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JCR EBCMSX 2023

$115.38

Joint Commission and CMS Crosswalk: Comparing Hospital Standards and CoPs

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Joint Commission 2023
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Are you a hospital using Joint Commission accreditation for deemed status with the US Centers for Medicare & Medicaid Services (CMS)? 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. 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 2023 Joint Commission and CMS Crosswalk: Comparing Hospital Standards and CoPs offers easy access to the full—and current as of January 1, 2023—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, 2023 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 Key Features: Authoritative, side-by-side comparison of Medicare CoPs to equivalent Joint Commission standards as of January 1, 2023, for both hospitals and psychiatric hospitals The only crosswalks of its kind reviewed and approved by The Joint Commission and CMS Reverse crosswalk listing Joint Commission hospital and psychiatric hospital requirements with comparable CoP numbers, showing equivalencies in the opposite direction—not found anywhere else Convenient reference book format—available in a hard-copy format to take to meetings, on rounds, or anywhere you need to reference the CoPs and standards or as a PDF site license Standards: All hospital standards equivalent to CMS requirements as of January 1, 2023 Settings: Any hospital using Joint Commission accreditation for deemed status purposes, including psychiatric hospitals Key Audience: Regulatory staff, accreditation managers, compliance officers, risk managers, quality improvement professionals

PDF Catalog

PDF Pages PDF Title
3 Contents
5 Introduction
11 Part 1: Understanding Deemed Status
47 Part 2: 2023 Joint Commission and CMS Hospital Crosswalk
49 §482.1 Basics and Scope
§482.11 CoP: Compliance with Federal, State
and Local Laws
52 §482.12 CoP: Governing Body
72 §482.13 CoP: Patient’s Rights
113 §482.15 CoP: Emergency Preparedness
158 §482.21 CoP: Quality Assessment and Performance Improvement Program
180 §482.22 CoP: Medical Staff
211 §482.23 CoP: Nursing Services
237 §482.24 CoP: Medical Record Services
262 §482.25 CoP: Pharmaceutical Services
276 §482.26 CoP: Radiologic Services
288 §482.27 CoP: Laboratory Services
304 §482.28 CoP: Food and Dietetic Services
312 §482.30 CoP: Utilization Review
340 §482.41 CoP: Physical Environment
400 §482.42 CoP: Infection Prevention and Control and Antibiotic Stewardship Programs
431 §482.43 CoP: Discharge Planning
439 §482.45 CoP: Organ, Tissue and Eye Procurement
443 §482.51 CoP: Surgical Services
457 §482.52 CoP: Anesthesia Services
467 §482.53 CoP: Nuclear Medicine Services
477 §482.54 CoP: Outpatient Services
485 §482.55 CoP: Emergency Services
490 §482.56 CoP: Rehabilitation Services
496 §482.57 CoP: Respiratory Care Services
503 §482.58 CoP: Special Requirements for Hospital Providers of Long-Term Care Services (“Swing-Beds”)
514 §483.5 CoP: Definitions
515 §483.10 CoP: Resident Rights
528 §483.12 CoP: Freedom from Abuse, Neglect, and Exploitation
531 §483.15 CoP: Admission, Transfer, and Discharge Rights
551 §483.21 CoP: Comprehensive Person-Centered Care Planning
556 §483.40 CoP: Behavioral Health Services
§483.55 CoP: Dental Services
560 §483.65 CoP: Specialized Rehabilitative Services
563 Part 3: 2023 Joint Commission and CMS Psychiatric Hospital Crosswalk
565 §482.60 CoP: Special Provisions Applying to Psychiatric Hospitals
566 §482.61 CoP: Special Medical Record Requirements for Psychiatric Hospital
592 §482.62 CoP: Special Staff Requirements for Psychiatric Hospitals
609 Part 4: Joint Commission Hospital Standards/EPs Equivalent to CoPs
611 Environment of Care (EC)
614 Emergency Management (EM)
616 Infection Prevention and Control (IC)
617 Information Management (IM)
Leadership (LD)
621 Life Safety (LS)
625 Medication Management (MM)
626 Medical Staff (MS)
628 National Patient Safety Goals (NPSG)
Nursing (NR)
Provision of Care, Treatment, and Services (PC)
631 Performance Improvement (PI)
632 Record of Care, Treatment, and Services (RC)
633 Rights and Responsibilities of the Individual (RI)
634 Transplant Safety (TS)
635 Part 5: Joint Commission Psychiatric Hospital Standards/EPs Equivalent to CoPs
637 Human Resources (HR)
Information Management (IM)
Leadership (LD)
638 Medical Staff (MS)
Nursing (NR)
Provision of Care, Treatment, and Services (PC)
639 Record of Care, Treatment, and Services (RC)
Rights and Responsibilities of the Individual (RI)
JCR EBCMSX 2023
$115.38