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JCR CAMBHC 2022

JCR CAMBHC 2022

$178.21

Comprehensive Accreditation Manual for Behavioral Health Care and Human Services (CAMBHC)

Published By Publication Date Number of Pages
Joint Commission 2022
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Continuous compliance starts with staff who know what The Joint Commission requires. 2022 Comprehensive Accreditation Manual for Behavioral Health Care and Human Services (CAMBHC) provides all the key information your organization needs to power performance improvement and maintain continuous standards compliance. It features the official Joint Commission standards, National Patient Safety Goals®, and other accreditation requirements, including standards and elements of performance for the optional Behavioral Health Home certification. The CAMBHC is delivered in an updatable 3-ring binder and includes color-coded tabs that allow you to find exactly what you need for standards compliance or survey readiness when you need it. Get ready to power performance improvement and excellence in your organization! Understanding Which Standards Apply. The Joint Commission surveys many types of organizations under the behavioral health care and human services standards, including mental health services, addiction treatment, eating disorders treatment, intellectual disability/developmental disability (ID/DD) services, and social service/human service agencies serving children and families. Accredited organizations may serve people throughout the life span or specialize in an age or disability group. (See the section on Settings below for a longer list of services and settings.) Eligibility requirements will differ based on the services provided and survey option you select; more information is available on the Joint Commission’s website. Standards for all these settings and services appear in the 2022 CAMBHC. The goal of this manual’s “Standards Applicability Process” chapter is to help each organization determine which specific standards and EPs in the manual apply to its setting(s), service(s), and program(s), and specific population(s). These applicability grids allow you to quickly identify the services and settings, as you identified them in your E-App, and find related standards that apply to your organization. In contrast, the E-dition on an accredited organization’s Joint Commission Connect® extranet site provides a customized manual based on the settings and services checked on your E-App. (That is, the E-dition only displays an organization-specific compliment of standards and EPs). Key Topics: “Gold tab” accreditation requirements including the 2022 standards, National Patient Safety Goals®, and Accreditation Participation Requirements for behavioral health care and human services Standards and elements of performance for optional behavioral health home certification “Blue tab” accreditation process information about Joint Commission policies and procedures and practical survey preparation information on the Early Survey Policy, sentinel events, safety systems for individuals served, documentation requirements, standards applicability, and more Key Features: Icons to help navigate documentation requirements as well as risk areas “What’s New” summary of changes made since the last edition Color-coded blue and gold tabs allow you to find exactly what you need when you need it Easily updated with the CAMBHC Update Service Standards: All behavioral health care and human services standards Setting: Organizations accredited under the Behavioral Health Care and Human Services Accreditation Program, including those that that provide mental health services, substance use treatment services, foster care services, programs or services for children and youth, child welfare, services for individuals with eating disorders, services for individuals with intellectual/developmental disabilities of various ages and in various organized service or program settings, case management services, peer-based recovery services, prevention and wellness promotion services, corrections-based services, and opioid treatment programs Key Audience: Staff responsible for accreditation, compliance, safety, or quality improvement

PDF Catalog

PDF Pages PDF Title
1 What’s New 2022 CAMBHC
15 Untitled
16 Copyright
17 Contents
19 Introduction: How Joint Commission Accreditation Can Help on the Road to High Reliability (INTRO)
20 I. Introduction to Joint Commission Accreditation
The Value of Joint Commission Accreditation
22 Joint Commission Accreditation
23 Addressing Complex Behavioral Health and Human Services Accreditation-Related Issues
24 Table 1. Standards That Address Complex Care, Treatment, or Service Issues in Behavioral Health Care and Human Services Organiza
25 II. About the
26 How Is This Manual Organized?
27 Table 2. Acronyms Used in This Manual
28 Table 2.
29 Accreditation Requirements
30 Accreditation Process Information
32 Identifying Applicable Standards
35 Understanding the Organization of the Standards Chapters
38 Understanding the Icons Used in the Manual
III. Steps to Achieving and Maintaining Compliance
39 Become Familiar with the Standards
Use the Standards to Improve Care, Treatment, or Services
40 Assess Compliance with the Standards
41 Stimulate Improvement
43 Keep Current with Standards Changes via Perspectives
45 IV. Get Extra Help
Getting Started with Accreditation
Account Executive
Contacting The Joint Commission
46 Standards Questions
Requesting Permission to Share Content from the Manual
47 Safety Systems for Individuals Served (SSIS)
Quality and Safety in Care, Treatment, or Services
48 Sidebar 1. Key Terms
49 Goals of This Chapter
50 Becoming a Learning Organization
51 The Role of Leaders in Safety
52 Safety Culture
55 Sidebar 2. Assessing Staff Accountability
56 Sidebar 2.
Data Use and Reporting Systems
57 Effective Use of Data
58 Table 1. Defining and Comparing Analytical Tools
59 A Proactive Approach to Preventing Harm
62 Sidebar 3. Strategies for an Effective Risk Assessment
Encouraging Participation of Individuals Served
64 Beyond Accreditation: The Joint Commission Is Your Safety Partner
66 References
69 Accreditation Participation Requirements (APR)
Overview
70 Chapter Outline
71 Requirements, Rationales, and Elements of Performance
APR.01.01.01
Elements of Performance for APR.01.01.01
APR.01.02.01
72 Rationale for APR.01.02.01
Elements of Performance for APR.01.02.01
APR.01.03.01
Elements of Performance for APR.01.03.01
73 APR.02.01.01
Elements of Performance for APR.02.01.01
APR.05.01.01
