services
Accreditation
Product Mix amp Services
Option for additional assessment of the organization on certification-specific standards regarding the integration and coordination of physical and behavioral health care
50+YEARS
3500+ORGANIZATIONS
12000+LOCATIONS
with over
39 Behavioral programs within hospitals health systems ambulatory care medical
clinics and more
z
61 Community-based
organizations
8
copy 2018 The Joint Commission
The Joint Commission Surveyor Cadre
What do our customers say
ldquoI am always impressed by the experience patience and thoroughness of our surveyors With The Joint Commission as a partner in treatment I feel like we have a wise mentor prodding us to do better to think more clearly and to be more efficientrdquo
9
copy 2018 The Joint Commission
Start your journey with the experts
Staff Resources
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
7
copy 2018 The Joint Commission
Serving programs services and settings across mental health
services substance use disorder or eating disorders treatment child welfarefamily services
IDDD services and more
Behavioral Health and Human Services
Accreditation
Product Mix amp Services
Option for additional assessment of the organization on certification-specific standards regarding the integration and coordination of physical and behavioral health care
50+YEARS
3500+ORGANIZATIONS
12000+LOCATIONS
with over
39 Behavioral programs within hospitals health systems ambulatory care medical
clinics and more
z
61 Community-based
organizations
8
copy 2018 The Joint Commission
The Joint Commission Surveyor Cadre
What do our customers say
ldquoI am always impressed by the experience patience and thoroughness of our surveyors With The Joint Commission as a partner in treatment I feel like we have a wise mentor prodding us to do better to think more clearly and to be more efficientrdquo
9
copy 2018 The Joint Commission
Start your journey with the experts
Staff Resources
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
8
copy 2018 The Joint Commission
The Joint Commission Surveyor Cadre
What do our customers say
ldquoI am always impressed by the experience patience and thoroughness of our surveyors With The Joint Commission as a partner in treatment I feel like we have a wise mentor prodding us to do better to think more clearly and to be more efficientrdquo
9
copy 2018 The Joint Commission
Start your journey with the experts
Staff Resources
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
9
copy 2018 The Joint Commission
Start your journey with the experts
Staff Resources
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
10
copy 2018 The Joint Commission
Joint Commission Accreditation Team
Assistance with the first steps in the accreditation journey and early preparation
Help with the stepsprocess amp decision making
Cost estimates
Free access and orientation to the accreditation manual
assistance getting and completing your application for accreditation
Contact information on last page or email us at BHCJointCommissionorg
33
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
11
copy 2018 The Joint Commission
Helping you along the way
Your Joint Commission Account Executive An ldquoAccreditation Coachrdquo who will
Help you review your application
Schedule and coordinate your initial on-site survey
Guide you through accreditation policies and procedures as you prepare for your survey
Assist you with any post-survey activities
Contact information available after you apply see your Joint Commission ConnectTM site
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
12
copy 2018 The Joint Commission
Standards Help
Standards Interpretation Group is a key resource for help with standards for organizations preparing for a survey
26
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
13
copy 2018 The Joint Commission
Standards Interpretation Group
Joint Commission behavioral health and human services professionals and engineers surveyors
Experts on interpretation of accreditation requirements applicability of standards and elements of performance
Submit online under ldquoStandardsrdquo tab at jointcommissionorg httpswebjointcommissionorgsigsubmissionsigquestionformaspx
Sort and View the FAQs under the Standards tab at wwwjointcommissionorg ndashset manual to ldquoBehavioral Health Carerdquo
27
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
14
copy 2018 The Joint Commission
E-dition
Your Key to Readiness
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
15
copy 2018 The Joint Commission
Accreditation Requirements
Requirements found in Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC) The online manual is called ldquoE-ditionrdquo
Based on RecoveryResilience and Trauma-Informed concepts
Applicability of standards determined by setting services programs and specific populations served
18
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
16
copy 2018 The Joint Commission
Getting E-dition
Full access is always provided to all accredited organizations and those with application and deposit received
Free 90-day trial version (renewable) available for those in process of accreditation - or manual can be purchased at wwwjcrinccom Find examples of the standards here
Contact Business Development by email or phone to request E-ditionaccess (info on last page) or email BHCJointcommissionorg
Wersquoll provide an orientation and help you filter out non-applicable standards For most applicants a reconciliation between the standards and their policy manual and actual care treatment or services provided is the key to successful preparation for a survey
25
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
17
copy 2018 The Joint Commission
How to Filter with E-dition
20
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
18
copy 2018 The Joint Commission
E-dition ToolsThe How to Use This Manual chapter contains a summary of the tools available to applicants
19
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
19
copy 2018 The Joint Commission
Website and Multimedia
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
20
copy 2018 The Joint Commission
Behavioral Health amp Human Services
Accreditation Webpages
Visit the Behavioral Health and Human Services accreditation pages at wwwjointcommissionorgBHC
Helpful resources and guides include
Basic information and content
Help for decision-making
Guides to the accreditation process
Pricing information
Free webinars and webinar replays
Videos
Covid resources and Podcasts
Next BHCampHS Covid Webinar Aug 31
Resources for finding standardized tools for assessing outcomes
33
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
21
copy 2018 The Joint Commission
