Joint Commission Behavioral Health Update
March 2015
In This Issue:

Greetings to Our Colleagues in Behavioral Healthcare!

It was great to meet and catch up with so many of you at the annual meeting of the National Association for Psychiatric Health Systems in Washington, D.C. this month! The agenda was chock full of eminent speakers and the most up-to-date information on issues impacting the Behavioral Healthcare industry. Many of our clients are NAPHS members. For those that are not, we encourage you to consider joining the association. Check out the  NAPHS Website. There's a wealth of information on pertinent topics for behavioral health providers.


In this month's newsletter, we discuss the TJC requirement to evaluate the culture of safety and quality in your organization. We are also answering some additional questions from our readers regarding the new Human Resources Management standards in the 2015 Behavioral Health manual.


We value your feedback on the newsletter. Please contact us with your comments and tell us what topics you would like to see in future issues. We look forward to hearing from you! Also, feel free to forward this newsletter to your colleagues.


Anne Barrins


Considering TJC accreditation?

Contact us now to conduct a gap analysis. It's your first step toward achieving the gold standard of TJC accreditation!



Barrins & Associates is pleased to welcome two new clients this month: Solid Landings Behavioral Health in Costa Mesa, Calif. and Adventist HealthCare Behavioral Health & Wellness Services in Cambridge, Md.


Congratulations to our client Remi Vista Youth and Family Services in Redding, Calif., who recently achieved the gold standard initial Joint Commission accreditation!

Why Choose
Barrins & Associates?

"Montefiore Medical Center has used Barrins & Associates as TJC consultants for 11 years.They have guided us through three highly successful TJC surveys. They are a remarkable consulting firm and a critical component of our TJC readiness program." 

Meg Taheri
Director Regulatory Affairs
Montefiore Medical Center

Evaluating the Culture of Safety and Quality in your Organization

Since 2009, the TJC Leadership chapter has contained the requirement for organizations to evaluate their culture of safety and quality. The standard is LD.03.01.01 Element of Performance #1 in both the Behavioral Health and Hospital manuals. It requires leaders to "regularly evaluate the culture of safety and quality."

With this standard, TJC is emphasizing that the culture within an organization directly impacts the safety and quality of care provided. An organization with a culture of safety and quality has specific characteristics. Find out how your organization measures up ... 

New Behavioral Healthcare Human Resource Standards
More Q&A on the New BH Human Resources Management Chapter
As reported in earlier editions of our newsletter, the standards in the new Human Resources Management chapter in the 2015 Behavioral Health Care manual went into effect on January 1. Since then, many behavioral health organizations have been reviewing the new standards and their own HR processes to make sure they are compliant and also to see if they can simplify some of those processes. We've received some questions from readers on these standards. View our answers to these questions ...
Are you signed up for the BHC News?
It's a TJC complimentary publication for behavioral healthcare organizations and is published four times a year. Go to the TJC website, click on the Accreditation tab, then Behavioral Healthcare and you will see BHC News. You can sign up right there!
Barrins & Associates provides Joint Commission and CMS consulting services for the Behavioral Healthcare industry. Our clients include psychiatric hospitals and freestanding Behavioral Healthcare organizations. We specialize in providing Survey Preparation and Continuous Survey Readiness services for the Behavioral Healthcare industry. Barrins & Associates was founded by Anne Barrins who was a Joint Commission surveyor for 13 years.