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Sunday 4:20 CST, December 21, 2014

State Recognition Details

State Recognition Contact Directory

Report a Complaint
800-994-6610

Jennifer Hoppe
Associate Director
630-792-5261

Karen Eberspacher
Government Relations Specialist
630- 792-5269


The Joint Commission actively monitors state legislative and regulatory activities for the purpose of identifying additional opportunities for state reliance on Joint Commission accreditation/certification.

The Joint Commission’s various accreditation/certification programs are recognized and relied on by many states in the states’ quality oversight activities. Recognition and reliance refers to the acceptance of, requirement for, or other reference to the use of Joint Commission accreditation, in whole or in part, by one or more governmental agencies in exercising regulatory authority. Recognition and reliance may include use of accreditation for licensing, certification or contracting purposes by various state agencies. 
 

STATE: PROGRAM:
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State: Arkansas
Program: Hospitals
Agency: Department of Health
State Reference: A.C.A. § 20-9-219  
Setting/Service: Hospital
Type of Recognition: Licensure

(c) Each hospital accredited by an accrediting organization shall be deemed by the department to be licensable without further survey by the personnel of the division if:

(1) The hospital holds current, full accreditation; and

(2) The division receives a copy of the hospital's official accreditation certificate and the complete report issued by an accrediting organization within thirty (30) days of receipt by the hospital from an accrediting organization.

(d) No hospital shall be required to submit accreditation by an accrediting organization, but whenever a hospital does not submit an accreditation certificate, the personnel of the department shall conduct such surveys as are prescribed by regulation.

NOTE: “Accrediting organization” means an organization that awards accreditation or certification to hospitals or managed care organizations and has been recognized by the Centers for Medicare & Medicaid Services for deemed status, including without limitation The Joint Commission.


State: Arkansas
Program: Laboratory
Agency: Department of Health
State Reference:
Setting/Service: Laboratory
Type of Recognition: Licensure

CLIA Certification

State: Arkansas
Program: Critical Access Hospitals
Agency: Department of Health and Safety
State Reference: A.C.A. § 20-9-219 
Setting/Service: All Hospitals
Type of Recognition: Licensure

(c) Each hospital accredited by an accrediting organization shall be deemed by the department to be licensable without further survey by the personnel of the division if:

(1) The hospital holds current, full accreditation; and

(2) The division receives a copy of the hospital's official accreditation certificate and the complete report issued by an accrediting organization within thirty (30) days of receipt by the hospital from an accrediting organization.

(d) No hospital shall be required to submit accreditation by an accrediting organization, but whenever a hospital does not submit an accreditation certificate, the personnel of the department shall conduct such surveys as are prescribed by regulation.


State: Arkansas
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: AR ADC 016.06.44-202.100  
Setting/Service: Rehabilitative Services for Persons with Mental Illness
Type of Recognition: Medicaid

Providers of RSPMI Services must furnish documentation of certification from the Division of Behavioral Health Services (DBHS) establishing that the provider is accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Commission on Accreditation of Rehabilitation Facilities (CARF), the Council on Accreditation (COA), or other national accreditation approved by DBHS and that the accreditation encompasses the RSPMI services to be furnished. Providers must meet all other certification requirements in addition to accreditation.

State: Arkansas
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: AR ADC 016.06.26-202.200
Setting/Service: Inpatient Psychiatric Residential Treatment Facilities for Individuals Under 21
Type of Recognition: Medicaid

To enroll as a freestanding residential treatment center or as a residential treatment unit within an inpatient psychiatric hospital, the inpatient psychiatric provider must meet both of the conditions listed below: A. The provider must meet the child and adolescent standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and be accredited by JCAHO.

State: Arkansas
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: AR ADC 016.06.50-201.100 
Setting/Service: Residential Rehabilitation Centers for Persons with Physical Disabilities
Type of Recognition: Medicaid

Residential rehabilitation centers must meet licensure, accreditation and enrollment requirements to participate as RSPD providers in the Arkansas Medicaid Program.

B. A residential rehabilitation center must meet one of the following accreditation requirements:

1. Accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF).

2. Accredited by the Joint Commission on Accreditation of Healthcare Organization (JCAHO) as a Residential Treatment Program for Post Acute Head Injury Rehabilitation.


