The Joint Commission Seeks Deemed Status for Psychiatric Hospitals
TJC has applied to CMS for deeming authority for the special conditions of participation (CoPs) that apply to psychiatric hospitals. TJC submitted the application to CMS in September 2010 and a decision by CMS is anticipated by March 2011.
TJC currently has deeming authority from CMS for the Hospital Accreditation Program. This means that hospitals accredited by TJC are deemed to have met Medicare and Medicaid certification requirements. However, TJC has not had deeming authority for the CMS special CoPs for psychiatric hospitals. These relate to special requirements for Medical Records (482.61) and Staffing (482.62.) Thus, Joint Commission accredited psychiatric hospitals were still subject to CMS surveys for these special CoPs in addition to their triennial Joint Commission survey.
If the deemed status for psychiatric hospitals is approved by CMS, these special condition surveys will no longer be required for psychiatric hospitals that are Joint Commission accredited.
As part of its application process to CMS, TJC has added specific requirements for psychiatric hospitals to its Hospital Standards in order to align them more closely with the special CoPs for psychiatric hospitals. The first set of new requirements came out in June 2010 and related to staffing, psychiatric evaluations and progress notes. For more information, access our our June 2010 newsletter at our Newsletter Archive.
Additional new requirements go into effect for psychiatric hospitals on February 1, 2011. These include the following:
Provision of Care chapter:
PC.01.02.13 EPs 2 and 6 related to assessment and evaluation requirements
PC.01.03.01 EPs 5 and 43 related to treatment plan requirements
LD.04.01.05 EP 10 related to the role of the Director of Social Work Services
Click on Feb 2011 Standards Revisions to view these TJC Standards Revisions effective 2/1/11.
TJC has completed pilot surveys for the special CoPs. The final step in the approval process is for CMS to observe an actual TJC survey of a psychiatric hospital to determine if the survey covers all of the requirements of the special CoPs for psychiatric hospitals.
For the article announcing TJC's application for deemed status for psychiatric hospitals, see the January 2011 issue of TJC Perspectives page 17.