TJC category
Survey Certification Enforcement
Requirements about surveys, certification actions, enforcement remedies, penalties, appeals, corrective actions, and regulatory review.
Cascade
Source collection
TJC
Category group
Governance Quality Compliance
Category
Survey Certification Enforcement
Grouped by instrument
Expand an instrument to inspect matching provisions
Instruments
1
Shown
2
Citation
TJC APR.01.03.01
The hospital reports any changes in the information provided in the application for accredita...
The hospital must notify The Joint Commission within 30 days of significant organizational changes and immediately upon notice of loss of deemed status from CMS.
Group
Licensure Certification Accreditation
Category
Accreditation Approval
Domain
Governance Quality
Topics
Change of ownership notification, Deemed status reporting
Citation
TJC PC.13.02.19
For hospitals that use Joint Commission accreditation for deemed status purposes:
Hospitals using Joint Commission accreditation for deemed status must report deaths associated with the use of restraint or seclusion to CMS.
Group
Governance Quality Compliance
Category
Incident Reporting
Domain
Patient Rights
Topics
Death reporting, CMS reporting requirements
