State Recognition Details | Joint Commission
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Sunday 2:12 CST, January 21, 2018

State Recognition Details

State Recognition Contact Directory


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:


State: North Carolina
Program: Disease-Specific Care
Agency: Department of Health
State Reference: Ch. 131E, Art 5, 78.5...
Setting/Service: Primary Stroke Center
Type of Recognition: L/C

(a)  The Department shall designate as a primary stroke center any hospital licensed under thie Article that demonstrates to the Department that the hospital is certifed by The Joint Commission or other nationally recognized accrediting body that requires conformance to the best practices for stroke care in order to be identified as a primary stroke center. 


State: North Carolina
Program: Laboratory
Agency: Department of Health and Human Services
State Reference:
Setting/Service: Laboratory
Type of Recognition: Licensure

CLIA Certification

State: North Carolina
Program: Hospitals
Agency: Department of Health and Human Services
State Reference: 10A NCAC 13B .2033 & .5414
Setting/Service: Inpatient rehabilitation facility or units
Type of Recognition: Licensure

0A NCAC 13B .2033
DEEMED STATUS FOR INPATIENT REHABILITATION FACILITIES OR UNITS

      
(a)  If an inpatient rehabilitation facility or unit with a comprehensive inpatient rehabilitation program is surveyed and accredited by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO) or the Commission on Accreditation of Rehabilitation Facilities (CARF) and has been approved by the Department in accordance with Article 9 Chapter 131E of the North Carolina General Statutes, the Department deems the facility to be in compliance with Rules .2020 through .2030 and .2033 of this Section.

(b)  Deemed status shall be provided only if the inpatient rehabilitation facility or unit provides copies of survey reports to the Division.  The JCAHO report shall show that the facility or unit was surveyed for rehabilitation services.  The CARF report shall show that the facility or unit was surveyed for comprehensive rehabilitation services.  The facility or unit shall sign an agreement (Memorandum of Understanding) specifying these terms.

(c)  The inpatient rehabilitation facility or unit shall be subject to inspections or complaint investigations by representatives of the Department at any time.  If the facility or unit is found not to be in compliance with the rules listed in Paragraph (a) of this Rule, the facility shall submit a plan of correction and be subject to a follow-up visit to assure compliance.

(d)  If the inpatient rehabilitation facility or unit loses or does not renew its accreditation, the facility or unit shall notify the Division in writing within 30 days.

 

10A NCAC 13B .5414      
DEEMED STATUS FOR INPATIENT REHABILITATION FACILITIES OR UNIT

 

(a)  If an inpatient rehabilitation facility or unit with a comprehensive inpatient rehabilitation program is surveyed and accredited by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO) or the Commission on Accreditation of Rehabilitation Facilities (CARF) and has been approved by the Department in accordance with G.S. 131E, Article 9, the Department deems the facility to be in compliance with Rules .5401 through .5413 of this Section.

(b)  Deemed status shall be provided only if the inpatient rehabilitation facility or unit provides copies of survey reports to the Department.  The JCAHO report shall show that the facility or unit was surveyed for rehabilitation services.  The CARF report shall show that the facility or unit was surveyed for comprehensive rehabilitation services.  The facility or unit shall sign an agreement (Memorandum of Understanding) with the Department specifying these terms.

(c)  The inpatient rehabilitation facility or unit shall be subject to inspections or complaint investigations by representatives of the Department at any time.  If the facility or unit is found not to be in compliance with the rules listed in Paragraph (a) of this Rule, the facility shall submit a plan of correction and be subject to a follow-up visit to ensure compliance.

(d)  If the inpatient rehabilitation facility or unit loses or does not renew its accreditation, the facility or unit shall notify the Division in writing within 30 days.

