TJC Clarifies Leadership Responsibilities for Opioid Treatment Referral

PUBLISHED: Jul 23, 2019
Relevant to: Critical Access Hospitals, Hospitals

The Joint Commission recently clarified leadership responsibilities for identifying available opioid treatment programs for referral, as required by standard LD.04.03.13, EP 15. The intent of this requirement is to ensure that clinicians who are working with patients with identified or suspected opioid abuse/dependence have accurate, readily available information about available treatment programs in the community.

Organizational leaders can play a key role in ensuring that treatment program information is available for clinicians. Leaders should review processes to ensure that referral information is readily available and be aware that TJC surveyors will determine compliance with this requirement through interviews with leadership, staff, clinicians and patients and review of discharge and referral processes.

One excellent resource is the U.S. Substance Abuse and Mental Health Services Administration (SAMHSA) directory of opioid treatment programs. Clinicians can drill down by state and sort by location, program name, etc. to help identify organizations for referral.

Included with today’s notice is an example policy for an Opioid Stewardship Program which includes references to opioid treatment referrals.

Want to read the full alert and receive alert emails?

Browse Additional Alerts