State: Arkansas
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: AR ADC 016.06.26-202.200
Setting/Service: Freestanding Residential Treatment Facility or Residential Treatment Unit Within an Inpatient Psychiatric Hospital
Type of Recognition: Medicaid

To enroll as a freestanding residential treatment center or as a residential treatment unit within an inpatient psychiatric hospital, the inpatient psychiatric provider must meet both of the conditions listed below:

A. The provider must meet the child and adolescent standards of the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and be accredited by JCAHO.


State: Arkansas
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: AR ADC 016.04.4-6
Setting/Service: Alcohol and/or Drug Abuse Treatment Programs
Type of Recognition: Licensure

CARF, JCAHO AND COA ACCREDITED PROGRAMS - Programs meeting the alcohol and/or drug abuse treatment standards of the Commission on Accreditation of Rehabilitation Facilities (CARF), Joint Commission on the Accreditation of Health Care Organizations (JCAHO), or the Council on Accreditation (COA) shall automatically receive a concurrent license, if the CARF, JCAHO or COA award specifically notes that the alcohol and/or other drug treatment component has been accredited and upon presentation of the award to ADAP.

State: Arkansas
Program: Behavioral Health Care
Agency: Department of Human Services
State Reference: AR ADC 016.04.6-III  
Setting/Service: Alcohol and Drug Abuse Treatment Programs
Type of Recognition: Licensure

14. Programs meeting the alcohol and drug abuse treatment standards of the Joint Commission on Accreditation of Health Care Organizations (JCAHO), the Commission on Accreditation of Rehabilitation Facilities (CARF), or the Council on Accreditation (COA) will automatically receive Alcohol and Drug Abuse Prevention licensure as a licensed alcohol and drug abuse treatment program.--Such license shall be awarded by the Office of Alcohol and Drug Abuse Prevention upon presentation by the program of evidence of the Joint Commission of Health Care Organizations, the Council on Accreditation or the Commission on Accreditation of Rehabilitation Facilities' accreditation. Termination of licensure/accreditation by JCAHO, CARF or COA for alcohol and/or drug treatment services will result in a termination of OADAP licensure.

State: Arkansas
Program: Behavioral Health Care
Agency: Office of Alcohol and Drug Abuse Prevention
State Reference: A.C.A. § 9-28-407
Setting/Service: Child Welfare Agency (Residential Facility)
Type of Recognition: Licensure

(5)(A) Subdivisions (a)(3) and (4) of this section shall be construed to include a child welfare agency that is licensed or permitted by the board as a residential facility as of March 1, 2003, if the licensee then met and continues to meet the following criteria:

(i) The licensee is a nonhospital-based residential facility that specializes in providing treatment and care for seriously emotionally disturbed children under eighteen (18) years of age who have co-occurring substance abuse and psychiatric disorders;

(ii) The licensee possesses accreditation from at least one (1) of the following national accreditation entities:

(a) The Commission on Accreditation of Rehabilitation Facilities;

(b) The Council on Accreditation of Services for Families and Children; or

(c) The Joint Commission;

(iii) The licensee is licensed by the Office of Alcohol and Drug Abuse Prevention or its successor;

and

(iv) The licensee is operating a nontraditional program that is approved by the Department of Education.


State: California
Program: Home Care
Agency: Board of Pharmacy
State Reference: Cal.Bus. & Prof.Code § 4127.1
Setting/Service: Pharmaceuticals – Compounding of Sterile Drug Products
Type of Recognition: Licensure

(a) A pharmacy shall not compound injectable sterile drug products in this state unless the pharmacy has obtained a license from the board pursuant to this section. The license shall be renewed annually and is not transferable.

(d) Pharmacies operated by entities that are licensed by either the board or the State Department of Health Services and that have current accreditation from the Joint Commission on Accreditation of Healthcare Organizations, or other private accreditation agencies approved by the board, are exempt from the requirement to obtain a license pursuant to this section.

(e) The reconstitution of a sterile powder shall not require a license pursuant to this section if both of the following are met:

(1) The sterile powder was obtained from a manufacturer.

(2) The drug is reconstituted for administration to patients by a health care professional licensed to administer drugs by injection pursuant to this division.


State: California
Program: Office-Based Surgery
Agency: Dental Board
State Reference: Section 1638.1 of the Business and Professions Code
Setting/Service: Elective Facial Cosmetic Surgery
Type of Recognition: Licensure

(f) A licensee may not perform any elective, facial cosmetic surgical procedure except at a general acute care hospital, a licensed outpatient surgical facility, or an outpatient surgical facility accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the American Association for Ambulatory Health Care (AAAHC), the Medicare program, or an accreditation agency approved by the Medical Board of California pursuant to subdivision (g) of Section 1248.1 of the Health and Safety Code.


