1. JCAHO vs. CHAP Accreditation Programming Presented by Compliance Review Services, Inc.
Joint Commission Accreditation
For Healthcare Organizations &
Community Health
Accreditation Program
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2. 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.
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3. 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
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4. 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
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5. 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
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6. 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.
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7. 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.
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8. 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
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9. 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.
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10. Types of Accreditation by JCAHO
Hospital
Home Health
Hospice
Ambulatory Care
Mental Health
(mostly those facilities receiving Medicare/Medicaid/ Private Insurance payments
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11. 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.
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12. 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
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13. Types of JCAHO/CHAP Programs Compliance Review Services, Inc. does:
Home Health
Hospice
DME
Respiratory Therapy
Ambulatory Care
Mental Health
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14. 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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