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Updated 12-1-0-6 kk JCAHO vs. CHAP Accreditation Programming Presented by Compliance Review Services, Inc. Joint Commission Accreditation For Healthcare.

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Presentation on theme: "Updated 12-1-0-6 kk JCAHO vs. CHAP Accreditation Programming Presented by Compliance Review Services, Inc. Joint Commission Accreditation For Healthcare."— Presentation transcript:

1 Updated kk JCAHO vs. CHAP Accreditation Programming Presented by Compliance Review Services, Inc. Joint Commission Accreditation For Healthcare Organizations & Community Health Accreditation Program

2 Updated kk What is Joint Commission?  Joint Commission is an organization that has their own standards of care above and beyond those of the State and Medicare.  They are an agency that you pay to become certified by them to show that you have exceeded the minimum standards of care to attain the GOLD standard.  They are an accrediting body that can conduct an initial and ongoing Medicare surveys for home health and hospice.

3 Updated kk What is CHAP?  CHAP is another type of agency like JCAHO that has established standards of care that exceed the minimum standards, a private entity that you can pay to become certified by. They were established in 1965 as the first accrediting body for community-based health organization in the U.S.  CHAP stands for Community Health Accreditation Program

4 Updated kk CHAP Accreditation Option  The company must have legal authority to operate  Be in operation providing 1 or more of the services identified  Prepare and submit the application documents and submit fees in a timely manner  Accreditation is a 3 year cycle  Application Fee = $ and is non-refundable  Accreditation fee- broken up into 3 years and varies by organization  Initial year’s annual accreditation fee is payable with submission of the signed contract  Site visit is $995.00/day/auditor, minimum of 2 days is required.  A return visit in 2-3 years for follow up on the previous site visit (agency responsible for fees for this as well)  3 year term contract required  Self-Study required within 6 months of the date of the contract  Surveys are unannounced  4 months of tracking are required, and it takes 6 months for them to arrive to do the survey roughly

5 Updated kk CHAP continued…..  CHAP conducts accreditation for:  Home Health  Hospice  Public Health  Home Care Aide services  Private Duty Services  Supplemental Staffing Services  Home Infusion Therapy  Home Medical Equipment  Home Pharmacy Services, and  Community Nursing Centers

6 Updated kk Why Accreditation by JCAHO or CHAP?  Elite Status, GOLD standard is marketable to the public and to payer sources  Many private pay payer sources require this accreditation or they won’t refer to clients.

7 Updated kk What does CRS recommend?  Based on trying to get initial licensing quickly, for initial Medicare home health and hospice companies we recommend JCAHO, JCAHO does not have 2 self assessments which CHAP requires, thus making JCAHO a more efficient and quicker process for initial certification.

8 Updated kk JCAHO Survey Processes  Two step survey- JCAHO will come on-site first and do and administrative review and review P & P’s, personnel files, set up of company in meeting accreditation standards (if facility passes, they will get provisional accreditation) THEN  JCAHO returns in 4 months to ensure all systems are in place and views 4 months of tracking, audit charts etc. and give full accreditation.  They provide an announced survey date for all scheduled surveys

9 Updated kk Fees for JCAHO  JCAHO charges the facility for their hotel, flight, etc. and a fee to do the survey based on patient/client census.  One can contact JCAHO for a price at  Our clients tell us it costs approximately $ to have them come out and do an initial survey.

10 Updated kk Types of Accreditation by JCAHO  Hospital  Home Health  Hospice  Ambulatory Care  Mental Health  (mostly those facilities receiving Medicare/Medicaid/ Private Insurance payments

11 Updated kk Types of Accreditation  Deemed Status- JCAHO actually conducts annually the state Medicare survey for the agency and JCAHO survey at the same time. The state only comes in on complaints.  Regular Status- JCAHO certifies the agency/facility for 3 years and comes in every 3 years on-site (tri-ennial)  Periodic Reviews- JCAHO does do some random surveys on off years, randomly chosen.

12 Updated kk JCAHO/CHAP Services Compliance Review Services, Inc. offers  Policies and Procedures  Forms  Job Descriptions  Quality Management Programs  Staff and Management Education  Leadership Training  Preparation for Survey  Report writing including graphs, statistics, OBQM

13 Updated kk Types of JCAHO/CHAP Programs Compliance Review Services, Inc. does:  Home Health  Hospice  DME  Respiratory Therapy  Ambulatory Care  Mental Health

14 Updated kk JCAHO consulting costs by Compliance Review Services, Inc.:  $100/hour on-site consultation  $10,000 start up package which includes policies, procedures, forms, job descriptions, ~20 binders of information to help your facility to be compliant with JCAHO  We can upgrade a previously purchased Medicare package to JCAHO, an entire reprint of the package is required however.


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