State: California
Program: Home Care
Agency: Department of Health
State Reference: Cal.Health & Safety Code § 1339.33
Setting/Service: Hospice
Type of Recognition: Licensure

Notwithstanding any other provisions of law, in order to be licensed as a special hospital: hospice, each project facility shall meet the requirements of Sections 70101 to 70137, inclusive, 70201 to 70219, inclusive, 70241 to 70279, inclusive, 70701 to 70707, inclusive, and 70708 to 70765, inclusive, of Title 22 of the California Code of Regulations; Sections 2-1001A to 2-1015A, inclusive, Section 2-1018A, Sections 2-1020A to 2-1024A, inclusive, Sections 2-1026A to 2-1028A, inclusive, Section 2-1040A, Section 2-1044A, and Section 2-1051A of Title 24 of the California Code of Regulations. In addition to complying with these regulations in Titles 22 and 24 of the California Code of Regulations, each facility shall meet, for the duration of the project, the hospice standards used by the Medicare program (42 C.F.R., Part 418, Sections 418.1 to 418.405, inclusive) the Medi-Cal program (subdivision (e) of Sections 51003 to 51543, inclusive, of Title 22, California Code of Regulations), and the Joint Commission on the Accreditation of Healthcare Organizations' “Hospice Standards Manual.”

State: California
Program: Home Care
Agency: Department of Health
State Reference: Cal.Health & Safety Code § 1728.7
Setting/Service: Home Health Agencies
Type of Recognition: Licensure

(a) Notwithstanding any other provision of this chapter, the state department shall issue a license to a home health agency that applies to the state department for a home health agency license and meets all of the following requirements:

(1) Is accredited as a home health agency by either the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) or the Community Health Accreditation Program (CHAP), and the accrediting organization forwards to the state department copies of all initial and subsequent survey and other accreditation reports or findings.

(2) Files an application with fees pursuant to this chapter.

(3) Meets any other additional licensure requirements of, or regulations adopted pursuant to, this chapter that the state department identifies, after consulting with either the JCAHO or the CHAP, as more stringent than the accreditation requirements of either JCAHO or CHAP.

(b) The state department may require a survey of an accredited home health agency to ensure the accreditation requirements are met. These surveys shall be conducted using a selective sample basis.

(c) The state department may require a survey of an accredited home health agency to investigate complaints against an accredited home health agency for substantial noncompliance, as determined by the state department, with these accreditation standards.

(d) Notwithstanding subdivisions (a), (b), and (c), the state department shall retain its full range of authority over accredited home health agencies to ensure the licensure and accreditation requirements are met. This authority shall include the entire scope of enforcement sanctions and options available for unaccredited home health agencies.


State: California
Program: Behavioral Health Care
Agency: Department of Mental Health
State Reference: Cal.Welf. & Inst.Code § 4080
Setting/Service: Private Psychiatric Facilities
Type of Recognition: Licensure

(3)(A) When a private facility is accredited by a nationally recognized commission that accredits health care facilities, the department shall review and may approve the program aspects only if the average per diem charges or costs of service provided in the facility do not exceed approximately 75 percent of the average per diem charges or costs of similar psychiatric service provided in a psychiatric or general hospital.

State: California
Program: Ambulatory Health Care
Agency: Department of Public Health
State Reference: Section 1228 of Health and Safety Code
Setting/Service: Health Facilities, Primary Clinics
Type of Recognition: Licensure

(a) Except as provided in subdivision (c), every clinic for which a license or special permit has been issued shall be periodically inspected. The frequency of inspections shall depend upon the type and complexity of the clinic or special service to be inspected. Inspections shall be conducted no less often than once every three years and as often as necessary to ensure the quality of care being provided.

(c) This section shall not apply to any of the following:

(1) A rural health clinic.
(2) A primary care clinic accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), the Accreditation Association for Ambulatory Health Care (AAAHC), or any other accrediting organization recognized by the department.
(3) An ambulatory surgical center.
(4) An end stage renal disease facility.
(5) A comprehensive outpatient rehabilitation facility that is certified to participate either in the Medicare program under Title XVIII (42 U.S.C. Sec. 1395 et seq.) of the federal Social Security Act, or the Medicaid program under Title XIX (42 U.S.C. Sec. 1396 et seq.) of the federal Social Security Act, or both.


