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Joint Commission Accreditation Leverage Your Customer Only Tools to Maintain Readiness Presented by: Julia S. Finken, BSN, MBA, CPHQ, CSSBB, Associate Director Giovanna De Chiara-Muckerheide, Sr. Accreditation Bus. Analyst Klaus Nether, Director Solution Development Concetta Phillipps, MBA, MPM Project Manager, ACO

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Joint Commission Accreditation

Leverage Your Customer Only Tools to Maintain Readiness

Presented byJulia S Finken BSN MBA CPHQ CSSBB Associate Director

Giovanna De Chiara-Muckerheide Sr Accreditation Bus Analyst

Klaus Nether Director Solution Development

Concetta Phillipps MBA MPM Project Manager ACO

Join audiobull Choose ldquoMic amp Speakersrdquo to use

VoIPbull Choose ldquoTelephonerdquo and dial using

the information provided

QuestionsCommentsbull Submit questions and comments via

the Questions panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Your Participation

GoToWebinar Housekeeping

2

Joint Commission Accreditation

Leverage Your Customer Only Tools to Maintain Readiness

Presented byJulia S Finken BSN MBA CPHQ CSSBB Associate Director

Giovanna De Chiara-Muckerheide Sr Accreditation Bus Analyst

Klaus Nether Director Solution Development

Concetta Phillipps MBA MPM Project Manager ACO

Objectives

bull Highlight The Joint Commission Accreditation Cycle Key Milestones

bull Understand how to Access and Use the Extranet Site

bull Identify Important TJC Resources for Maintaining Compliance Throughout the TJC Accreditation Cycle

4

Key Milestones in the Accreditation Process

5

Resources

6

Log Into Extranet Site

bull Login from The Joint Commission Website home page at wwwjointcommissionorg

bull Request a forgotten password

7

Access to Joint Commission Connect

8

Survey Process Tab

9

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Join audiobull Choose ldquoMic amp Speakersrdquo to use

VoIPbull Choose ldquoTelephonerdquo and dial using

the information provided

QuestionsCommentsbull Submit questions and comments via

the Questions panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Your Participation

GoToWebinar Housekeeping

2

Joint Commission Accreditation

Leverage Your Customer Only Tools to Maintain Readiness

Presented byJulia S Finken BSN MBA CPHQ CSSBB Associate Director

Giovanna De Chiara-Muckerheide Sr Accreditation Bus Analyst

Klaus Nether Director Solution Development

Concetta Phillipps MBA MPM Project Manager ACO

Objectives

bull Highlight The Joint Commission Accreditation Cycle Key Milestones

bull Understand how to Access and Use the Extranet Site

bull Identify Important TJC Resources for Maintaining Compliance Throughout the TJC Accreditation Cycle

4

Key Milestones in the Accreditation Process

5

Resources

6

Log Into Extranet Site

bull Login from The Joint Commission Website home page at wwwjointcommissionorg

bull Request a forgotten password

7

Access to Joint Commission Connect

8

Survey Process Tab

9

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Joint Commission Accreditation

Leverage Your Customer Only Tools to Maintain Readiness

Presented byJulia S Finken BSN MBA CPHQ CSSBB Associate Director

Giovanna De Chiara-Muckerheide Sr Accreditation Bus Analyst

Klaus Nether Director Solution Development

Concetta Phillipps MBA MPM Project Manager ACO

Objectives

bull Highlight The Joint Commission Accreditation Cycle Key Milestones

bull Understand how to Access and Use the Extranet Site

bull Identify Important TJC Resources for Maintaining Compliance Throughout the TJC Accreditation Cycle

4

Key Milestones in the Accreditation Process

5

Resources

6

Log Into Extranet Site

bull Login from The Joint Commission Website home page at wwwjointcommissionorg

bull Request a forgotten password

7

Access to Joint Commission Connect

8

Survey Process Tab

9

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Objectives

bull Highlight The Joint Commission Accreditation Cycle Key Milestones

bull Understand how to Access and Use the Extranet Site

bull Identify Important TJC Resources for Maintaining Compliance Throughout the TJC Accreditation Cycle

