Services

ACCREDITATION COMPLIANCE ASSESSMENT

Simplifyance™ offers a service compliance assessment in which our consultants conduct an evaluation of your organization’s current compliance with Joint Commission standards, including...

  • Review of program materials including policies, procedures, plans, processes, forms, and employee and client manuals

  • Review of a sample set of client/patient medical records to evaluate current compliance

  • Review of a sample set of HR files to evaluate compliance

  • Review of the organization’s Environment of Care and Emergency Management processes and procedures

Once the compliance assessment is complete, Simplifyance™ will provide your organization with a workplan, a report of the results of the assessment, and any materials needed to resolve any compliance gaps prior to your Joint Commission survey.

ON GOING CONTINUOUS COMPLIANCE SERVICES
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SUPPORTED ACCREDITATIONS, CERTIFICATIONS, & LICENSING

JOINT COMMISSION ACCREDITATION

The Joint Commission’s (formerly Joint Commission on Accreditation of Healthcare Organizations or JCAHO) standards of compliance are extensive and complex. For a Behavioral Healthcare Organization to earn the Joint Commission’s Gold Seal of Approval, they must provide operational policies and procedures in areas including but not limited to...

  1. Care, Treatment, and Services
  2. Environment of Care
  3. Emergency Management
  4. Human Resources Management
  5. Infection Prevention and Control
  6. Information Management
  7. Leadership
  8. Life Safety
  9. Medication Management
  10. National Patient Safety Goals
  11. Performance Improvement
  12. Records of Care Treatment and Services
  13. Rights and Responsibilities of Individuals Served
  14. Waived Testing

To see a complete summary of these Joint Commission Chapters, [LINK TO TJC CHAPTERS OVERVIEW SITE PAGE] click here.

The Joint Commission accreditation process begins with an in-depth application for an initial on-site survey visit. If qualified, the Joint Commission will schedule the initial on-site survey within 30 days of the organization’s selected “ready date.” If the initial survey is successful, the Joint Commission will conduct a reaccreditation survey every three years OR if at any time The Joint Commission deems it necessary.

What We Do

Simplifyance™ evaluates your organization’s current compliance activities and documentation and provide a library of resources to supplement existing compliance materials. We work with your leadership team to customize a detailed plan that fully prepares your organization for the Joint Commission’s initial or reaccreditation survey.

Service Offerings

  • Consultation on the Joint Commission’s requirements and accreditation process
  • Creation of Joint Commission approved policies, procedures, and plans
  • Generation of required templates and evaluations
  • Ongoing compliance oversight
  • Work with Leadership, HR, Clinical, Medical, Operations, and Administrative staff on processes required by The Joint Commission
  • Provide support during survey
  • Assist with all post-survey requirements, including submission of the Evidence of Standards Compliance (ESC)

ASAM LEVEL OF CARE CERTIFICATION

The American Society of Addiction Medicine and CARF International have partnered to create a new certification for substance abuse treatment centers called the ASAM Level of Care certification. The certification has been established to combat the addiction health crisis by helping organizations most effectively use evidence-based methods developed by ASAM.

Stakeholders in the behavioral healthcare industry have determined that this increased level of commitment to person centered addiction treatment will benefit those receiving services and those providing them directly. Currently, the ASAM Level of Care certification covers adult residential programs at levels 3.1, 3.5, and 3.7, but will likely expand levels of care in the future. The one-day onsite survey is completed by CARF.

Each section is organized by the six service characteristic categories described in the ASAM criteria:

  1. Setting standards
  2. Staff standards
  3. Support systems
  4. Assessment/Treatment Plan review
  5. Therapies
  6. Documentation

What We Do

Simplifyance recognizes the importance of earning the ASAM Level of Care certification for residential treatment centers: to improve upon the person-centered quality of care and increase the amount of financial reimbursement from payors. We offer consultation services for organizations seeking to earn the ASAM Level of Care certification.

Service Offerings

  • Consultation on the ASAM Level of Care certification requirements
  • Creation of policies and procedures required to obtain certification
  • Generation of required templates and evaluations
  • Survey-readiness assessment
  • Ongoing compliance oversight
  • Staff trainings

STATE LICENSING

Organizations are prohibited from providing services until they are licensed by their state. To obtain state licensure, organizations must develop and represent detailed policies and procedures outlining how they will operate each department. State-approved policies and procedures must cover administrative structure, represent financial planning and stability, describe the specific modality of clinical care being provided, identify human resources management processes and personnel, operationalize client and staff safety plans, mandatory trainings, obtain facility inspection reports and more. Navigating the application process is complicated and can be difficult to interpret.

What We Do

Simplifyance™ works with your leadership team to customize a detailed plan that will give you the necessary amount of confidence to apply for and earn a state license. Our process begins with an assessment or “interview of the business” that will identify the exact steps your organization must take to meet the State’s criteria for licensure. Drawing from years of experience, Simplifyance™ can support your organization at any stage of the process.

Service Offerings

  • Develop policy, procedures, and plans to meet state-specific laws and regulations
  • Staff training
  • Ongoing general consultation via phone/email
  • Support with revision and development of plans, mitigation strategies, and all required planning activities
  • Develop human resources materials for the staff of the facility, including employee handbooks
  • Set up the organization and content of employee files
  • Assist with the submission of the licensing application to the state
  • Provide onsite or virtual support during licensing visit
  • Correct any findings and submit evidence of current compliance to receive full licensure