Rationale for APR.05.01.01
Elements of Performance for APR.05.01.01
APR.06.01.01
Elements of Performance for APR.06.01.01
74 APR.07.01.01
Elements of Performance for APR.07.01.01
APR.08.01.01
Elements of Performance for APR.08.01.01
APR.09.01.01
Elements of Performance for APR.09.01.01
75 APR.09.02.01
Rationale for APR.09.02.01
Elements of Performance for APR.09.02.01
APR.09.03.01
76 Elements of Performance for APR.09.03.01
APR.09.04.01
Elements of Performance for APR.09.04.01
77 Care, Treatment, and Services (CTS)
Overview
79 Chapter Outline
81 Standards, Rationales, and Elements of Performance
Standard CTS.01.01.01
Elements of Performance for CTS.01.01.01
85 Standard CTS.01.02.01
Elements of Performance for CTS.01.02.01
Standard CTS.01.03.01
Rationale for CTS.01.03.01
Elements of Performance for CTS.01.03.01
Standard CTS.01.03.03
Elements of Performance for CTS.01.03.03
86 Standard CTS.01.04.01
Rationale for CTS.01.04.01
Elements of Performance for CTS.01.04.01
87 Introduction to Standards CTS.02.01.01 Through CTS.02.04.01—Screening and Assessment
Standard CTS.02.01.01
88 Elements of Performance for CTS.02.01.01
Standard CTS.02.01.03
Elements of Performance for CTS.02.01.03
89 Standard CTS.02.01.05
Elements of Performance for CTS.02.01.05
90 Standard CTS.02.01.06
Elements of Performance for CTS.02.01.06
91 Standard CTS.02.01.07
Elements of Performance for CTS.02.01.07
93 Introduction to Standard CTS.02.01.09
94 Standard CTS.02.01.09
Elements of Performance for CTS.02.01.09
Standard CTS.02.01.11
95 Rationale for CTS.02.01.11
Elements of Performance for CTS.02.01.11
Standard CTS.02.01.13
Elements of Performance for CTS.02.01.13
96 Standard CTS.02.01.15
Elements of Performance for CTS.02.01.15
Standard CTS.02.01.17
Elements of Performance for CTS.02.01.17
Standard CTS.02.02.01
Elements of Performance for CTS.02.02.01
98 Standard CTS.02.02.05
99 Rationale for CTS.02.02.05
Elements of Performance for CTS.02.02.05
100 Standard CTS.02.02.07
Elements of Performance for CTS.02.02.07
Standard CTS.02.02.09
Elements of Performance for CTS.02.02.09
103 Standard CTS.02.03.01
Elements of Performance for CTS.02.03.01
Standard CTS.02.03.03
Elements of Performance for CTS.02.03.03
104 Standard CTS.02.03.05
Elements of Performance for CTS.02.03.05
106 Introduction to Standard CTS.02.03.07
107 Standard CTS.02.03.07
Elements of Performance for CTS.02.03.07
108 Standard CTS.02.03.09
Elements of Performance for CTS.02.03.09
Standard CTS.02.03.11
Elements of Performance for CTS.02.03.11
109 Standard CTS.02.03.13
110 Elements of Performance for CTS.02.03.13
Standard CTS.02.03.15
Elements of Performance for CTS.02.03.15
Standard CTS.02.04.01
Elements of Performance for CTS.02.04.01
112 Standard CTS.02.04.03
Elements of Performance for CTS.02.04.03
Standard CTS.02.04.05
Elements of Performance for CTS.02.04.05
113 Standard CTS.02.04.07
Elements of Performance for CTS.02.04.07
114 Standard CTS.02.04.09
Elements of Performance for CTS.02.04.09
Standard CTS.02.04.11
115 Elements of Performance for CTS.02.04.11
Standard CTS.02.04.13
Elements of Performance for CTS.02.04.13
Standard CTS.02.04.15
Elements of Performance for CTS.02.04.15
116 Standard CTS.02.04.17
Elements of Performance for CTS.02.04.17
117 Standard CTS.02.04.19
Elements of Performance for CTS.02.04.19
118 Standard CTS.02.04.21
Elements of Performance for CTS.02.04.21
Standard CTS.02.04.23
Elements of Performance for CTS.02.04.23
Standard CTS.02.04.25
119 Rationale for CTS.02.04.25
Elements of Performance for CTS.02.04.25
120 Introduction to Standards CTS.03.01.01 Through CTS.03.02.03—Planning Care, Treatment, or Services
Standard CTS.03.01.01
Elements of Performance for CTS.03.01.01
122 Standard CTS.03.01.03
Elements of Performance for CTS.03.01.03
126 Standard CTS.03.01.05
Elements of Performance for CTS.03.01.05
Standard CTS.03.01.07
Elements of Performance for CTS.03.01.07
127 Standard CTS.03.01.09
Rationale for CTS.03.01.09
Elements of Performance for CTS.03.01.09
128 Standard CTS.03.02.01
129 Elements of Performance for CTS.03.02.01
Standard CTS.03.02.03
Elements of Performance for CTS.03.02.03
132 Introduction to Standards CTS.04.01.01 and CTS.04.01.03—Providing Care, Treatment, or Services
Standard CTS.04.01.01
Rationale for CTS.04.01.01
Elements of Performance for CTS.04.01.01
135 Standard CTS.04.01.03
Elements of Performance for CTS.04.01.03
138 Standard CTS.04.01.07
Elements of Performance for CTS.04.01.07
139 Standard CTS.04.02.01
Elements of Performance for CTS.04.02.01
140 Standard CTS.04.02.03
Elements of Performance for CTS.04.02.03
141 Standard CTS.04.02.05
Elements of Performance for CTS.04.02.05
Standard CTS.04.02.06
Elements of Performance for CTS.04.02.06
Standard CTS.04.02.07
Elements of Performance for CTS.04.02.07
143 Standard CTS.04.02.08
Elements of Performance for CTS.04.02.08
144 Standard CTS.04.02.09
Elements of Performance for CTS.04.02.09
Standard CTS.04.02.11
Elements of Performance for CTS.04.02.11
145 Standard CTS.04.02.13
Rationale for CTS.04.02.13
Elements of Performance for CTS.04.02.13
Standard CTS.04.02.15
Elements of Performance for CTS.04.02.15
146 Standard CTS.04.02.16
Elements of Performance for CTS.04.02.16
147 Standard CTS.04.02.17
Elements of Performance for CTS.04.02.17
Standard CTS.04.02.18
Elements of Performance for CTS.04.02.18
Introduction to Standards CTS.04.02.19 and CTS.04.02.21
149 Standard CTS.04.02.19
Rationale for CTS.04.02.19
Elements of Performance for CTS.04.02.19
151 Standard CTS.04.02.21
Rationale for CTS.04.02.21
Elements of Performance for CTS.04.02.21
152 Standard CTS.04.02.23
Elements of Performance for CTS.04.02.23
Standard CTS.04.02.25
153 Elements of Performance for CTS.04.02.25
154 Standard CTS.04.02.27
Elements of Performance for CTS.04.02.27
155 Standard CTS.04.02.29
Elements of Performance for CTS.04.02.29
Standard CTS.04.02.31
156 Elements of Performance for CTS.04.02.31
Introduction to Standards CTS.04.03.01 Through CTS.04.03.13—Vocational Rehabilitation and Employment Assistance
Standard CTS.04.03.01
157 Rationale for CTS.04.03.01
Elements of Performance for CTS.04.03.01
Standard CTS.04.03.03
Elements of Performance for CTS.04.03.03
158 Standard CTS.04.03.05
Elements of Performance for CTS.04.03.05
159 Standard CTS.04.03.13
Elements of Performance for CTS.04.03.13
160 Standard CTS.04.03.15
161 Elements of Performance for CTS.04.03.15
Standard CTS.04.03.17
Elements of Performance for CTS.04.03.17
162 Standard CTS.04.03.19
Elements of Performance for CTS.04.03.19
Standard CTS.04.03.20
Elements of Performance for CTS.04.03.20
Standard CTS.04.03.21
Rationale for CTS.04.03.21
