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Comprehensive Accreditation Manual for Behavioral Health Care and Human Services (CAMBHC), 2021
- What’s New 2021 CAMBHC
- Cover
- The Joint Commission Mission
- Contents
- Introduction: How The Joint Commission Can Help You Move Toward High Reliability (INTRO) [Go to Page]
- I. Introduction to Joint Commission Accreditation
- II. About the
- III. Steps to Achieving and Maintaining Compliance
- IV. Get Extra Help
- Safety Systems for Individuals Served (SSIS) [Go to Page]
- Introduction
- What Does This Chapter Contain?
- Becoming a Learning Organization
- The Role of Leaders in Safety (of the Individual Served)
- Data Use and Reporting Systems
- A Proactive Approach to Preventing Harm
- Encouraging Participation of Individuals Served
- Beyond Accreditation: The Joint Commission Is Your Safety Partner
- References
- Appendix. Key Safety Systems Requirements
- Accreditation Participation Requirements (APR) [Go to Page]
- Overview
- Chapter Outline
- Requirements, Rationales, and Elements of Performance
- Care, Treatment, and Services (CTS) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Environment of Care (EC) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Emergency Management (EM) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Human Resources Management (HRM) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Infection Prevention and Control (IC) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Information Management (IM) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Leadership (LD) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Life Safety (LS) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Medication Management (MM) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Applicability for Medication Management Type
- National Patient Safety Goals (NPSG) [Go to Page]
- Chapter Outline
- Requirements, Rationales, and Elements of Performance
- Performance Improvement (PI) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Record of Care, Treatment, and Services (RC) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Rights and Responsibilities of the Individual (RI) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- Waived Testing (WT) [Go to Page]
- Overview
- Chapter Outline
- Standards, Rationales, and Elements of Performance
- The Accreditation Process (ACC) [Go to Page]
- Notices
- ACC Chapter Contents
- Overview
- Accreditation Policies
- Behavioral Health Home Certification Option
- Before the Accreditation Survey
- During the Survey
- After the Survey
- Between Accreditation Surveys
- Decision Rules for Organizations Seeking Initial Accreditation
- Decision Rules for Organizations Seeking Reaccreditation
- Process for Organizations That Meet Decision Rule PDA02 for Individuals Served Placed at Risk for Serious Adverse Outcomes Due t
- Process for Organizations That Meet Decision Rule PDA04
- Review and Appeal Procedures
- Standards Applicability Process (SAP) [Go to Page]
- Behavioral Health Care Services Applicability Grid
- Human Services Applicability Grid
- Behavioral Health Care and Human Services Settings Applicability Grid
- Sentinel Events (SE) [Go to Page]
- I. Sentinel Events
- II. Goals of the Sentinel Event Policy
- III. Responding to Sentinel Events
- IV. The Sentinel Event Database
- V. Determination That a Sentinel Event Is Subject to Review
- VI. Optional On-Site Review of a Sentinel Event
- VII. Disclosable Information
- VIII. The Joint Commission’s Response
- IX. Sentinel Event Measures of Success (SE MOS)
- X. Handling Sentinel Event–Related Documents
- XI. Oversight of the Sentinel Event Policy
- XII. Survey Process
- Appendix. Accreditation Requirements Related to Sentinel Events
- The Joint Commission Quality Report (QR) [Go to Page]
- Introduction
- What Is The Joint Commission Quality Report?
- What Will My Quality Report Contain?
- What Is Quality Check?
- Is a Quality Report Available for My Accredited Health Care Organization?
- Can My Health Care Organization Comment on Its Quality Report?
- What Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality?
- Required Written Documentation (RWD) [Go to Page]
- List of EPs Requiring Written Documentation for Behavioral Health Care and Human Services Organizations
- Early Survey Policy (ESP)
- Opioid Treatment Programs (OTP) [Go to Page]
- Overview
- Additional Standards, Rationales, Elements of Performance, and Scoring for Opioid Treatment Programs
- Child Welfare (CW) [Go to Page]
- Overview
- Behavioral Health Home Certification Option (BHH) [Go to Page]
- Introduction to Behavioral Health Home Certification Option
- Glossary (GL)
- Index (IX) [Go to Page]
