resources for your accreditation journey

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August 24 th , 2021 Resources for your Accreditation Journey Yvonne Rockwood, MBH, MHA, CPHQ, Associate Director, Behavioral Health Care and Human Services Accreditation

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Page 1: Resources for your Accreditation Journey

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

Page 2: Resources for your Accreditation Journey

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

Page 3: Resources for your Accreditation Journey

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

Page 4: Resources for your Accreditation Journey

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

Page 5: Resources for your Accreditation Journey

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

Page 6: Resources for your Accreditation Journey

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

Page 7: Resources for your Accreditation Journey

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

Page 8: Resources for your Accreditation Journey

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

Page 9: Resources for your Accreditation Journey

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

Page 10: Resources for your Accreditation Journey

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

Page 11: Resources for your Accreditation Journey

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

Page 12: Resources for your Accreditation Journey

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

Page 13: Resources for your Accreditation Journey

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

Page 14: Resources for your Accreditation Journey

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

Page 15: Resources for your Accreditation Journey

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

Page 16: Resources for your Accreditation Journey

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

Page 17: Resources for your Accreditation Journey

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

Page 18: Resources for your Accreditation Journey

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

Page 19: Resources for your Accreditation Journey

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

Page 20: Resources for your Accreditation Journey

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

Page 21: Resources for your Accreditation Journey

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

Page 22: Resources for your Accreditation Journey

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

Page 23: Resources for your Accreditation Journey

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

Page 24: Resources for your Accreditation Journey

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

Page 25: Resources for your Accreditation Journey

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

Page 26: Resources for your Accreditation Journey

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

Page 27: Resources for your Accreditation Journey

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

Page 28: Resources for your Accreditation Journey

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

Page 29: Resources for your Accreditation Journey

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

Page 30: Resources for your Accreditation Journey

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

Page 31: Resources for your Accreditation Journey

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

Page 32: Resources for your Accreditation Journey

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

Page 33: Resources for your Accreditation Journey

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

Page 34: Resources for your Accreditation Journey

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

Page 35: Resources for your Accreditation Journey

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

Page 36: Resources for your Accreditation Journey

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

Page 37: Resources for your Accreditation Journey

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

Page 38: Resources for your Accreditation Journey

Thank YouDonrsquot forget Join us Aug 31 for our next COVID QampA webinar for Behavioral Health Care