163 Elements of Performance for CTS.04.03.21
Introduction to Standards CTS.04.03.23 and CTS.04.03.25
164 Standard CTS.04.03.23
Elements of Performance for CTS.04.03.23
165 Standard CTS.04.03.25
Elements of Performance for CTS.04.03.25
Standard CTS.04.03.27
166 Elements of Performance for CTS.04.03.27
Standard CTS.04.03.29
Elements of Performance for CTS.04.03.29
Standard CTS.04.03.31
Rationale for CTS.04.03.31
167 Elements of Performance for CTS.04.03.31
Standard CTS.04.03.33
Elements of Performance for CTS.04.03.33
168 Standard CTS.04.03.35
Elements of Performance for CTS.04.03.35
169 Standard CTS.04.03.37
Elements of Performance for CTS.04.03.37
170 Introduction to Standards CTS.05.01.01 Through CTS.05.06.35—Special Behavioral Procedures
Standard CTS.05.01.01
Elements of Performance for CTS.05.01.01
Standard CTS.05.02.01
171 Rationale for CTS.05.02.01
Elements of Performance for CTS.05.02.01
Standard CTS.05.03.01
172 Elements of Performance for CTS.05.03.01
Introduction to Standards CTS.05.04.01 Through CTS.05.04.17—Individualized Behavioral Contingencies
173 Standard CTS.05.04.01
Elements of Performance for CTS.05.04.01
Standard CTS.05.04.03
Elements of Performance for CTS.05.04.03
174 Standard CTS.05.04.05
Elements of Performance for CTS.05.04.05
Standard CTS.05.04.07
175 Elements of Performance for CTS.05.04.07
Standard CTS.05.04.09
Elements of Performance for CTS.05.04.09
176 Standard CTS.05.04.11
Elements of Performance for CTS.05.04.11
Standard CTS.05.04.13
Elements of Performance for CTS.05.04.13
177 Standard CTS.05.04.15
Elements of Performance for CTS.05.04.15
Standard CTS.05.04.17
Elements of Performance for CTS.05.04.17
178 Introduction to Standards CTS.05.05.01 Through CTS.05.05.21—Physical Holding of Children/Youth
Applicability of the Physical Holding of Children/Youth Standards
179 Standard CTS.05.05.01
Elements of Performance for CTS.05.05.01
180 Standard CTS.05.05.03
Elements of Performance for CTS.05.05.03
Standard CTS.05.05.05
181 Elements of Performance for CTS.05.05.05
182 Standard CTS.05.05.07
Elements of Performance for CTS.05.05.07
Standard CTS.05.05.09
Elements of Performance for CTS.05.05.09
183 Standard CTS.05.05.11
Elements of Performance for CTS.05.05.11
Standard CTS.05.05.13
Elements of Performance for CTS.05.05.13
184 Standard CTS.05.05.15
Elements of Performance for CTS.05.05.15
Standard CTS.05.05.17
Elements of Performance for CTS.05.05.17
185 Standard CTS.05.05.19
Rationale for CTS.05.05.19
Elements of Performance for CTS.05.05.19
186 Standard CTS.05.05.21
Elements of Performance for CTS.05.05.21
187 Introduction to Standards CTS.05.06.01 Through CTS.05.06.35—Restraint and Seclusion
Applicability of Behavioral Health Care Restraint and Seclusion Standards
188 Standard CTS.05.06.01
189 Elements of Performance for CTS.05.06.01
Standard CTS.05.06.03
Elements of Performance for CTS.05.06.03
190 Standard CTS.05.06.05
Elements of Performance for CTS.05.06.05
192 Standard CTS.05.06.07
Elements of Performance for CTS.05.06.07
193 Standard CTS.05.06.09
Elements of Performance for CTS.05.06.09
Standard CTS.05.06.11
Elements of Performance for CTS.05.06.11
194 Standard CTS.05.06.13
Elements of Performance for CTS.05.06.13
195 Standard CTS.05.06.15
Elements of Performance for CTS.05.06.15
Standard CTS.05.06.17
Elements of Performance for CTS.05.06.17
196 Standard CTS.05.06.19
Elements of Performance for CTS.05.06.19
197 Standard CTS.05.06.21
Elements of Performance for CTS.05.06.21
198 Standard CTS.05.06.23
Elements of Performance for CTS.05.06.23
Standard CTS.05.06.25
Elements of Performance for CTS.05.06.25
199 Standard CTS.05.06.27
Elements of Performance for CTS.05.06.27
Standard CTS.05.06.29
Elements of Performance for CTS.05.06.29
200 Standard CTS.05.06.31
Elements of Performance for CTS.05.06.31
Standard CTS.05.06.33
Elements of Performance for CTS.05.06.33
201 Standard CTS.05.06.35
Elements of Performance for CTS.05.06.35
202 Standard CTS.06.01.01
Elements of Performance for CTS.06.01.01
203 Standard CTS.06.01.03
Elements of Performance for CTS.06.01.03
204 Standard CTS.06.01.05
Elements of Performance for CTS.06.01.05
206 Standard CTS.06.01.07
Elements of Performance for CTS.06.01.07
207 Introduction to Standards CTS.06.01.09 Through CTS.06.01.15—Housing Support Services
Standard CTS.06.01.09
Elements of Performance for CTS.06.01.09
209 Standard CTS.06.01.11
Elements of Performance for CTS.06.01.11
210 Standard CTS.06.01.13
Elements of Performance for CTS.06.01.13
212 Standard CTS.06.01.15
Elements of Performance for CTS.06.01.15
213 Introduction to Standards CTS.06.02.01 Through CTS.06.02.05—Transfer or Discharge
Standard CTS.06.02.01
Elements of Performance for CTS.06.02.01
215 Standard CTS.06.02.03
Elements of Performance for CTS.06.02.03
217 Standard CTS.06.02.05
Elements of Performance for CTS.06.02.05
Standard CTS.06.02.07
Elements of Performance for CTS.06.02.07
218 Standard CTS.06.03.01
Rationale for CTS.06.03.01
Elements of Performance for CTS.06.03.01
219 Introduction to Standards CTS.07.01.01 Through CTS.07.01.03
220 Standard CTS.07.01.01
Elements of Performance for CTS.07.01.01
221 Standard CTS.07.01.02
Elements of Performance for CTS.07.01.02
Standard CTS.07.01.03
Elements of Performance for CTS.07.01.03
223 Environment of Care (EC)
Overview
About This Chapter
224 Other Issues for Consideration
226 Chapter Outline
227 Standards, Rationales, and Elements of Performance
Standard EC.01.01.01
Rationale for EC.01.01.01
Elements of Performance for EC.01.01.01
228 Standard EC.02.01.01
Rationale for EC.02.01.01
Elements of Performance for EC.02.01.01
229 Standard EC.02.01.03
Elements of Performance for EC.02.01.03
230 Standard EC.02.01.05
Elements of Performance for EC.02.01.05
231 Standard EC.02.02.01
Rationale for EC.02.02.01
Elements of Performance for EC.02.02.01
Standard EC.02.03.01
Rationale for EC.02.03.01
Elements of Performance for EC.02.03.01
232 Standard EC.02.03.03
Elements of Performance for EC.02.03.03
234 Standard EC.02.03.05
Elements of Performance for EC.02.03.05
236 This page is blank due to revisions through the
update.
240 Standard EC.02.04.03
Elements of Performance for EC.02.04.03
Standard EC.02.05.01
Elements of Performance for EC.02.05.01
241 Standard EC.02.05.03
Elements of Performance for EC.02.05.03
243 Standard EC.02.05.05
Elements of Performance for EC.02.05.05
244 Standard EC.02.05.07
Rationale for EC.02.05.07
Elements of Performance for EC.02.05.07
246 Introduction to Standard EC.02.06.01
Standard EC.02.06.01
247 Elements of Performance for EC.02.06.01
248 This page is blank due to revisions through the
update.
