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JCR EBCMSX 2024

$115.38

Joint Commission and CMS Crosswalk: Comparing Hospital Standards and CoPs

Published By Publication Date Number of Pages
Joint Commission 2024 616
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Are you a hospital using Joint Commission accreditation for deemed status with the US Centers for Medicare & Medicaid? If so, are you ready for a CMS survey—every day, at any time? According to federal policy, for 60 days after a Joint Commission survey, any organization that uses accreditation for deemed status is at risk for a validation survey from the US Centers for Medicare & Medicaid Services (CMS). In fact, CMS may elect, at any time, to conduct its own additional evaluation of a hospital with deemed status through a complaint or potential immediate jeopardy investigation. When CMS or the Department of Health arrives at your facility, you need to be prepared. The 2024 Joint Commission and CMS Crosswalk: Comparing Hospital Standards and CoPs offers easy access to the full—and current as of January 1, 2024—language of the Medicare hospital Conditions of Participation (CoPs) and demonstrates their equivalency with the Joint Commission’s hospital standards. A reverse crosswalk, listing Joint Commission requirements with equivalent CoP numbers, shows equivalencies in the opposite direction. This allows staff to easily see how the two sets of requirements relate to each other, whether they are more familiar with the Medicare CoPs or the Joint Commission standards. Regulatory staff and accreditation managers can use the crosswalks in this guide to identify how your organization’s policies, procedures, and practices support one or more Joint Commission standards and demonstrate compliance with equivalent CMS regulations—or identify gaps. Hospitals and psychiatric hospitals preparing for a deemed status survey from The Joint Commission need resources to ensure they are compliant with both sets of requirements and are ready for survey. Although accredited hospitals are able to access two of the four crosswalks in this book on E-dition®, this guide goes a step further, providing the reverse crosswalks as well as critical information about CMS and deemed status. Plus, the book’s sidebars and tables provide additional information on Joint Commission accreditation for deemed status, CMS-related updates, and how both organizations survey for compliance. Key Topics: Medicare hospital CoPs and equivalent Joint Commission standards as of January 1, 2024 Eligibility requirements for Joint Commission hospital accreditation for deemed status recognition by CMS Description of deemed status and what that means for a hospital Highlights of all the revisions to CMS regulations in the new edition Tips to maintain compliance without duplicating effort

PDF Catalog

PDF Pages PDF Title
3 Contents
5 Introduction
Purpose of this Book
Overview of Contents
7 What’s New
How to Use this Crosswalks
8 Potential Limitations with the Crosswalks
11 Part 1: Understanding Deemed Status
13 What is Deemed Status?
18 How Does My Hospital Achieve Joint Commission Accreditation for Deemed Status Purposes?
25 What is Intracycle Monitoring
26 How Do We Know What Requirements to Meet?
27 What is an 1135 Waiver?
When Might My Organization Need an 1135 Waiver?
What Are Blanket Waivers?
29 How Does My Organization Request an 1135 Waiver?
What Happens If a Joint Commission Surveyor Identifies Noncompliance?
36 How Will We Learn About Our Joint Commission Survery Findings?
37 How Will CMS Be Notified of Our Joint Commission Survey Results?
41 What is a CMS Validation Survey?
45 Part 2: 2024 Joint Commission and CMS Hospital Crosswalk
47 §482.1 Basics and Scope
§482.11 CoP: Compliance with Federal, State
and Local Laws
50 §482.12 CoP: Governing Body
70 §482.13 CoP: Patient’s Rights
111 §482.15 CoP: Emergency Preparedness
153 §482.21 CoP: Quality Assessment and Performance Improvement Program
174 §482.22 CoP: Medical Staff
205 §482.23 CoP: Nursing Services
230 §482.24 CoP: Medical Record Services
255 §482.25 CoP: Pharmaceutical Services
265 §482.26 CoP: Radiologic Services
277 §482.27 CoP: Laboratory Services
293 §482.28 CoP: Food and Dietetic Services
301 §482.30 CoP: Utilization Review
329 §482.41 CoP: Physical Environment
387 §482.42 CoP: Infection Prevention and Control and Antibiotic Stewardship Programs
408 §482.43 CoP: Discharge Planning
416 §482.45 CoP: Organ, Tissue and Eye Procurement
420 §482.51 CoP: Surgical Services
434 §482.52 CoP: Anesthesia Services
444 §482.53 CoP: Nuclear Medicine Services
453 §482.54 CoP: Outpatient Services
461 §482.55 CoP: Emergency Services
466 §482.56 CoP: Rehabilitation Services
472 §482.57 CoP: Respiratory Care Services
479 §482.58 CoP: Special Requirements for Hospital Providers of Long-Term Care Services (“Swing-Beds”)
491 §483.5 CoP: Definitions
492 §483.10 CoP: Resident Rights
505 §483.12 CoP: Freedom from Abuse, Neglect, and Exploitation
508 §483.15 CoP: Admission, Transfer, and Discharge Rights
528 §483.21 CoP: Comprehensive Person-Centered Care Planning
533 §483.40 CoP: Behavioral Health Services
§483.55 CoP: Dental Services
537 §483.65 CoP: Specialized Rehabilitative Services
541 Part 3: 2024 Joint Commission and CMS Psychiatric Hospital Crosswalk
543 §482.60 CoP: Special Provisions Applying to Psychiatric Hospitals
544 §482.61 CoP: Special Medical Record Requirements for Psychiatric Hospital
570 §482.62 CoP: Special Staff Requirements for Psychiatric Hospitals
585 Part 4: Joint Commission Hospital Standards/EPs Equivalent to CoPs
587 Environment of Care (EC)
590 Emergency Management (EM)
591 Human Resources (HR)
592 Infection Prevention and Control (IC)
Information Management (IM)
593 Leadership (LD)
596 Life Safety (LS)
600 Medication Management (MM)
602 Medical Staff (MS)
604 National Patient Safety Goals (NPSG)
Nursing (NR)
Provision of Care, Treatment, and Services (PC)
607 Performance Improvement (PI)
608 Record of Care, Treatment, and Services (RC)
609 Rights and Responsibilities of the Individual (RI)
610 Transplant Safety (TS)
611 Part 5: Joint Commission Psychiatric Hospital Standards/EPs Equivalent to CoPs
613 Human Resources (HR)
Information Management (IM)
Leadership (LD)
614 Medical Staff (MS)
Nursing (NR)
Provision of Care, Treatment, and Services (PC)
615 Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI)
JCR EBCMSX 2024
$115.38