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Joint Commission Compliance Management



Medical Staffing Agencies are required by The Joint Commission to have a Clinical Director. If you do not have an on-site clinical director, our Compliance Management program provides supervision of clinical staff and all aspects of operations that deal with clinical issues.

Compliance Management - Standard

  • Review monthly Agency file audits for compliance

  • Submit performance reports to The Joint Commission

  • Trend and analyze performance data

  • Prepare Intracycle Conference reports

  • Participate in Intracycle Conference calls

  • Conduct periodic onsite mock survey*

  • Attend Joint Commission Certification Survey*

  • Joint Commission Recertification preparation

  • Resolve Recertification survey issues - Clarification, Plan of correction, Evidendence of Standards Compliance, Measure of Success

  • Periodic updates to Agency Policies and Performance Improvement plan

Monthly ​Fee: $350

Compliance Management - Clinical Supervision

  1. Includes all features of Compliance Management - Standard

  • A Clinical Director is assigned to your Agency to handle clinical issues

  • Do-Not-Return Prevention program implementation

​   2.Client Facility Complaint/ Do-Not-Return (DNR) Resolution

  • Review DNR reports from Client Facilty and determine course of events of incident under complaint;

  • Investigate complaint/DNR with Client facility and Agency staff;

  • Mediate any discrepancies between Agency staff account and Client Facility report

  • Attempt to overturn DNR;

  • Provide Agency staff counseling directly related to incident;

  • Document appropriately and submit to Agency

​   3. Performance Counseling to Agency Staff

  • Address performance issues identified by Agency with clinical staff;

  • Provide performance improvement counseling to staff;

  • Document appropriately and submit report Agency

  • Perform annual written evaluation of clinical staff

​   4. Interface with Client Facility Staff when required

  • Meet with Client Facility Managers/Directors when necessary*

  • Attend audits performed by Client Facilities when necessary*

  • Attend Joint Commission onsite audits and Intracycle Conference calls*

Monthly Fee: $490


​​* Additional charges apply for onsite visits

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