249 Standard EC.02.06.03
Elements of Performance for EC.02.06.03
250 Standard EC.02.06.05
Rationale for EC.02.06.05
Elements of Performance for EC.02.06.05
Standard EC.03.01.01
251 Rationale for EC.03.01.01
Elements of Performance for EC.03.01.01
Standard EC.04.01.01
Elements of Performance for EC.04.01.01
252 Standard EC.04.01.03
Elements of Performance for EC.04.01.03
Standard EC.04.01.05
Elements of Performance for EC.04.01.05
253 Emergency Management (EM)
Overview
254 About This Chapter
255 Chapter Outline
256 Standards, Rationales, and Elements of Performance
Standard EM.01.01.01
Rationale for EM.01.01.01
Elements of Performance for EM.01.01.01
257 Standard EM.02.01.01
Rationale for EM.02.01.01
258 Elements of Performance for EM.02.01.01
259 Standard EM.02.02.01
Rationale for EM.02.02.01
Elements of Performance for EM.02.02.01
260 Standard EM.02.02.03
Rationale for EM.02.02.03
Elements of Performance for EM.02.02.03
261 Standard EM.02.02.05
Rationale for EM.02.02.05
Elements of Performance for EM.02.02.05
Standard EM.02.02.07
262 Rationale for EM.02.02.07
Elements of Performance for EM.02.02.07
Standard EM.02.02.11
Elements of Performance for EM.02.02.11
263 Standard EM.03.01.03
Elements of Performance for EM.03.01.03
265 Human Resources Management (HRM)
Overview
About This Chapter
266 Chapter Outline
267 Standards, Rationales, and Elements of Performance
Standard HRM.01.01.01
Elements of Performance for HRM.01.01.01
Standard HRM.01.01.03
Elements of Performance for HRM.01.01.03
268 Standard HRM.01.02.01
Elements of Performance for HRM.01.02.01
270 Standard HRM.01.03.01
Elements of Performance for HRM.01.03.01
272 Standard HRM.01.04.01
Elements of Performance for HRM.01.04.01
Standard HRM.01.05.01
Elements of Performance for HRM.01.05.01
274 Introduction to Standards HRM.01.06.01 Through HRM.01.07.01
275 Standard HRM.01.06.01
Elements of Performance for HRM.01.06.01
Standard HRM.01.06.03
276 Elements of Performance for HRM.01.06.03
277 Standard HRM.01.06.05
Elements of Performance for HRM.01.06.05
Standard HRM.01.06.07
Elements of Performance for HRM.01.06.07
Standard HRM.01.06.09
278 Elements of Performance for HRM.01.06.09
Standard HRM.01.06.11
Elements of Performance for HRM.01.06.11
279 Standard HRM.01.07.01
Elements of Performance for HRM.01.07.01
281 Infection Prevention and Control (IC)
Overview
About This Chapter
283 Chapter Outline
284 Standards, Rationales, and Elements of Performance
Introduction to Standards IC.01.01.01 Through IC.01.06.01 – Planning
Standard IC.01.01.01
Elements of Performance for IC.01.01.01
285 Standard IC.01.02.01
Elements of Performance for IC.01.02.01
Standard IC.01.03.01
Rationale for IC.01.03.01
Elements of Performance for IC.01.03.01
286 Standard IC.01.04.01
Elements of Performance for IC.01.04.01
Standard IC.01.05.01
287 Rationale for IC.01.05.01
Elements of Performance for IC.01.05.01
288 Standard IC.01.06.01
Rationale for IC.01.06.01
289 Elements of Performance for IC.01.06.01
Introduction to Standards IC.02.01.01 Through IC.02.03.01 – Implementation
290 Standard IC.02.01.01
Elements of Performance for IC.02.01.01
291 Standard IC.02.02.01
292 Rationale for IC.02.02.01
Elements of Performance for IC.02.02.01
293 Standard IC.02.03.01
Elements of Performance for IC.02.03.01
Introduction to Standard IC.02.04.01
294 Standard IC.02.04.01
Elements of Performance for IC.02.04.01
295 Introduction to Standard IC.03.01.01 – Evaluation and Improvement
Standard IC.03.01.01
Elements of Performance for IC.03.01.01
297 Information Management (IM)
Overview
About This Chapter
298 Chapter Outline
299 Standards, Rationales, and Elements of Performance
Introduction to Standard IM.01.01.01
Standard IM.01.01.01
Elements of Performance for IM.01.01.01
300 Introduction to Standard IM.01.01.03
Standard IM.01.01.03
301 Elements of Performance for IM.01.01.03
Introduction to Standard IM.02.01.01
302 Standard IM.02.01.01
Elements of Performance for IM.02.01.01
303 Introduction to Standard IM.02.01.03
Standard IM.02.01.03
Elements of Performance for IM.02.01.03
304 Standard IM.02.02.01
Rationale for IM.02.02.01
Elements of Performance for IM.02.02.01
305 Introduction to Standard IM.02.02.03
Standard IM.02.02.03
Rationale for IM.02.02.03
Elements of Performance for IM.02.02.03
306 Standard IM.03.01.01
Elements of Performance for IM.03.01.01
307 Leadership (LD)
Overview
308 Proactive Risk Assessment
309 About This Chapter
310 Chapter Outline
311 Standards, Rationales, and Elements of Performance
Introduction to Leadership Structure, Standards LD.01.01.01 Through LD.01.07.01
Standard LD.01.01.01
Rationale for LD.01.01.01
312 Elements of Performance for LD.01.01.01
Standard LD.01.03.01
Rationale for LD.01.03.01
Elements of Performance for LD.01.03.01
Standard LD.01.04.01
313 Elements of Performance for LD.01.04.01
Standard LD.01.06.01
Elements of Performance for LD.01.06.01
Standard LD.01.07.01
Elements of Performance for LD.01.07.01
314 Introduction to Leadership Relationships, Standards LD.02.01.01 and LD.02.03.01
Standard LD.02.01.01
Rationale for LD.02.01.01
315 Elements of Performance for LD.02.01.01
Standard LD.02.03.01
Rationale for LD.02.03.01
Elements of Performance for LD.02.03.01
316 Introduction to Organization Culture and System Performance Expectations, Standards LD.03.01.01 Through LD.03.06.01
318 Standard LD.03.01.01
Rationale for LD.03.01.01
Elements of Performance for LD.03.01.01
319 Standard LD.03.02.01
Rationale for LD.03.02.01
Elements of Performance for LD.03.02.01
Standard LD.03.03.01
Rationale for LD.03.03.01
320 Elements of Performance for LD.03.03.01
Standard LD.03.04.01
Rationale for LD.03.04.01
Elements of Performance for LD.03.04.01
321 Standard LD.03.05.01
Rationale for LD.03.05.01
Elements of Performance for LD.03.05.01
Standard LD.03.06.01
Rationale for LD.03.06.01
Elements of Performance for LD.03.06.01
322 Introduction to Operations, Standards LD.03.07.01 Through LD.04.03.09
Standard LD.03.07.01
323 Elements of Performance for LD.03.07.01
Standard LD.03.08.01
324 Elements of Performance for LD.03.08.01
Introduction to Standard LD.03.09.01
Standard LD.03.09.01
325 Elements of Performance for LD.03.09.01
327 Standard LD.03.10.01
Elements of Performance for LD.03.10.01
Standard LD.04.01.01
Elements of Performance for LD.04.01.01
328 Standard LD.04.01.03
Elements of Performance for LD.04.01.03
Standard LD.04.01.05
329 Rationale for LD.04.01.05
Elements of Performance for LD.04.01.05
330 Standard LD.04.01.07
Elements of Performance for LD.04.01.07
Standard LD.04.01.08
Elements of Performance for LD.04.01.08
Standard LD.04.01.09
Elements of Performance for LD.04.01.09
332 Standard LD.04.01.11
Rationale for LD.04.01.11
Elements of Performance for LD.04.01.11
333 Standard LD.04.01.13
Elements of Performance for LD.04.01.13
Standard LD.04.02.01
Elements of Performance for LD.04.02.01
Standard LD.04.02.03
Elements of Performance for LD.04.02.03
335 Standard LD.04.02.05
Rationale for LD.04.02.05
Elements of Performance for LD.04.02.05
Standard LD.04.02.07
Elements of Performance for LD.04.02.07
Standard LD.04.03.01
Elements of Performance for LD.04.03.01
336 Standard LD.04.03.05
Elements of Performance for LD.04.03.05
338 Standard LD.04.03.07
Rationale for LD.04.03.07
Elements of Performance for LD.04.03.07
Introduction to Oversight of Care, Treatment, or Services Provided Through Contractual Agreement, Standard LD.04.03.09
339 Monitoring Contracted Services
340 Standard LD.04.03.09
Elements of Performance for LD.04.03.09
343 Life Safety (LS)
Overview
344 About This Chapter
346 Chapter Outline
347 Standards, Rationales, and Elements of Performance
Introduction to Standard LS.01.01.01
Standard LS.01.01.01
348 Elements of Performance for LS.01.01.01
349 Standard LS.01.02.01
Elements of Performance for LS.01.02.01
352 This page is blank due to revisions through the
update.