4

Key Milestones in the Accreditation Process

5

Resources

6

Log Into Extranet Site

bull Login from The Joint Commission Website home page at wwwjointcommissionorg

bull Request a forgotten password

7

Access to Joint Commission Connect

8

Survey Process Tab

9

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Key Milestones in the Accreditation Process

5

Resources

6

Log Into Extranet Site

bull Login from The Joint Commission Website home page at wwwjointcommissionorg

bull Request a forgotten password

7

Access to Joint Commission Connect

8

Survey Process Tab

9

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Resources

6

Log Into Extranet Site

bull Login from The Joint Commission Website home page at wwwjointcommissionorg

bull Request a forgotten password

7

Access to Joint Commission Connect

8

Survey Process Tab

9

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Log Into Extranet Site

bull Login from The Joint Commission Website home page at wwwjointcommissionorg

bull Request a forgotten password

7

Access to Joint Commission Connect

8

Survey Process Tab

9

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Access to Joint Commission Connect

8

Survey Process Tab

9

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Survey Process Tab

9

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Resources and Tools Tab

10

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Standards E-dition

11

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

E-dition Highlights

bull Service Profile

bull Accreditation Requirementsbull Chaptersbull Standardsbull EPsbull Iconsbull Approach (Electronic Tool when application and fees are submitted)

bull Accreditation Process Infobull How to Use This Manualbull Accreditation Process

bull Glossary

bull Crosswalks

bull Search

12

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

bull Portalsbull HAIbull Transitions of Carebull High Reliability

bull Webinar Replays

bull Speak Up Program

bull Podcasts

bull Speakers Bureau

bull Tracer Methodology

bull Other Resources and References

Additional Resources on TJC Website

13

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Standards Interpretation Group630-792-5900

bull Interpretation of Standards

bull Review of organization process and standard compliance

bull SuggestionsExamples of how to meet standards

bull Suggestions on efficient effective ways to meet standards

bull Experts by Segment

bull ICM Consultative Calls

14

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

FAQs

bull Commonly asked Standards Questions

bull Question and Answer Format

bull Clarification of Standard

bull Examples

bull Improve consistency in Field Understanding and Surveyor Consistency

15

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Dedicated Account Executive

bull Answer Questions bull Survey Schedule

bull ICM

bull Activities

bull Application Update

bull Other

bull Troubleshoot

bull Direct to Resources

16

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

The Leading Practice Library

bull Complimentary tool available for accredited organizations

bull Library of real life solutions that have been successfully implemented by accredited organizations

bull The Library link is located on each accredited organizationrsquos extranet site

bull We welcome your submissions to improve it

17

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

18

Leading Practice Librarybull Growing in sizehellip

Program Count

Ambulatory Care amp Office Based Surgery

41

Behavioral Health 32

Critical Access Hospital and Hospital

193

Disease Specific Care amp Health Care Staffing Services

33

Laboratory 25

Nursing Care Center 10

Home Care 31

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

19

All submissions are identified by standards chapter and vetted by

our experts

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

20

Favorites allow you to save your own curated

library of standards solutions for ready

reference

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

21

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

High reliability industries such as airlines nuclear power plants and amusement parks have zero room for error

MissionTransform Health Care into a high-reliability industry by hellip

22

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

The TSTreg is an innovative online application that guides health care organizations through a step-by-step

process to bull Accurately measure their organizationrsquos actual performance

bull Identify their barriers to excellent performancebull Direct them to proven solutions that are customized to

address their particular barriers

Powered by RPIreg

23

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Hand-off Communications TST reg

24

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Why Hand-off Communications

bull Health care organizations have struggled for a long time with the handoff process

bull Communication has been one of the top root causes of sentinel events that were reported to The Joint Commission

bull Ineffective handoff communications has been a primary contributing factor in many studies of causes leading to medical errors

