Behavioral Health Accreditation Compliance

Comprehensive Environment of Care Risk Assessments

• Ligature risk assessment
• Safety (patient & employees)
• Security
• Elopement

Drills

• Fire
• Active shooter
• Emergency Management

Develop plans that meet or exceed TJC, DNV and CMS criteria

Emergency Preparedness

• Pandemic response/infection control mitigation
• Surge/evacuation
• Natural disaster readiness and response
• Emergency communications
• Assist with 1135 waiver submissions and acceptance

AHJ Survey Readiness and Support (Environment of Care)

Before Survey

• Thorough Environment of Care Mock Survey
• Provide pathway to compliance reports

During Survey

• On-site support
• Virtual support

Post Survey

• Assist with official response and Plan of Correction (POC)
• Assist in developing education and training triggered by POC
• CMS time limited waivers submissions

Design Support (remodel or new construction)

• Assist facility in the behavioral health design phase
• Work with Architectural or design teams on the facilities behalf
• Provide oversite and support during construction or remodel projects