353 Standard LS.02.01.10
Rationale for LS.02.01.10
Elements of Performance for LS.02.01.10
355 Standard LS.02.01.20
Rationale for LS.02.01.20
Elements of Performance for LS.02.01.20
361 Standard LS.02.01.30
Rationale for LS.02.01.30
362 Elements of Performance for LS.02.01.30
366 Standard LS.02.01.34
367 Elements of Performance for LS.02.01.34
368 Standard LS.02.01.35
Elements of Performance for LS.02.01.35
370 Standard LS.02.01.40
Elements of Performance for LS.02.01.40
371 Standard LS.02.01.50
372 This page is blank due to revisions through the
update.
373 Elements of Performance for LS.02.01.50
374 Standard LS.02.01.70
Elements of Performance for LS.02.01.70
375 Standard LS.04.01.20
Rationale for LS.04.01.20
376 Elements of Performance for LS.04.01.20
377 Standard LS.04.01.30
Rationale for LS.04.01.30
378 Elements of Performance for LS.04.01.30
379 Standard LS.04.01.50
Elements of Performance for LS.04.01.50
Standard LS.04.02.20
Rationale for LS.04.02.20
380 Elements of Performance for LS.04.02.20
381 Standard LS.04.02.30
Rationale for LS.04.02.30
382 Elements of Performance for LS.04.02.30
385 Standard LS.04.02.40
Elements of Performance for LS.04.02.40
Standard LS.04.02.50
Elements of Performance for LS.04.02.50
386 Standard LS.05.01.10
Elements of Performance for LS.05.01.10
387 Standard LS.05.01.20
Elements of Performance for LS.05.01.20
388 Standard LS.05.01.30
Elements of Performance for LS.05.01.30
389 Standard LS.05.01.34
Elements of Performance for LS.05.01.34
390 Standard LS.05.01.35
Elements of Performance for LS.05.01.35
393 Medication Management (MM)
Overview
394 About This Chapter
396 Chapter Outline
397 Standards, Rationales, and Elements of Performance
Standard MM.01.01.01
Rationale for MM.01.01.01
Elements of Performance for MM.01.01.01
398 Standard MM.01.01.03
Rationale for MM.01.01.03
Elements of Performance for MM.01.01.03
399 Standard MM.01.01.05
400 Rationale for MM.01.01.05
Elements of Performance for MM.01.01.05
Standard MM.01.02.01
Elements of Performance for MM.01.02.01
Standard MM.02.01.01
401 Elements of Performance for MM.02.01.01
402 Standard MM.03.01.01
Rationale for MM.03.01.01
Elements of Performance for MM.03.01.01
403 Standard MM.03.01.03
Rationale for MM.03.01.03
Elements of Performance for MM.03.01.03
404 Standard MM.03.01.05
Rationale for MM.03.01.05
Elements of Performance for MM.03.01.05
405 Introduction to Standard MM.04.01.01
Standard MM.04.01.01
Elements of Performance for MM.04.01.01
408 Standard MM.05.01.01
Elements of Performance for MM.05.01.01
409 Standard MM.05.01.07
Elements of Performance for MM.05.01.07
Standard MM.05.01.09
Rationale for MM.05.01.09
Elements of Performance for MM.05.01.09
410 Standard MM.05.01.11
411 Elements of Performance for MM.05.01.11
Standard MM.05.01.13
412 Elements of Performance for MM.05.01.13
Standard MM.05.01.15
Elements of Performance for MM.05.01.15
413 Standard MM.05.01.17
Elements of Performance for MM.05.01.17
Standard MM.05.01.19
Rationale for MM.05.01.19
414 Elements of Performance for MM.05.01.19
Standard MM.06.01.01
Elements of Performance for MM.06.01.01
415 Standard MM.06.01.03
416 Elements of Performance for MM.06.01.03
419 Standard MM.06.01.05
Rationale for MM.06.01.05
Elements of Performance for MM.06.01.05
Standard MM.07.01.01
420 Elements of Performance for MM.07.01.01
421 Standard MM.07.01.03
Rationale for MM.07.01.03
Elements of Performance for MM.07.01.03
422 Standard MM.08.01.01
Elements of Performance for MM.08.01.01
424 Applicability for Medication Management Type
427 National Patient Safety Goals (NPSG)
Chapter Outline
National Patient Safety Goals
428 Requirements, Rationales, and Elements of Performance
Goal 1
NPSG.01.01.01
Rationale for NPSG.01.01.01
Elements of Performance for NPSG.01.01.01
429 Goal 3
Introduction to Reconciling Medication Information
430 NPSG.03.06.01
Rationale for NPSG.03.06.01
Elements of Performance for NPSG.03.06.01
431 Goal 7
NPSG.07.01.01
432 Rationale for NPSG.07.01.01
Elements of Performance for NPSG.07.01.01
433 Goal 15
NPSG.15.01.01
Rationale for NPSG.15.01.01
Elements of Performance for NPSG.15.01.01
435 Performance Improvement (PI)
Overview
About This Chapter
437 Chapter Outline
438 Standards, Rationales, and Elements of Performance
Introduction to Standard PI.01.01.01
Standard PI.01.01.01
Elements of Performance for PI.01.01.01
440 Standard PI.02.01.01
441 Rationale for PI.02.01.01
Elements of Performance for PI.02.01.01
442 Introduction to Standard PI.03.01.01
Standard PI.03.01.01
Elements of Performance for PI.03.01.01
Standard PI.04.01.01
443 Rationale for PI.04.01.01
Elements of Performance for PI.04.01.01
445 Record of Care, Treatment, and Services (RC)
Overview
About This Chapter
446 Chapter Outline
447 Standards, Rationales, and Elements of Performance
Standard RC.01.01.01
Elements of Performance for RC.01.01.01
Standard RC.01.02.01
Elements of Performance for RC.01.02.01
448 Standard RC.01.03.01
Elements of Performance for RC.01.03.01
Standard RC.01.04.01
Elements of Performance for RC.01.04.01
Standard RC.01.05.01
Elements of Performance for RC.01.05.01
449 Standard RC.02.01.01
Elements of Performance for RC.02.01.01
451 Standard RC.02.01.05
Elements of Performance for RC.02.01.05
453 Standard RC.02.03.07
Elements of Performance for RC.02.03.07
Standard RC.02.04.01
Elements of Performance for RC.02.04.01
454 Standard RC.03.01.01
Elements of Performance for RC.03.01.01
455 Standard RC.03.01.03
Elements of Performance for RC.03.01.03
457 Rights and Responsibilities of the Individual (RI)
Overview
458 About This Chapter
459 Chapter Outline
460 Standards, Rationales, and Elements of Performance
Standard RI.01.01.01
Rationale for RI.01.01.01
Elements of Performance for RI.01.01.01
462 Standard RI.01.01.03
Rationale for RI.01.01.03
463 Elements of Performance for RI.01.01.03
Standard RI.01.02.01
Rationale for RI.01.02.01
464 Elements of Performance for RI.01.02.01
466 Standard RI.01.03.01
Rationale for RI.01.03.01
Elements of Performance for RI.01.03.01
468 Standard RI.01.03.05
Rationale for RI.01.03.05
Elements of Performance for RI.01.03.05
469 Standard RI.01.04.01
Elements of Performance for RI.01.04.01
470 Standard RI.01.04.03
Elements of Performance for RI.01.04.03
