May 2023 Newsletter

In the News This Month

Greetings everyone,

This month, we send our heartfelt thanks to all of our readers for all that you do to advance quality and safety in healthcare. Happy Hospital Week and Nurses Week!  Here is as sneak peek of our articles this month:

In healthcare, treatment plans are designed to effectively advance patients through hospitalization. It is important that they are individualized, focused, and patient-centered. Therefore, maintaining consistent compliance with treatment plans can be challenging.  Our first article, "Behavioral Health Treatment Plans", by Anne Kelly, Associate Consultant will review the Centers for Medicare and Medicaid Services (CMS) requirements of treatment planning as explained through the Interpretive Guidelines providing key considerations and observations from the field.

Also, last month The Joint Commission (TJC) published the Top TJC Deficiencies for 2022. This list is consistent with what has been published in previous years, so, why are we unable to eliminate these findings? Patricia Cook, Senior Consultant and Head of Consulting Services offers some strategies for finally conquering these issues and the commitment it will take to overcome them in her article, "What are the Top TJC Deficiencies and how can we overcome them?"

We hope you find these articles informative and helpful in assisting you with your ongoing regulatory readiness. Please feel free to reach out to us at with any topics you would like to see featured or for any service needs you may have.

Therapist interviewing patient for treatment plan

Apr 27 2023

Mental Health Treatment Plans
As George Harrison wrote in his song, Any Road, "…if you don't know where you're going, any road will take you there." In healthcare, treatment plans are directive roadmaps intended to effectively advance patients through hospitalization. Treatment plans create a pathway of individualized, focused, and patient-centered actions that reflect ...
Read More

About the Authors

Anne Kelly, EdD, BSN

Anne Kelly is an Associate Consultant with Courtemanche and Associates. In this role, she is responsible for assessing healthcare organizations’ readiness for licensing, accreditation, and regulatory compliance. Anne is trained in the survey process, auditing approach and survey outcome determination utilized by The Joint Commission, Centers for Medicare and Medicaid Services (CMS), and other regulatory agencies and accrediting organizations. She assists organizations with pre-survey, intra-survey and post-survey activitieseducation, patient safety strategies, and quality improvement initiatives.

With more than 30 years of clinical and leadership experience working in varying healthcare positions, Anne has held various Quality, Accreditation and Patient Safety leadership positions. As Chief Quality and Compliance Officer with Acadia Healthcare, a leading provider of Behavioral Health services in the United States, she led the enterprise-wide Corporate Compliance Program and quality initiatives.

Anne Kelly, EdD, BSN, Associate Consultant
Yellow caution sign with heads up.

Apr 27 2023

Top 2022 TJC Deficiencies and Potential Solutions in the Hospital Environment
Last month, The Joint Commission published the Top TJC Deficiencies for 2022. You probably looked at the list and thought, like I, "No surprises, same performance issues as years past."  But then my performance improvement training kicked in and challenged me to give this more thought. Why are we ...
Read More

Disclaimer: The information on this website is published in good faith for general information purposes only. This website does not make any warranties about the completeness, reliability and accuracy of this information.

The Joint Commission® is a registered trademark of Joint Commission on Accreditation of Healthcare Organizations. Courtemanche & Associates has no affiliation with this entity.

Courtemanche & Associates | (704)-573-4535 | Email:

Shopping Cart