State: California
Program: Hospitals
Agency: Department of Public Health
State Reference: CA Health & Safety Code § 1282
Setting/Service: Hospital
Type of Recognition: Licensure

1282. Inspections by outside personnel; contracts; inspections by joint commission on accreditation; transmittal of report

(a) The state department shall have the authority to contract for outside personnel to perform inspections of health facilities as the need arises. The state department, when feasible, shall contract with nonprofit, professional organizations which have demonstrated the ability to carry out the provisions of this chapter. The organizations shall include, but not be limited to, the California Medical Association Committee on Medical Staff Surveys and participants in the Consolidated Hospital Survey Program.

Quality of care inspections have been performed in recent years by the California Medical Association Committee on Staff Surveys and other organizations which have combined their efforts in the Consolidated Hospital Survey Program. It is the intent of the Legislature that these organizations or comparable organizations shall continue to perform these inspections by contract when sufficient manpower is available from the organizations to do so, unless the state department demonstrates that the inspections fail to assure compliance with the quality of care standards set by this chapter.

(b) If, pursuant to this section, the state department contracts with the Joint Commission on Accreditation of Hospitals to perform all or any part of a quality of care inspection for a health facility specified in subdivision (a) of Section 1250, and if that health facility contracts with the Joint Commission on Accreditation of Hospitals to perform an accreditation inspection and survey at the same time as the quality of care inspection, the health facility shall transmit to the state department, within 30 days of receipt, a copy of the final accreditation report of the Joint Commission on the Accreditation of Hospitals. However, if the Joint Commission on Accreditation of Hospitals conducts an accreditation inspection and survey at a health facility at a time other than the time at which, pursuant to this section, it participates in a quality of care inspection at that facility, then the health facility shall not be required to transmit a copy of the final accreditation report to the state department.


State: California
Program: Office-Based Surgery
Agency: Medical Board
State Reference: C.G.S.A. § 19a-691
Setting/Service: Outpatient Surgery Settings
Type of Recognition: Requirement for Anesthesia Use

California law prohibits physicians from performing some outpatient surgery, unless it is performed in a licensed or accredited setting. Section 2216 of the Business and Professions Code (B&P) reads: "On or after, July 1, 1996, no physician and surgeon shall perform procedures in an outpatient setting using anesthesia, except local anesthesia or peripheral nerve blocks, or both, complying with the community standard of practice, in doses that, when administered, have the probability of placing a patient at risk for loss of the patient's life-preserving protective reflexes, unless the setting is specified in Section 1248.1. Outpatient settings where anxiolytics and analgesics are administered are excluded when administered, in compliance with the community standard of practice, in doses that do not have the probability of placing the patient at risk for loss of the patient's life-preserving protective reflexes." (Accrediting organizations cited by the California Medical Board include: AAAASF, AAAHC, TJC and IMQ)

State: California
Program: Ambulatory Health Care
Agency: Medical Board
State Reference: Bus. & Prof.Code § 2216 and Health & Safety Code Section 1248.1.
Setting/Service: Outpatient settings using anesthesia
Type of Recognition: Criteria for Operation

On or after July 1, 1996, no physician and surgeon shall perform procedures in an outpatient setting using anesthesia, except local anesthesia or peripheral nerve blocks, or both, complying with the community standard of practice, in doses that, when administered, have the probability of placing a patient at risk for loss of the patient's life-preserving protective reflexes, unless the setting is specified in Section 1248.1.

§ 1248.1. Operation and maintenance of outpatient setting; restrictions, firm, partnership, or person shall operate, manage, conduct, or maintain an outpatient setting in this state, unless the setting is one of the following:

(a) An ambulatory surgical center that is certified to participate in the Medicare program under Title XVIII (42 U.S.C. Sec. 1395 et seq.) of the federal Social Security Act.

(b) Any clinic conducted, maintained, or operated by a federally recognized Indian tribe or tribal organization, as defined in Section 450 or 1601 of Title 25 of the United States Code, and located on land recognized as tribal land by the federal government.

(c) Any clinic directly conducted, maintained, or operated by the United States or by any of its departments, officers, or agencies.

(d) Any primary care clinic licensed under subdivision (a) and any surgical clinic licensed under subdivision (b) of Section 1204. (e) Any health facility licensed as a general acute care hospital under Chapter 2 (commencing with Section 1250).

(f) Any outpatient setting to the extent that it is used by a dentist or physician and surgeon in compliance with Article 2.7 (commencing with Section 1646) or Article 2.8 (commencing with Section 1647) of Chapter 4 of Division 2 of the Business and Professions Code.

