how accreditation improves multi-site behavioral health ......sequel youth & family services,...

Behavioral Health Care Accreditation

Presented by:Yvonne Rockwood,

Associate Director


The Joint Commission

June 11, 2019

Joint Commission Accreditation

How Accreditation Improves Multi-Site

Behavioral Health Systems

Today’s Agenda

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About The Joint

Commission

Advantages of System / Corporate

Accreditation

The Business

Case

Resources

&

Support

About



Accrediting Behavioral Health Care Organizations since 1969

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© 2018, The Joint Commission

Why Accreditation?

………because for providers,

achieving accreditation is both

personally and professionally

transforming

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To health care consumers:

Validates organizational performance (provides a “report card” for the public)

External oversight improves confidence in the quality and safety of care, treatment or services provided

Provides an independent resource for complaint resolution

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Benefits of Accreditation

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Widely respected as a mark of distinction by

payers, consumers, and referral sources

Aligns the organization with the health care

community to take advantage of partnerships

Helps your organization validate and improve

the quality of care provided and expand their

opportunities

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Experts in Quality and Safety of

Behavioral Health Organizations

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Accrediting Behavioral HealthCare

Organizations since 1969

Experienced in accrediting a broad

range of services and settings.

Over 3,100 Accredited Organizations.

Over 11,000 Sites

not-for-profit

for profit

governmental/ Tribal

agencies/ facilities

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Over 22,000 Health Care Organizations Accredited

Ambulatory Physical Health Care

Behavioral Health Care

Critical Access Hospitals

Home Physical Health Care

Hospitals

Laboratory Services

Nursing Care Centers

(Skilled Nursing Homes)


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Designed for Integrated Systems

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Traditional

• All surveys Independent

• Several Accreditation Decisions

• Different Survey Cycles

System

• Corporate – Opening

• One accreditation decision

• One Survey Cycle

C

1

2

3

4

5

62

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3

4

6

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Value-AddBenefits

Streamline processes

Standardize quality and safety across the entire system

Improve staff morale, pride, and accountability

Increase efficiency and reduce costs

Lower your liability rates

Improve revenue, profitability and value

Payer recognition in all of your settings

System Survey

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Value-AddCoordinated Process

Centralized enterprise orientation and summation

Flexible survey process – team lead, team members,

timing across the continuum

Consistent standard interpretation, education, and

consultation from a cadre of surveyors

Consolidated Accreditation/Certification report of

trended systemic strengths and opportunities for

improvement including high risk areas

Sharing of leading practices and processes in

response to systemic findings across the enterprise

System Survey

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Features

One accreditation/certification contract

One annual fee bill

One system-wide total spend forecast

based on efficiency, effectiveness and

economies of scale

One Account Executive to coordinate

survey activities across the enterprise

Plan for standards interpretation support –

menu of services

Leadership support at your finger tips

System Survey

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MSA Features

Centralized Contracting

Dedicated Acct. Exec.

Content-Specific Web Portals

Aggregated Annual Fee

Billing

Standards Interpretation

Support

Enterprise Content Library

Future Use of PowerBI

System-Wide Total Spend Forecasts

Leadership Access

BoosterPaksMulit-

organization Survey Process

Project Refresh

Business

ProcessesCustomer

ServicePerformance

Improvement

Accreditation &

Certification

Improvement

Integrated Support

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Immediate Threat to Life (a threat that represents immediate risk or

may potentially have serious adverse effects on the health of the patient,

resident, or individual served)

Lik

eli

ho

od

to

Ha

rm

HIGH

MODERATE

LOW

LIMITED PATTERN WIDESPREAD

The Joint Commission’s

Survey Analysis for

Evaluating Risk

(SAFER™) Matrix™

Scope

The Business Case

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How do you make a business case for accreditation?

• Increase Revenue

• Decrease Cost

• Improve Financial Margins

• Support Merger & Acquisition Activity

• Value Creation

• Achieve organizational Improvement

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Increase Revenue & Volume

Decrease Costs

Improve Margin

— Improve

Reimbursement

— Payer Network

Inclusion

— Decrease Receivable

Days

— Facilitate Partnering

- Decrease Risk

- Standardized High

Quality Platform

- Reduce Turnover

- Business Expansion

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Support Merger &

Acquisition Activity

− Successful Acquisition

− Successful Divestiture

Support Provided by


Resources for Readiness

Call Us

Where to Start?