25

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Hand-off Communications TSTreg

bull Step by step approach to solving ineffective hand-off communications

bull Applicable to Different Settingsbull Looks at the transitions of care not shift to shift

handoffsbull Hospital to Home Carebull Home Care to Pharmacy

bull Focuses on the hand-off communications process not just the tool or method

26

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Setting Up Projects

27

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Getting Started

28

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Start - Project Scope- Name Your Project

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

29

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Start - Project Scope ndash Critical Elements

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

30

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Start ndash Training Data Collectors

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

31

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Baseline ndash Observations

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

32

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

33

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Baseline ndash Analysis

copy C

opyr

ight

The

Joi

nt C

omm

issi

on

34

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Improve ndash Solutions ndash Implementation Guide

35

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Improve ndash Analyze

36

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Sustain ndash Control Plan

37

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

TSTreg Access

38

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

TST reg User Results

bull Looking for organizations that would like to publish their successful results

bull Contact me knetherjointcommissionorg

39

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Intracycle Monitoring Overview(Focused Standards Assessment)

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

What is Intracycle Monitoring

Organizations monitor their ongoing level of standards compliance throughout the intracycle period

The Joint Commission requires an acknowledgement of a self-assessment activity at the 12th and 24th month for general applications and at the 12th month for lab applications An ICM submission is not required the year an organization is scheduled for a resurvey (full)

The tool and resources available are to provide educational support

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

How Do I Access the ICM Application

42

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Intracycle Monitoring Profile (Dashboard)

43

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Accreditation Status Tab

44

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Accreditation Program Risks Tab

45

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Resources and Measures Tab

46

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Focused Standards Assessment Tab

47

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

StandardsEPs Tab

48

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

49

Plan of Action (POA)

Every non-compliant standard should have Organization Findings statement Plan of Action Responsible Person POA Compliant by Date

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

How Do I Submit

50

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Submission Tab

51

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Need Assistance

The Contact Us tab provides email links to Account Executive ICM Support Team Standards Interpretation Group (SIG)

52

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Important TJC ContactsIf you have a question abouthellip Please contacthellip

GETTING STARTED How to get started The overall accreditation process The cost of accreditation How to get a free trial of the standards How to request an application

THE BUSINESS DEVELOPMENT TEAMCall 630-792-5070Email homecarejointcommissionorgWebsite wwwjointcommissionorg

MANAGING THE ACCREDITATION PROCESS Completing the application Scheduling a survey date Specific issues related to ongoing accreditation

AN ACCOUNT EXECUTIVECall 630-792-3007

OUR STANDARDS Complying with specific standards

THE STANDARDS HELP DESKCall 630-792-5900 Option 6Website wwwjointcommissionorgStandards

MANUALS EDUCATION AND TRAINING Obtaining standards manual Registering for a Joint Commission education program Staff training resources

JOINT COMMISSION RESOURCES (JCR) Call 877-223-6866Email jcrcustomerservicepbdcomWebsite wwwjcrinccom

53

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Time for Your Questions

54

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

bull Please continue to submit yourtext questions and commentsusing the Questions Panel

Note Todayrsquos presentation is beingrecorded and will be posted on theJoint Commission website

Attendee Participation

Submitting Your Questions

55

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Home Care Team Contacts

Account Executive 630-792-3007

Standards Interpretation Group 630-792-5900

Brenda Lamberti BSSenior Business Development

Specialist 630-792-5252 or

blambertijointcommissionorg

Joint Commission Home Care ProgramHelp Desk 630-792-5070 or homecarejointcommissionorg

wwwjointcommissionorgaccreditationhome_careaspx

Margherita LabsonBSN MSHSA CPHQ CCM CGB

Executive Director 630-792-5284 or

mlabsonjointcommissionorg

Cynthia CookBSN RN

Associate Director630-792-5121 or

ccookjointcommissionorg

56

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57

Follow us and join ushellip

TJCHomeCare

httpswwwlinkedincomcompanyhome-care-accreditation---the-joint-commission

The Joint Commissionrsquos Home Care Program

Join us for our next webinar in this seriesCommunity Based Palliative Care Lessons Learned

February 16 2017Register today at

httppagesjointcommissionorgOME-20160204Webinar_RegistrationLPhtml

57