471 Standard RI.01.05.01
Elements of Performance for RI.01.05.01
472 Standard RI.01.06.03
Elements of Performance for RI.01.06.03
Standard RI.01.06.05
Elements of Performance for RI.01.06.05
473 Standard RI.01.06.07
474 Elements of Performance for RI.01.06.07
Standard RI.01.07.01
Elements of Performance for RI.01.07.01
475 Standard RI.01.07.03
Elements of Performance for RI.01.07.03
Standard RI.01.07.07
476 Elements of Performance for RI.01.07.07
Standard RI.01.07.09
Rationale for RI.01.07.09
Elements of Performance for RI.01.07.09
Standard RI.02.01.01
477 Rationale for RI.02.01.01
Elements of Performance for RI.02.01.01
Standard RI.03.01.01
Elements of Performance for RI.03.01.01
478 Standard RI.03.01.03
Elements of Performance for RI.03.01.03
Standard RI.03.01.05
Elements of Performance for RI.03.01.05
481 Waived Testing (WT)
Overview
482 About This Chapter
484 Chapter Outline
485 Standards, Rationales, and Elements of Performance
Standard WT.01.01.01
Elements of Performance for WT.01.01.01
486 Standard WT.02.01.01
Elements of Performance for WT.02.01.01
487 Standard WT.03.01.01
Elements of Performance for WT.03.01.01
Standard WT.04.01.01
488 Elements of Performance for WT.04.01.01
Standard WT.05.01.01
Elements of Performance for WT.05.01.01
491 The Accreditation Process (ACC)
Notices
ACC Chapter Contents
493 Overview
General Eligibility Requirements
494 Scope of Accreditation Surveys
495 Accreditation Policies
Tailored Survey Policy
496 Organizational and Functional Integration
499 System Accreditation Option
Table 1. Sampling for System Surveys by Size
500 Multiorganization Option
501 Table 2. Survey Process Comparison
502 Concurrent and Sequential Survey Options
Contracted Services
Initial Surveys
504 Information Accuracy and Truthfulness Policy
505 Good Faith Participation in Accreditation/ Certification
507 Public Information Policy
Process for Responding to a Complaint
508 Early Survey Policy
Sidebar 1. Early Survey Policy
509 Sidebar 1.
511 Behavioral Health Home Certification Option
513 Before the Accreditation Survey
An Organization’s Secure Joint Commission Connect Extranet Site
514 Role of the Account Executive
Electronic Application for Accreditation (E-App)
516 Accreditation/Certification Contract and Business Associate Agreement
Annual and Survey Fees
518 During the Survey
Survey Notification
519 Table 3. Exceptions to Unannounced Surveys#
521 Initial and Full Survey Team Composition
522 Survey Agenda
526 Tracer Methodology
528 Table 4. Behavioral Health Care and Human Services Accreditation–Specific Tracer Applicability and Objectives
532 Immediate Threat to Health or Safety
536 Summary of the Accreditation Reports
537 After the Survey
The Scoring Process
542 Evidence of Standards Compliance (ESC) Process
546 Accreditation Award Display and Use
547 Between Accreditation Surveys
548 Duration of Accreditation Award
Continuous Compliance
Intracycle Monitoring (ICM)
549 Focused Standards Assessment (FSA)
550 Sidebar 2. Focused Standards Assessment (FSA) Options
551 Sidebar 2.
Sentinel Event Follow-up
552 Notifying The Joint Commission About Organization Changes
554 Accreditation Status of Organizations That Cease Services After a Disaster###
556 Accreditation Status of Organizations That Cease Services or Do Not Provide Care, Treatment, or Services to Individuals Served f
557 Reentering the Accreditation Process
Additional Surveys
559 Decision Rules for Organizations Seeking Initial Accreditation
Accredited
Behavioral Health Home Certification
560 Limited, Temporary Accreditation
Evidence of Standards Compliance (ESC)
Denial of Accreditation
561 Decision Rules for Organizations Seeking Reaccreditation
Accredited
562 Behavioral Health Home Certification
Evidence of Standards Compliance (ESC)
Accreditation with Follow-up Survey
564 Preliminary Denial of Accreditation
565 Denial of Accreditation
Process for Organizations That Meet Decision Rule PDA02 for Individuals Served Placed at Risk for Serious Adverse Outcomes Due t
567 Process for Organizations That Meet Decision Rule PDA04
568 Review and Appeal Procedures
I. Evaluation by Joint Commission Staff
570 II. Accreditation with Follow-up Survey
III. Review Hearings
572 IV. Following a Review Hearing
V. Final Review &Appeal Request
575 Standards Applicability Process (SAP)
579 Behavioral Health Care Services Applicability Grid
601 Human Services Applicability Grid
628 This page is blank due to revisions through the
update.
662 This page is blank due to revisions through the
update.
667 Behavioral Health Care and Human Services Settings Applicability Grid
668 This page is blank due to revisions through the
update.
686 This page is blank due to revisions through the
update.
716 This page is blank due to revisions through the
update.
723 Sentinel Event Policy (SE)
724 Goals of the Sentinel Event Policy
725 Identifying Sentinel Events
727 Sidebar 1. Key Terms
728 Sidebar 1.
729 Determining That a Sentinel Event Is Subject to Review
730 Relationship to the Survey Process
731 Required Organization Response to a Sentinel Event
732 Reporting a Sentinel Event to The Joint Commission
734 Conducting a Comprehensive Systematic Analysis
735 Developing a Corrective Action Plan
736 Submitting the Comprehensive Systematic Analysis and Corrective Action Plan
737 Table 1. Options for a Joint Commission Review of an Organization’s Response to a Sentinel Event
738 Table 1.
739 The Joint Commission’s Response
Review of Comprehensive Systematic Analyses and Corrective Action Plans
740 Follow-up Activities
742 Disclosable Information
Handling Sentinel Event–Related Documents
The Sentinel Event Database
743 Overseeing the Sentinel Event Policy
745 The Joint Commission Quality Report (QR)
Introduction
What Is The Joint Commission Quality Report?
746 What Will My Quality Report Contain?
What Is Quality Check?
747 Is a Quality Report Available for My Accredited Health Care Organization?
Can My Health Care Organization Comment on Its Quality Report?
748 How Does My Health Care Organization Submit a Commentary?
Are There Any Criteria That Must Be Met in a Commentary?
What Are the Marketing and Communication Guidelines for Publicizing Your Accreditation and Commitment to Quality?
