Are you a hospital using Joint Commission accreditation for deemed status with the US Centers for Medicare & Medicaid Services (CMS)? If so, are you ready for a CMS survey—every day, at any time? According to federal policy, for 60 days after a Joint Commission survey, any organization that uses accreditation for deemed status is at risk for a validation survey. In fact, CMS may elect, at any time, to conduct its own additional evaluation of a hospital with deemed status through a complaint or potential immediate jeopardy investigation. When CMS or the Department of Health arrives at your facility, you need to be prepared.
The 2023 Joint Commission and CMS Crosswalk: Comparing Hospital Standards and CoPs offers easy access to the full—and current as of January 1, 2023—language of the Medicare hospital Conditions of Participation (CoPs) and demonstrates their equivalency with the Joint Commission’s hospital standards. A reverse crosswalk, listing Joint Commission requirements with equivalent CoP numbers, shows equivalencies in the opposite direction. This allows staff to easily see how the two sets of requirements relate to each other, whether they are more familiar with the Medicare CoPs or the Joint Commission standards. Regulatory staff and accreditation managers can use the crosswalks in this guide to identify how your organization's policies, procedures, and practices support one or more Joint Commission standards and demonstrate compliance with equivalent CMS regulations—or identify gaps.
Hospitals and psychiatric hospitals preparing for a deemed status survey from The Joint Commission need resources to ensure they are compliant with both sets of requirements and are ready for survey. Although accredited hospitals are able to access two of the four crosswalks in this book on E-dition®, this guide goes a step further, providing the reverse crosswalks as well as critical information about CMS and deemed status. Plus, the book's sidebars and tables provide additional information on Joint Commission accreditation for deemed status, CMS-related updates, and how both organizations survey for compliance.
Medicare hospital CoPs and equivalent Joint Commission standards as of January 1, 2023
Eligibility requirements for Joint Commission hospital accreditation for deemed status recognition by CMS
Description of deemed status and what that means for a hospital
Highlights of all the revisions to CMS regulations in the new edition
Tips to maintain compliance without duplicating effort
Authoritative, side-by-side comparison of Medicare CoPs to equivalent Joint Commission standards as of January 1, 2023, for both hospitals and psychiatric hospitals
The only crosswalks of its kind reviewed and approved by The Joint Commission and CMS
Reverse crosswalk listing Joint Commission hospital and psychiatric hospital requirements with comparable CoP numbers, showing equivalencies in the opposite direction—not found anywhere else
Convenient reference book format—available in a hard-copy format to take to meetings, on rounds, or anywhere you need to reference the CoPs and standards or as a PDF site license
Standards: All hospital standards equivalent to CMS requirements as of January 1, 2023
Settings: Any hospital using Joint Commission accreditation for deemed status purposes, including psychiatric hospitals
Key Audience: Regulatory staff, accreditation managers, compliance officers, risk managers, quality improvement professionals