Last updated 3/30/12, 4:20 p.m. CT
Comprehensive Accreditation Manual for Behavioral Health Care (CAMBHC)
The Updates
2010 Update 1 Table of Changes (6/10)
2010 Update 2 Table of Changes (9/10)
2011 Update 1 Table of Changes (3/11)
2011 Update 2 Table of Changes (9/11)
2012 Update 1 Table of Changes (3/12)
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Accreditation Participation Requirements (APR)
New Method to Record an Immediate Threat to Health or Safety Situation (APR) (9/11)
No PPr Submission Required in Year of the Triennial or Biennial Survey (APR) (10/11)
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Care, Treatment, and Services (CTS)
Revised "Care, Treatment, and Services" Chapter (6/10)
Extended Time Frame for Physical Exam in Residential Settings Approved (CTS) (8/10)
New BHC Standards Addressing Primary Physical Health Care (CTS) (8/11)
New and Revised BHC Standards Addressing Medical Histories and Physical Examinations (CTS) (8/11)
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Environment of Care (EC)
Deleted MOS and Scoring Categories (EC, IM, MM, PI, RC) (6/10)
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Emergency Management (EM)
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Human Resources (HR)
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Infection Prevention and Control (IC)
Clarification on Reducing Infection Risks Associated with Medical Equipment, Devices, and Supplies (IC) (10/09)
Revised Influenze Vaccination Standard IC.02.04.01 (IC) (12/11)
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Information Management (IM)
Deleted MOS and Scoring Categories (EC, IM, MM, PI, RC) (6/10)
Correction: Approved Abbreviations List Is Not Required Under IM.02.02.01 (6/10)
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Leadership (LD)
Leadership Standard Clarified to Address Behaviors That Undermine a Safety Culture (LD) (1/12)
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Life Safety (LS)
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Medication Management (MM)
Deleted MOS and Scoring Categories (EC, IM, MM, PI, RC) (6/10)
Clarification on Expiration of Multi-dose Vials (6/10)
Deletion of Requirement for Pharmacist Review of Off-Label Medication Use (MM) (3/11)
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National Patient Safety Goals (NPSG)
2010 National Patient Safety Goals (10/09)
No New National Patient Safety Goals, Only Minor Revisions for 2011 (NPSG) (8/10)
Modifications to Goal on Reconciling Medication Information (1/11)
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Provision of Care, Treatment, and Services (PC) [NOTE: The PC chapter was replaced by the CTS chapter on 1/1/11]
Revised "Care, Treatment, and Services" Chapter (6/10)
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Performance Improvement (PI)
Deleted MOS and Scoring Categories (EC, IM, MM, PI, RC) (6/10)
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Record of Care, Treatment, and Services (RC)
Deleted MOS and Scoring Categories (EC, IM, MM, PI, RC) (6/10)
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Rights and Responsibilities of the Individual (RI)
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Waived Testing (WT)
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The Accreditation Process (ACC)
2010 Updates to Accreditation and Certification Decision Rules (8/09)
Shorter Time Frame for Second Survey Under the Early Survey Policy (9/09)
Correction to New Fraud and Abuse Accreditation Decision Rule (9/09)
Clarification on Conducting Extension Surveys (10/09)
Revision to the ESC Tool on Secure Extranet (10/09)
Decision Rule for Preliminary Denial of Accreditation Eliminated (12/09)
New Preliminary Denial of Accreditation Process (12/09)
2011 Accreditation and Certification Decision Rules (11/10)
Refined Accreditation and Certification Decision Categories (11/10)
Modification to Policy on Conducting a Full Survey Within 3 Years of a Full Survey (12/10)
Policy for Accreditation Status of Orgs That Temporarily Cease Provision of Services (12/10)
Revised Public Information Policy (1/11)
Revisions to the Review and Appeal Procedures for Adverse Decisions (8/11)
2012 Accreditation and Certification Decision Rules (9/11)
Revisions to 2012 Decision Rules for Contingent Accrediation (1/12)
Errata: Reinstated Decision Rule for Accreditation with Follow-Up Survey in 2012 (2/12)
Clarification re: Approved Laboratory Services in a Joint Commission-Accredited Primary Program (4/12)
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Standards Applicability Process (SAP)
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Sentinel Events (SE)
Suspension of "Automatic" Sentinel Event Adverse Decision (5/10)
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The Joint Commission Quality Report (QR)
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Simplifying Compliance Activities (SCA)
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Required Written Documentation (RWD)
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Early Survey Policy Option (ESP)
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