749 Guidelines for Publicizing Compliance with the National Patient Safety Goals
751 Required Written Documentation (RWD)
752 List of EPs Requiring Written Documentation for Behavioral Health Care and Human Services Organizations
Accreditation Participation Requirements (APR)
Care, Treatment, and Services (CTS)
Environment of Care (EC)
753 Emergency Management (EM)
Human Resources Management (HRM)
Infection Prevention and Control (IC)
Information Management (IM)
Leadership (LD)
Life Safety (LS)
754 Medication Management (MM)
National Patient Safety Goals (NPSG)
Performance Improvement (PI)
Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI)
Waived Testing (WT)
757 Early Survey Policy (ESP)
Accreditation Participation Requirements (APR)
Care, Treatment, and Services (CTS)
758 Environment of Care (EC)
Emergency Management (EM)
Human Resources Management (HRM)
Infection Prevention and Control (IC)
759 Information Management (IM)
Leadership (LD)
Life Safety (LS)
Medication Management (MM)
760 National Patient Safety Goals (NPSG)
Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI)
Waived Testing (WT)
761 Opioid Treatment Programs (OTP)
Overview
Standards List
768 Additional Standards, Rationales, Elements of Performance, and Scoring for Opioid Treatment Programs
Care, Treatment, and Services (CTS)
Standard CTS.01.01.01
Elements of Performance for CTS.01.01.01
771 Standard CTS.02.01.01
Elements of Performance for CTS.02.01.01
Standard CTS.02.01.03
Elements of Performance for CTS.02.01.03
772 Standard CTS.02.01.07
Elements of Performance for CTS.02.01.07
773 Standard CTS.02.01.09
Elements of Performance for CTS.02.01.09
774 Standard CTS.02.01.13
Elements of Performance for CTS.02.01.13
Standard CTS.02.01.17
Elements of Performance for CTS.02.01.17
775 Standard CTS.02.02.01
Elements of Performance for CTS.02.02.01
776 Standard CTS.02.02.05
Rationale for CTS.02.02.05
Elements of Performance for CTS.02.02.05
Standard CTS.02.02.07
777 Elements of Performance for CTS.02.02.07
Standard CTS.02.02.09
Elements of Performance for CTS.02.02.09
779 Standard CTS.02.03.03
Elements of Performance for CTS.02.03.03
780 Standard CTS.03.01.01
Elements of Performance for CTS.03.01.01
782 Standard CTS.03.01.03
Elements of Performance for CTS.03.01.03
784 Standard CTS.03.01.05
Elements of Performance for CTS.03.01.05
785 Standard CTS.03.01.07
Elements of Performance for CTS.03.01.07
786 Standard CTS.03.01.09
Rationale for CTS.03.01.09
Elements of Performance for CTS.03.01.09
787 Standard CTS.04.01.01
Rationale for CTS.04.01.01
Elements of Performance for CTS.04.01.01
788 Standard CTS.04.01.03
Elements of Performance for CTS.04.01.03
790 Standard CTS.04.03.01
791 Rationale for CTS.04.03.01
Elements of Performance for CTS.04.03.01
Standard CTS.04.03.35
Elements of Performance for CTS.04.03.35
792 Standard CTS.06.02.01
Elements of Performance for CTS.06.02.01
794 Standard CTS.06.02.03
Elements of Performance for CTS.06.02.03
Standard CTS.06.02.05
Elements of Performance for CTS.06.02.05
795 Environment of Care (EC)
Standard EC.02.01.01
Rationale for EC.02.01.01
Elements of Performance for EC.02.01.01
796 Standard EC.02.03.01
Rationale for EC.02.03.01
Elements of Performance for EC.02.03.01
Standard EC.02.03.03
Elements of Performance for EC.02.03.03
797 Standard EC.02.03.05
Elements of Performance for EC.02.03.05
Standard EC.02.06.01
Elements of Performance for EC.02.06.01
798 Emergency Management (EM)
Standard EM.01.01.01
Rationale for EM.01.01.01
Elements of Performance for EM.01.01.01
799 Standard EM.02.01.01
Rationale for EM.02.01.01
Elements of Performance for EM.02.01.01
800 Standard EM.02.02.01
Rationale for EM.02.02.01
Elements of Performance for EM.02.02.01
Human Resources Management (HRM)
Standard HRM.01.01.01
Elements of Performance for HRM.01.01.01
801 Standard HRM.01.01.03
Elements of Performance for HRM.01.01.03
802 Standard HRM.01.02.01
Elements of Performance for HRM.01.02.01
804 Standard HRM.01.03.01
Elements of Performance for HRM.01.03.01
Standard HRM.01.05.01
Elements of Performance for HRM.01.05.01
805 Standard HRM.01.06.01
Elements of Performance for HRM.01.06.01
Standard HRM.01.06.03
Elements of Performance for HRM.01.06.03
806 Standard HRM.01.07.01
Elements of Performance for HRM.01.07.01
Infection Prevention and Control (IC)
Standard IC.01.03.01
Rationale for IC.01.03.01
Elements of Performance for IC.01.03.01
807 Standard IC.01.05.01
Rationale for IC.01.05.01
808 Elements of Performance for IC.01.05.01
Information Management (IM)
Standard IM.01.01.03
Elements of Performance for IM.01.01.03
Standard IM.02.01.01
Elements of Performance for IM.02.01.01
809 Standard IM.02.01.03
Elements of Performance for IM.02.01.03
Standard IM.02.02.03
Rationale for IM.02.02.03
Elements of Performance for IM.02.02.03
Leadership (LD)
Standard LD.01.01.01
810 Rationale for LD.01.01.01
Elements of Performance for LD.01.01.01
Standard LD.01.04.01
Elements of Performance for LD.01.04.01
Standard LD.01.06.01
Elements of Performance for LD.01.06.01
811 Standard LD.02.01.01
Rationale for LD.02.01.01
Elements of Performance for LD.02.01.01
Standard LD.03.05.01
Rationale for LD.03.05.01
Elements of Performance for LD.03.05.01
812 Standard LD.03.06.01
Rationale for LD.03.06.01
Elements of Performance for LD.03.06.01
Standard LD.03.09.01
Elements of Performance for LD.03.09.01
813 Standard LD.04.01.01
Elements of Performance for LD.04.01.01
814 Standard LD.04.01.05
Rationale for LD.04.01.05
Elements of Performance for LD.04.01.05
815 Standard LD.04.01.09
Elements of Performance for LD.04.01.09
816 Standard LD.04.01.11
Rationale for LD.04.01.11
Elements of Performance for LD.04.01.11
Standard LD.04.02.03
Elements of Performance for LD.04.02.03
817 Standard LD.04.03.05
Rationale for LD.04.03.05 Elements of Performance for LD.04.03.05
818 Medication Management (MM)
Standard MM.01.01.01
Rationale for MM.01.01.01
819 Elements of Performance for MM.01.01.01
Standard MM.01.01.03
Rationale for MM.01.01.03
820 Elements of Performance for MM.01.01.03
821 Standard MM.02.01.01
Elements of Performance for MM.02.01.01
Standard MM.03.01.01
Rationale for MM.03.01.01
Elements of Performance for MM.03.01.01
823 Standard MM.03.01.03
Rationale for MM.03.01.03
Elements of Performance for MM.03.01.03
Standard MM.04.01.01
Elements of Performance for MM.04.01.01
826 Standard MM.05.01.01
Elements of Performance for MM.05.01.01
Standard MM.05.01.09
Rationale for MM.05.01.09
Elements of Performance for MM.05.01.09
827 Standard MM.05.01.11
Elements of Performance for MM.05.01.11
Standard MM.05.01.13
Elements of Performance for MM.05.01.13
828 Standard MM.06.01.01
Elements of Performance for MM.06.01.01
Standard MM.06.01.03
Elements of Performance for MM.06.01.03
831 Standard MM.06.01.05
832 Rationale for MM.06.01.05
Elements of Performance for MM.06.01.05
Standard MM.07.01.01
Elements of Performance for MM.07.01.01
833 Standard MM.07.01.03
834 Rationale for MM.07.01.03
Elements of Performance for MM.07.01.03
Performance Improvement (PI)
Standard PI.01.01.01
835 Elements of Performance for PI.01.01.01
Record of Care, Treatment, and Services (RC)
Standard RC.01.01.01
Elements of Performance for RC.01.01.01
836 Standard RC.01.02.01
Elements of Performance for RC.01.02.01
Standard RC.01.03.01