(g) An outpatient setting accredited by an accreditation agency approved by the division pursuant to this chapter. (The Joint Commission has been approved by the Medical Board)


State: Colorado
Program: Office-Based Surgery
Agency: Board of Medical Examiners
State Reference: Board of Medical Examiners Policy 40-12
Setting/Service: Office-Based Surgery and Anesthesia
Type of Recognition: Guideline

It is not recommended that a patient stay overnight in an office setting following a surgical procedure unless that facility is appropriately accredited. "Accredited ambulatory surgical centers" are accredited as a Class B or Class C facility by one of the following organizations: Joint Commission on Accreditation of Healthcare Organizations (JCAHO); American Association for Accreditation of Ambulatory Surgery Facilities, Inc. (AAAASF); Accreditation Association for Ambulatory Health Care, Inc. (AAHC); or the Colorado Department of Public Health and the Environment. If a patient does not meet discharge criteria and is not in a Class B or Class C facility, the patient should be transferred to an appropriately accredited ambulatory care center or a licensed hospital within reasonable proximity.


State: Colorado
Program: Laboratory
Agency: Department of Health
State Reference:
Setting/Service: Laboratory
Type of Recognition: Licensure

CLIA Certification

State: Colorado
Program: Behavioral Health Care
Agency: Department of Healthcare Policy and Financing
State Reference: 10 CO ADC 2505-10:8.373
Setting/Service: Inpatient Psychiatric Care for Individuals Under 21
Type of Recognition: Medicaid

Inpatient psychiatric care is a benefit of the Medicaid Program for individuals eligible for Medicaid benefits under the age of 21 only when

(A) provided in an institution which is accredited as a psychiatric hospital by the Joint Commission on Accreditation of Hospitals, or in a facility or program accredited by the Joint Commission of Accreditation of Hospitals;

(B) services are provided under the direction of a physician and involve active treatment which a team, consisting of physicians and other personnel qualified to make determinations with respect to mental health conditions and the treatment thereof, has determined are necessary on an inpatient basis and can reasonably be expected to improve the condition, by reason of which such services are necessary, or prevent further regression so that the services will no longer be needed;

and

(C) are provided prior to the date such individual attains age 21, or, in the case of an individual who was receiving such services in the period immediately preceding the date on which he/she attained age 21,

(i) the date such individual no longer requires such services

or

(ii) if earlier, the date such individual attains 22.


State: Colorado
Program: Hospitals
Agency: Department of Healthcare Policy and Financing
State Reference: 10 CO ADC 2505-10:8.373
Setting/Service: Inpatient Psychiatric Care for Individuals Under 21
Type of Recognition: Medicaid

Inpatient psychiatric care is a benefit of the Medicaid Program for individuals eligible for Medicaid benefits under the age of 21 only when

(A) provided in an institution which is accredited as a psychiatric hospital by the Joint Commission on Accreditation of Hospitals, or in a facility or program accredited by the Joint Commission of Accreditation of Hospitals;

(B) services are provided under the direction of a physician and involve active treatment which a team, consisting of physicians and other personnel qualified to make determinations with respect to mental health conditions and the treatment thereof, has determined are necessary on an inpatient basis and can reasonably be expected to improve the condition, by reason of which such services are necessary, or prevent further regression so that the services will no longer be needed; and

(C) are provided prior to the date such individual attains age 21, or, in the case of an individual who was receiving such services in the period immediately preceding the date on which he/she attained age 21,

(i) the date such individual no longer requires such services or

(ii) if earlier, the date such individual attains 22.


State: Colorado
Program: Behavioral Health Care
Agency: Department of Labor and Employment
State Reference: 7 CO ADC 1101-3:17 EXHIBIT 10
Setting/Service: Acute Rehabilitation, Comprehensive Integrated Inpatient Rehabilitation, Outpatient Rehabilitation Services, Residential Rehabilitation, Home and Community-Based Rehabilitation, and Behavioral Programs
Type of Recognition: Insurance

b. Acute Rehabilitation: Acute rehabilitation hospitals should be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO), and have components consistent with the Commission on Accreditation of Rehabilitation Facilities (CARF). CARF eligibility implies that programs meet specific care standards of design and efficacy.