 


State: North Carolina
Program: Ambulatory Health Care
Agency: Department of Health and Human Services
State Reference: 10A NC ADC 13C.0202
Setting/Service: Ambulatory Surgery Facility
Type of Recognition: Licensure

(a) Upon application for a license from a facility never before licensed, a representative of the Department shall make an inspection of that facility. Every building, institution or establishment for which a license has been issued shall be inspected for compliance with the rules found in this Subchapter. An ambulatory surgery facility shall be deemed to meet licensure requirements if the ambulatory surgery facility is accredited by JCAHO, AAAHC or AAAASF. Accreditation does not exempt a facility from statutory or rule requirements for licensure nor does it prohibit the Department from conducting inspections as provided in this Rule to determine compliance with all requirements.

State: North Carolina
Program: Behavioral Health Care
Agency: Department of Health and Human Services
State Reference: 10A NC ADC 13D.3033
Setting/Service: Inpatient Rehabilitation Facilities or Units
Type of Recognition: Licensure

(a) If an inpatient rehabilitation facility or unit with a comprehensive inpatient rehabilitation program is surveyed and accredited by the Joint Commission for the Accreditation of Health Care Organizations (JCAHO) or the Commission on Accreditation of Rehabilitation Facilities (CARF), and has been approved by the Department in accordance with G.S. 131E, Article 9, the Department deems the facility to be in compliance with Rules .3021 through .3031 of this Section.

(b) Deemed status shall be provided only if the inpatient rehabilitation facility or unit provides copies of survey reports to the Department. The JCAHO report shall show that the facility or unit was surveyed for rehabilitation services. The CARF report shall show that the facility or unit was surveyed for comprehensive rehabilitation services. The facility or unit shall sign an agreement (Memorandum of Understanding) with the Department specifying these terms.

(c) The inpatient rehabilitation facility or unit shall be subject to inspections or complaint investigations by representatives of the Department at any time. If the facility or unit is found not to be in compliance with the rules listed in Paragraph (a) of this Rule, the facility shall submit a plan of correction and be subject to a follow-up visit to ensure compliance.

(d) If the inpatient rehabilitation facility or unit loses or does not renew its accreditation, the facility or unit shall notify the Department in writing within 30 days.


State: North Carolina
Program: Hospitals
Agency: Department of Health and Human Services
State Reference: 10A NCAC 13B .3106      
Setting/Service: Hospital
Type of Recognition: Licensure

10A NCAC 13B .3106      
LICENSURE SURVEYS

(a)  Prior to the initial issuance of a license to operate a facility, the Division shall conduct a survey to determine compliance with rules promulgated pursuant to G.S. 131E-79.

(b)  The Division may conduct an investigation of a complaint in any facility.

(c)  Facilities that are accredited through an accrediting body approved pursuant to section 1865(a) of the Social Security Act shall not be subject to routine inspections.

(d)  The Division shall survey non-accredited facilities at least once every three years.


State: North Carolina
Program: Nursing Care Center
Agency: Department of Health and Human Services
State Reference: 10A NC ADC 13D.2101
Setting/Service: Nursing Homes
Type of Recognition: Licensure

Subchapter 13D. Rules for the Licensing of Nursing Homes Section .2100.

Licensure 2101 Application Requirements

(a) An application for licensure for a new facility shall be submitted to the Licensure and Certification Section of the Division of Health Service Regulation at least 30 days prior to a license being issued or patients admitted.

(b) The application shall contain the following:

(1) legal identity of applicant (licensee) and mailing address;

(2) name or names under which the facility is presented to the public;

(3) location and mailing address of facility;

(4) ownership disclosure;

(5) accreditation data;

(6) bed complement;

(7) magnitude and scope of services offered;

(8) name and current license number of the administrator;

and

(9) name and current license number of the director of nursing.


State: North Carolina
Program: Nursing Care Center
Agency: Department of Health and Human ServicesDepartment of
State Reference: N.C.G.S.A. § 131E-176N.C.G.S.A. § 131E-178
Setting/Service: Health Service Facility Health Service Facility
Type of Recognition: Licensure

(9b) “Health service facility” means a hospital; long-term care hospital; psychiatric facility; rehabilitation facility; nursing home facility; adult care home; kidney disease treatment center, including freestanding hemodialysis units; intermediate care facility for the mentally retarded; home health agency office; chemical dependency treatment facility; diagnostic center; hospice office, hospice inpatient facility, hospice residential care facility; and ambulatory surgical facility.