Elements of Performance for RC.01.03.01
837 Standard RC.01.04.01
Elements of Performance for RC.01.04.01
Standard RC.01.05.01
Elements of Performance for RC.01.05.01
Standard RC.02.01.01
Elements of Performance for RC.02.01.01
839 Standard RC.02.04.01
Elements of Performance for RC.02.04.01
Rights and Responsibilities of the Individual (RI)
Standard RI.01.01.01
Rationale for RI.01.01.01
840 Elements of Performance for RI.01.01.01
841 Standard RI.01.01.03
Rationale for RI.01.01.03
842 Elements of Performance for RI.01.01.03
Standard RI.01.02.01
Rationale for RI.01.02.01
843 Elements of Performance for RI.01.02.01
844 Standard RI.01.03.01
Rationale for RI.01.03.01
Elements of Performance for RI.01.03.01
845 Standard RI.01.03.05
Rationale for RI.01.03.05
846 Elements of Performance for RI.01.03.05
847 Standard RI.01.06.03
Elements of Performance for RI.01.06.03
Standard RI.01.07.01
Elements of Performance for RI.01.07.01
848 Standard RI.02.01.01
Rationale for RI.02.01.01
Elements of Performance for RI.02.01.01
851 Child Welfare (CW)
Overview
852 Care, Treatment, and Services (CTS)
Standard CTS.01.01.01
Elements of Performance for CTS.01.01.01
853 Standard CTS.01.03.03
Elements of Performance for CTS.01.03.03
Standard CTS.02.04.01
Elements of Performance for CTS.02.04.01
855 Standard CTS.02.04.03
Elements of Performance for CTS.02.04.03
Standard CTS.02.04.05
Elements of Performance for CTS.02.04.05
856 Standard CTS.02.04.07
Elements of Performance for CTS.02.04.07
857 Standard CTS.02.04.09
Elements of Performance for CTS.02.04.09
Standard CTS.02.04.11
Elements of Performance for CTS.02.04.11
858 Standard CTS.02.04.13
Elements of Performance for CTS.02.04.13
Standard CTS.02.04.15
Elements of Performance for CTS.02.04.15
859 Standard CTS.02.04.17
Elements of Performance for CTS.02.04.17
860 Standard CTS.02.04.19
Elements of Performance for CTS.02.04.19
Standard CTS.02.04.21
861 Elements of Performance for CTS.02.04.21
Standard CTS.02.04.25
Rationale for CTS.02.04.25
Elements of Performance for CTS.02.04.25
862 Standard CTS.03.02.03
Elements of Performance for CTS.03.02.03
865 Standard CTS.04.02.07
Elements of Performance for CTS.04.02.07
867 Standard CTS.04.02.08
Elements of Performance for CTS.04.02.08
Standard CTS.04.02.09
Elements of Performance for CTS.04.02.09
868 Standard CTS.04.02.31
Elements of Performance for CTS.04.02.31
Standard CTS.04.03.37
Elements of Performance for CTS.04.03.37
869 Standard CTS.06.02.07
Elements of Performance for CTS.06.02.07
870 Environment of Care (EC)
Standard EC.02.01.05
Elements of Performance for EC.02.01.05
871 Human Resources Management (HRM)
Standard HRM.01.05.01
Elements of Performance for HRM.01.05.01
Standard HRM.01.06.01
Elements of Performance for HRM.01.06.01
872 Leadership (LD)
Standard LD.02.01.01
Rationale for LD.02.01.01
Elements of Performance for LD.02.01.01
Standard LD.03.04.01
Rationale for LD.03.04.01
Elements of Performance for LD.03.04.01
873 Standard LD.03.06.01
Rationale for LD.03.06.01
Elements of Performance for LD.03.06.01
Standard LD.04.01.08
Elements of Performance for LD.04.01.08
874 Standard LD.04.01.09
Elements of Performance for LD.04.01.09
Standard LD.04.01.13
Elements of Performance for LD.04.01.13
875 Standard LD.04.03.01
Elements of Performance for LD.04.03.01
Standard LD.04.03.07
Rationale for LD.04.03.07
876 Elements of Performance for LD.04.03.07
Performance Improvement (PI)
Standard PI.01.01.01
Elements of Performance for PI.01.01.01
Record of Care, Treatment, and Services (RC)
Standard RC.03.01.01
877 Elements of Performance for RC.03.01.01
878 Standard RC.03.01.03
Elements of Performance for RC.03.01.03
Rights and Responsibilities of the Individual (RI)
Standard RI.01.03.01
Rationale for RI.01.03.01
Elements of Performance for RI.01.03.01
879 Standard RI.03.01.01
Elements of Performance for RI.03.01.01
Standard RI.03.01.03
Elements of Performance for RI.03.01.03
880 Standard RI.03.01.05
Elements of Performance for RI.03.01.05
881 Behavioral Health Home Certification Option (BHH)
Introduction to Behavioral Health Home Certification Option
883 Care, Treatment, and Services (CTS)
Standard CTS.01.01.01
Elements of Performance for CTS.01.01.01
884 Standard CTS.01.04.01
Elements of Performance for CTS.01.04.01
Standard CTS.02.01.05
885 Elements of Performance for CTS.02.01.05
Standard CTS.02.02.01
Elements of Performance for CTS.02.02.01
887 Standard CTS.03.01.01
Elements of Performance for CTS.03.01.01
888 Standard CTS.03.01.03
Elements of Performance for CTS.03.01.03
890 Standard CTS.03.01.05
Elements of Performance for CTS.03.01.05
Standard CTS.03.01.07
Elements of Performance for CTS.03.01.07
891 Standard CTS.04.01.01
Elements of Performance for CTS.04.01.01
892 Standard CTS.04.01.03
Elements of Performance for CTS.04.01.03
893 Standard CTS.04.01.07
Elements of Performance for CTS.04.01.07
894 Standard CTS.04.02.19
Elements of Performance for CTS.04.02.19
896 Standard CTS.04.02.21
Elements of Performance for CTS.04.02.21
897 Standard CTS.04.02.23
Elements of Performance for CTS.04.02.23
Standard CTS.04.02.25
Elements of Performance for CTS.04.02.25
898 Standard CTS.04.02.27
899 Elements of Performance for CTS.04.02.27
Standard CTS.06.01.05
900 Elements of Performance for CTS.06.01.05
901 Standard CTS.06.01.07
Elements of Performance for CTS.06.01.07
902 Human Resources Management (HRM)
Standard HRM.01.03.01
Elements of Performance for HRM.01.03.01
903 Standard HRM.01.05.01
Elements of Performance for HRM.01.05.01
904 Information Management (IM)
Standard IM.01.01.01
Elements of Performance for IM.01.01.01
Leadership (LD)
Standard LD.03.04.01
Elements of Performance for LD.03.04.01
905 Standard LD.03.07.01
Elements of Performance for LD.03.07.01
906 Standard LD.03.08.01
Elements of Performance for LD.03.08.01
Standard LD.03.09.01
Elements of Performance for LD.03.09.01
908 Standard LD.03.10.01
909 Elements of Performance for LD.03.10.01
Standard LD.04.01.11
Elements of Performance for LD.04.01.11
Performance Improvement (PI)
Standard PI.01.01.01
910 Elements of Performance for PI.01.01.01
911 Standard PI.03.01.01
Elements of Performance for PI.03.01.01
Standard PI.04.01.01
Elements of Performance for PI.04.01.01
912 Record of Care, Treatment, and Services (RC)
Standard RC.01.01.01
Elements of Performance for RC.01.01.01
913 Standard RC.02.01.01
Elements of Performance for RC.02.01.01
915 Rights and Responsibilities of the Individual (RI)
Standard RI.01.01.01
Elements of Performance for RI.01.01.01
Standard RI.01.01.03
Elements of Performance for RI.01.01.03
916 Standard RI.01.02.01
Elements of Performance for RI.01.02.01
918 Standard RI.01.03.01
Elements of Performance for RI.01.03.01
919 Standard RI.01.03.05
Elements of Performance for RI.01.03.05
920 Standard RI.01.04.01
Elements of Performance for RI.01.04.01
Standard RI.01.04.03
Elements of Performance for RI.01.04.03
921 Standard RI.01.05.01
922 Elements of Performance for RI.01.05.01
Standard RI.01.06.03
Elements of Performance for RI.01.06.03
923 Standard RI.01.06.05
Elements of Performance for RI.01.06.05
Standard RI.01.07.01
Elements of Performance for RI.01.07.01
Standard RI.01.07.03
Elements of Performance for RI.01.07.03
925 Glossary (GL)
963 Index (IX)

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