a. Comprehensive Integrated Inpatient Rehabilitation: Inpatient programs should be accredited by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and have components consistent with the Commission on the Accreditation of Rehabilitation Facilities (CARF). CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

b. Outpatient Rehabilitation Services: Outpatient rehabilitation programs should be accredited by JCAHO and have components consistent with certification by CARF. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

c. Residential Rehabilitation: Residential programs should be accredited by JCAHO and have components consistent with CARF certification. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

d. Home and Community-Based Rehabilitation: Programs should preferably be accredited by JCAHO and have components consistent with CARF certification. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

e. Behavioral Programs: Behavioral programs generally use an interdisciplinary approach that may include behavior modification, medications, socialization skills training, substance abuse treatment, family therapy and physical management programs, as well as traditional interdisciplinary treatment. Length of stay may greatly vary depending on etiology and severity of the behavioral disorders and may typically range from one to six months or longer. Upon discharge from behavioral programs, disposition is either back to inpatient acute rehabilitation, inpatient programs, supported living programs or home and community-based programs. Use of psychiatric hospitals that are not experienced in brain injury rehabilitation is not recommended. Behavioral programs are also appropriate for severe behavioral problems due to other concomitant diagnoses, such as alcohol or substance abuse. Categorical adolescent inpatient hospital and residential programs may be appropriate for adolescent behavioral disorders due to TBI. Programs should be accredited by JCAHO.


State: Colorado
Program: Nursing Care Center
Agency: Department of Labor and Employment
State Reference:  7 CO ADC 1101-3:17 EXHIBIT 10 
Setting/Service: Long-Term Care, Nursing Care Facilities, and Subacute Rehabilitation Programs
Type of Recognition: Insurance

d. Subacute Rehabilitation Programs:

These programs are located on separate and specially licensed units of hospitals or nursing homes. Individuals appropriate for subacute care typically are medically stable, require skilled nursing care, and have either completed comprehensive inpatient rehabilitation, or are judged to not be able to benefit from inpatient rehabilitation. Subacute rehabilitation is generally accepted, but should not be used in lieu of categorical inpatient rehabilitation for individuals who may benefit from a comprehensive inpatient rehabilitation program. Subacute rehabilitation programs should be accredited by the JCAHO.

f. Long-Term Care:

The range of long-term outcomes following TBI is diverse from virtually complete independence and function to severe and permanent disability. Therefore, the range of needed services is complex and individualized. Some individuals with moderate/severe brain injury will require significant care and supervision, either at home by family or attendant care, or in a nursing care facility, or long-term supported living program. (Refer to sections G.1.g Supported Living Programs or Long-Term Care Residential Services). Individuals may also benefit from periodic re-evaluations, based on condition and needs (Refer to section I, Maintenance Management). Long-term care programs should be accredited by the JCAHO and have components consistent with certification by CARF. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

f. Nursing Care Facilities: generally provide care in specialty-licensed units of nursing homes. Extended nursing facility care is generally accepted and widely used. Individuals appropriate for extended care are not able to be cared for in a private home, supported living program, group home or community setting. Individuals appropriate for this type of care do not generally require skilled nursing care, but require ongoing care that is supervised by RNs. Rehabilitation therapies may be necessary to supplement nursing care. Rehabilitation programs are established by appropriately licensed or certified therapists but may be delivered by paraprofessionals. The goal of care is to maintain and improve function if possible, this usually occurs at a slower rate over an extended period of time. Accreditation by JCAHO is recommended. g. Supported Living Programs (SLP) or Long-Term Care Residential Services: include licensed personal care boarding homes (group homes), supported apartment living programs, or supported inpatient programs designed for long-term living at the completion of the rehabilitation continuum. SLPs are designed for those who, due to their brain injury, are not able to safely and independently care of themselves in the community and for whom home placement is unavailable or inappropriate. Such programs are appropriate for individuals who are at risk for medical, physical and psychological complications, but who do not require a secured setting. Housing, food, supervision, activity programs, sheltered employment, transportation and case management are typical components of supported living programs. These programs are becoming more available and are generally accepted services for individuals with chronic brain injury who are moderately to severely disabled, and who require care, supervision and support services. Long-term residential services should be accredited by JCAHO and preferably have components consistent with CARF certification. CARF eligibility or certification implies that programs meet specific care standards of design and efficacy.

The Joint Commission maintains a listing of state agencies that recognize accreditation/certification. These lists have been compiled from a variety of sources and are intended to identify state regulatory agencies that recognize and/or rely on accreditation in lieu of specific state licensure or certification requirements. The Joint Commission makes no claims about the accuracy of this list and it should be considered a reference document. Joint Commission accredited organizations are strongly encouraged to inquire with their state regulatory agency for a full description of the recognition and any additional requirements the state agency may have.
 

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