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TJC

The hospital reports any changes in the information provided in the application for accredita...

TJC APR.01.03.01

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3 segments

TJC APR.01.03.01

TJC APR.01.03.01

The hospital reports any changes in the information provided in the application for accreditation and any changes made between surveys.

(1)

The hospital notifies Joint Commission in writing within 30 days of a change in ownership, control, location, capacity, services offered, or required licensure. Note 1: When the hospital changes ownership, control, location, capacity, or services offered, it may be necessary for Joint Commission to survey the hospital again. Note 2: If the hospital does not provide written notification to Joint Commission within 30 days of these changes, the hospital may be denied accreditation.

(2)

For hospitals that use Joint Commission accreditation for deemed status purposes: The hospital notifies Joint Commission immediately upon receiving notice from the Centers for Medicare & Medicaid Services (CMS) that its deemed status has been removed due to Medicare condition-level noncompliance identified during a recent CMS complaint or validation survey.