(a) No person shall offer or develop a new institutional health service without first obtaining a certificate of need from the Department; provided, however, no person who provides gastrointestinal endoscopy procedures in one or more gastrointestinal endoscopy rooms located in a nonlicensed setting, shall be required to obtain a certificate of need to license that setting as an ambulatory surgical facility with the existing number of gastrointestinal endoscopy rooms, provided that:

1) The license application is postmarked for delivery to the Division of Health Service Regulation by December 31, 2006;

2) The applicant verifies, by affidavit submitted to the Division of Health Service Regulation within 60 days of the effective date of this act, that the facility is in operation as of the effective date of this act or that the completed application for the building permit for the facility was submitted by the effective date of this act;

3) The facility has been accredited by The Accreditation Association for Ambulatory Health Care, The Joint Commission on Accreditation of Healthcare Organizations, or The American Association for Accreditation of Ambulatory Surgical Facilities by the time the license application is postmarked for delivery to the Division of Health Service Regulation of the Department;

and

4) The license application includes a commitment and plan for serving indigent and medically underserved populations.


State: North Carolina
Program: Home Care
Agency: Department of Human Resources
State Reference:  N.C.G.S.A. § 131E-138
Setting/Service: Home Care Agencies
Type of Recognition: Licensure

(g) The Commission shall adopt rules to ensure that a home care agency shall be deemed to meet the licensure requirements and issued a license without further review or inspection if:

(i) the agency is already certified or accredited by the Joint Commission on Accreditation of Health Care Organizations, National League for Nursing, National Home Caring Council, North Carolina Accreditation Commission for In-Home Aide Services, or other entities recognized by the Commission and

(ii) the agency is certified or accredited for all of the home care services that it provides; or

(iii) in the case of continuing care retirement communities licensed by the North Carolina Department of Insurance under Article 64 of Chapter 58 which also have nursing beds licensed by the Department of Health and Human Services under Article 6 of Chapter 131E, the Department certifies, as part of its licensure review or survey of the nursing beds, that the facility also meets all of the rules and regulations adopted by the Commission pursuant to this Part.

The Department may, at its discretion, determine the frequency and extent of the review and inspection of home health agencies already certified as meeting federal requirements, but not more frequently than on an annual basis for routine reviews.


State: North Carolina
Program: Behavioral Health Care
Agency: Department of Mental Health
State Reference: N.C.G.S.A. § 122C-22 
Setting/Service: Facilities for the Mentally Ill, the Developmentally Disabled, and Substance Abusers
Type of Recognition: Licensure

(b) The Commission may adopt rules establishing a procedure whereby a licensable facility certified by a nationally recognized agency, such as the Joint Commission on Accreditation of Hospitals, may be deemed licensed under this Article by the Secretary. Any facility licensed under the provisions of this subsection shall continue to be subject to inspection by the Secretary.

State: North Carolina
Program: Behavioral Health Care
Agency: Division of Medical Assistance
State Reference: N.C.G.S.A. § 131D-10.3 
Setting/Service: Child Placing and Child Care Facilities
Type of Recognition: Licensure

(g) In accordance with Commission rules, a person may submit to the Department documentation of compliance with the standards of a nationally recognized accrediting body, and the Department on the basis of such accreditation may deem the person in compliance with one or more Commission licensing rules.

State: North Carolina
Program: Office-Based Surgery
Agency: Medical Board
State Reference: Position Statement on Office-Based Procedures
Setting/Service: Office-Based Surgery
Type of Recognition: Guideline

After one year of operation following the adoption of these guidelines, any physician who performs Level II or Level III procedures in an office should be able to demonstrate, upon request by the Board, substantial compliance with these guidelines, or should obtain accreditation of the office setting by an approved accreditation agency or organization. The approved accreditation agency or organization should submit, upon request by the Board, a summary report for the office accredited by that agency. All expenses related to accreditation or compliance with these guidelines shall be paid by the physician who performs the surgical or special procedures. (The Joint Commission is cited as an approved accrediting organization by the Board)

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.