Joint Commission Accreditation Consulting

Readiness review

We go through the standards that apply to your services and hand you a plain list: what you already have in place, what is missing, and what to fix first. The list is ranked so your team knows where to start and your leadership sees the full scope.

We write your policies

Where your policies fall short, we draft the revised versions ourselves, written to line up with the Joint Commission's Elements of Performance, the specific expectations listed under each standard. You review and approve every policy before it goes into use.

We make the changes

Gaps in forms, workflows and documentation get fixed by our team with your sign-off, so your staff keep their attention on clients. We update the forms and workflows your staff actually use each day and walk them through the changes so the new process sticks.

We audit your charts

You get a monthly random chart audit for your review, so you can identify gaps immediately and know which staff members are not providing the documentation insurers use to pay your claims. That helps you head off clawbacks and avoid being pulled into an audit.

We run the walkthroughs

We trace a client's experience through your program, walk your facility, and prepare your staff for survey interviews before the real visit. Staff practice answering questions about their own role, and we point out what a surveyor is likely to notice in the building and in the records.

Mock surveys

We simulate the survey so your team has been through it once before it counts. A consultant plays the surveyor role, reviews charts and policies, and interviews staff. You then get a written summary of what we found and a corrective action list you can act on.

Application planning

The Joint Commission has you settle on a realistic "ready month" within the next 12 months. We build the timeline backward from that date and keep you on it. We also line up your leadership team and your documents early so nothing gets scrambled at the last minute.

Survey support

We are with you every step of the survey, on site or virtually depending on the notice you get, so you are never handling it alone. We help you answer surveyor questions and find documents quickly, and we keep notes on every finding so you can respond right away.

After the survey

If the Joint Commission asks you to resolve issues, which its process page says is usually within 60 days, we write the fixes with you and track them to completion. We also review the final report with your team so every finding has an owner and a due date.

Staying ready

We keep working with you in the years between surveys, including the Focused Standards Assessment the Joint Commission uses for that period, with ongoing chart audits and training. Already working with us on CARF or licensing? See all of our services or take the compliance self-assessment.