Request Complimentary Standards Access & Orientation

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Next – The Application

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Joint Commission ConnectTM

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Helping you along the way

Your Joint Commission Account Executive

An “Accreditation Coach” 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

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Joint Commission Connect

Secure site with pages customized to your organization. Tools and

Resources include the Survey Activity Guide

A guide to what your surveyor will be doing hour by hour when they

are on-site

Provides a list of required written documents and other materials

your surveyor will need

Having materials available in advance saves survey time and gives

them more time to consult with you

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Intra-Cycle Monitoring ToolsICM tool is a great resource to use before your survey to track and analyze

your progress and produce reports as you work towards compliance.

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Standards Help Desk

Standards Interpretation Group is the key resource for organizations

preparing for a survey to get assistance with meeting standards.

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Standards Interpretation Group

─ Joint Commission engineers, clinical social workers, behavioral health care advanced nurse practitioners

─ Experts on accreditation requirements

Interpretation of accreditation requirements

Compliance issues

Applicability of standards and elements of performance

─ Provide examples from similar agencies/organizations

─ Submit questions online under “standards” tab at jointcommission.org

https://www.jointcommission.org/standards_information/jcfaq.aspx

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https://www.jointcommission.org/standards_information/jcfaq.aspx

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Joint Commission Accreditation Webpages

─ Found at www.jointcommission.org/BHC

or www.jointcommission.org/BHCS

─ Many helpful resources and guides

Free webinars (current and previous)

Guide to Accreditation Process

Price worksheet

Videos

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http://www.jointcommission.org/BHC

http://www.jointcommission.org/BHCS

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Joint Commission Website Topic Pages

─ Wide variety of helpful topics and guides

Suicide reduction

Workplace violence reduction

Identifying human trafficking victims

Advancing Effective Communication, Cultural

Competence, and Patient- and Family-Centered

Care for the Lesbian, Gay, Bisexual, and

Transgender (LGBT) Community

Center for Transforming Healthcare (Robust

process improvement, tools for improving

handoff communications)

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http://www.jointcommission.org/lgbt/

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Joint Commission Free

Behavioral Health Webinars For information, replays or to register go to : Pages.JointCommission.org/BHC2019.html

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pages.jointcommission.org/BHC2019.html

JCR Paid Webinar Series: 2019 Behavioral Health Care Breakfast Briefings

• Premier 11-part webinar series that will focus on Behavioral Health Care Standards, Challenging Standards, Survey Process, and Best Practices for Success

• Live 1 hour webinars on each standards chapter with opportunities for Q&A

• Available on-demand for one year after purchase, 24/7

For more information, visit:

https://www.jcrinc.com/2019-behavioral-health-care-breakfast-briefings/

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Reg

https://www.jcrinc.com/2019-behavioral-health-care-conference-october-23-24-2019/




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Customer Feedback

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“The Joint Commission adds value to our

organization. It’s a mark of excellence that’s known

within the industry, with our local mental health

boards, and at the state level. It’s had a positive

impact on our reputation, and even with our clients.

And it set us apart from our competitors, because our

standards are so much higher.”

Sonja Schierling

Regional Director of Administrative Services

Sequel Youth & Family Services, AZ

Joint Commission Accreditation

The Joint Commission’s Gold Seal of Approval TM means

your agency has reached for and achieved the highest level

of performance recognition available in the field.

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Questions?

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Business Development Team – We’re here to help!

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Julia Finken, RN, BSN, MBA, CPHQ

Executive Director

[email protected]

630-792-5790

Peggy Lavin, LCSW

Associate Director –BHC

[email protected]

630-792-5131

Darrell Anderson

Manager- BHC

[email protected]

630-792-5866

Yvonne Rockwood

MBA,MHA,CPHQ

Associate Director – BHC

[email protected]

630-792-5792

Eastern Region Western Region

mailto:[email protected]

how accreditation improves multi-site behavioral health ......sequel youth & family services,...

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