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). Are you ready for a CMS survey—every day, at any time? When CMS or the Department of Health arrives at your facility, you need to be prepared.
The 2019 Joint Commission and CMS Crosswalk: Comparing Hospital Standards and CoPs offers easy access to the full—and current—language of the Medicare hospital Conditions of Participation (CoPs), and demonstrates their equivalency with the Joint Commission’s hospital standards. This allows staff to easily see how the two sets of requirements relate. The crosswalks in this guide can help hospital staff identify how policies, procedures, and practices support one or more Joint Commission standards and demonstrate compliance with equivalent CMS regulations. 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.
Standards: All hospital standards equivalent to CMS requirements as of January 1, 2019
Settings: Any hospital using Joint Commission accreditation for deemed status purposes, including psychiatric hospitals
Key Audience: Accreditation managers; Compliance officers; Risk managers; Quality improvement professionals
"This is a detailed resource to help organizations understand how the two sets of requirements align overall to help sustain ongoing compliance and improvement initiatives."
-- Debra DellaRatta, MSN, CPHQ (James A. Haley Veterans' Hospital) Doody's Review
The crosswalks in the guide can help hospital staff identify how policies and practices support one or more of TJC standards and demonstrate compliance with equivalent CMS regulations. Sidebars and tables provide additional information on Joint Commission accreditation for deemed status, CMS-related updates, and how both organizations survey for compliance. The crosswalks represent a point in time (Joint Commission standards effective January 1, 2019). The Federal Requirements have CoPs with supporting standards. The Joint Commission has standards with supporting elements of performance.