Joint Commission Website
The main website at jointcommissionorg also contains a wide variety of helpful topics and guides one area is the Resources tab (many under ldquoPatient Safety Topicsrdquo)
Suicide reduction Assessing Suicide Ideation during COVID
Workplace violence reduction
Workplace violence reduction strategies webinar replay
Promoting the well-being of staff during a crisis
Identifying human trafficking victims
Advancing Effective Communication Cultural Competence and Patient- and Family-Centered Care for the Lesbian Gay Bisexual and Transgender (LGBT) Community
33
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
22
copy 2018 The Joint Commission
Joint Commission Center for
Transforming Health Care
Center for Transforming Healthcare provides guidance and consulting for robust process improvement and change management tools for improving handoff communications and more
High Reliability in Health Care
Creating a Safety Culture (also see videos and blogs)
Improving handoff communication
34
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
23
copy 2018 The Joint Commission
Quality Check All Joint Commission accredited organizations are listed on
Quality Check on The Joint Commissionrsquos website or direct via wwwqualitycheckorg
Some applicants reach out to similar organizations to obtain a reference from a listed organization or for referrals networking or partnerships
35
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
24
copy 2018 The Joint Commission
Joint Commission ConnectTM
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
25
copy 2018 The Joint Commission
Joint Commission Connect
14
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
26
copy 2018 The Joint Commission
Intra-Cycle Monitoring Tools
30
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
27
copy 2018 The Joint Commission
Survey Activity Guide
14
Required Documents List
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
28
copy 2018 The Joint Commission
SAFERTM Dashboard
Available after your survey this dashboard provides data at your fingertips to manage survey findings monitor locations spot trends and benchmark your performance against similar organzations
Visit the SAFER Dashboard page for more information
View a demo Accredited organizations can find more on their Joint Commission Connect Extranet page
29
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
29
copy 2018 The Joint Commission
Joint Commission Resources (JCR)
Our ldquosister companyrdquo
bull Offers publications and periodicals
bull Sells software amp readiness tools
bull Conducts trainings (webinars seminars conferences)
bull Offers consulting services amp gap analysis
bull Note The use of Joint Commission Resources (JCR) advisory services is not necessary to obtain a Joint Commission Accreditation award nor does it influence the granting of such awards
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
30
copy 2018 The Joint Commission
Joint Commission Resources
Publications
minus Joint Commission Big Book of Tracer Questions
minus Joint Commission Big Book of More Tracer Questions
minus Documentation of Care Treatment or Services in Behavioral Health Care your Go-To Guide
minus TNAP ndash Toolkit for New Accreditation Professionals
minus 2022 Compliance Assessment Workbook for Behavioral Health Care and Human Services
38
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
31
copy 2018 The Joint Commission
Joint Commission Resources Software
38
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
32
copy 2018 The Joint Commission
Joint Commission Resources Digital
Subscriptions and Webinars
38
minus PolicySource - PampPrsquos for Compliance with Joint Commission Requirements
bull Digital subscription to dozens of downloadable sample policies and procedures required by Joint Commission standards reviewed and approved by The Joint Commission Updated as requirements change so your PampPs are always compliant
minus Behavioral Health and Human Services Webinar Series
bull 11-part Behavioral Health Care and Human Services Accreditation On Demand Webinar Series is a great way to prepare your staff to maintain compliance Gather your staff and educate everyone together with a complete overview of the standards related to BHC chapter by chapter
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
33
copy 2018 The Joint Commission
Behavioral Health Care Annual Conference
Virtual Event ndash October 26-28
ldquoAn opportunity for a deep dive into the accreditation experience with our expertsrdquo
Joint Commission Resources Conference
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
34
copy 2018 The Joint Commission
What do our Accredited Organizations Say
ldquoJoint Commission accreditation is the highest standard of excellence that you can have in the field It gives you a competitive advantage and it improves patient outcomes It also forces our staff to keep their eyes focused and in the world of behavioral health itrsquos really easy to get distracted by the crisis of the day So it is an ever present reminder of what wersquore working towards and thatrsquos excellence
And one of the best parts about the Joint Commission for us is having our rep so quickly available I donrsquot ever feel like Irsquom floating on an island trying to figure this out on my own The Joint Commissionrsquos customer service is excellent and thatrsquos made it easy to maintain compliancerdquo
Amy Kobold Director of Performance Improvement
Unison Health Toledo Ohio
42
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
35
copy 2018 The Joint Commission
The Joint Commission
The Joint Commissionrsquos Gold Seal of ApprovalTM means your organization has reached for and achieved the highest level of performance recognition available in the behavioral health field
copy Copyright The Joint Commission
43
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
36
copy 2018 The Joint Commission
QUESTIONS
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
37
copy 2018 The Joint Commission
Behavioral Health Care amp Human Services
Accreditation Team
40
Julia Finken RN BSN MBA CPHQ
Lean Six Sigma Master Black Belt
Executive Director
Jfinkenjointcommissionorg
630-792-5790
Yvonne Rockwood MBAMHA CPHQ
Associate Director BHC
yrockwoodjointcommissionorg
630-792-5792
Tiffany Holloway MBA
Manager - BHC
thollowayjointcommissionorg
630-792-5810
Darrell Anderson BA
Manager- BHC
dandersonjointcommissionorg
630-792-5866
Colette Bukowski MA LPCC-S
Associate Director BHC
cbukowskijointcommissonorg
630-792-5812
Eastern Region Western Region
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care
Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care