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Survey Certification Enforcement

TJC category

Survey Certification Enforcement

Requirements about surveys, certification actions, enforcement remedies, penalties, appeals, corrective actions, and regulatory review.

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Source collection

TJC

Category group

Governance Quality Compliance

Category

Survey Certification Enforcement

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Instruments

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Instrument

Citation

TJC APR.01.03.01

In Survey Certification Enforcement

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

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Citation

TJC PC.13.02.19

In Survey Certification Enforcement

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

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