Getting Ready for Joint Commission and CMS Health Equity Requirements

Recently, The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS) announced their commitment to driving health equity. These new requirements include the expansion of the collection, reporting and analysis of standardized data. Hospitals and health systems should prepare now to meet these new requirements. This webinar will cover the upcoming deadlines and reporting requirements for both Joint Commission and CMS reporting. It will also address how community health needs assessments can be used to set strategic direction for the requirements and offer additional resources to help hospitals get ready for the new requirements.

This material was prepared by Compass HQIC Network a Hospital Quality Improvement Contractor under contract with the Centers for Medicare & Medicaid Services (CMS), an agency of the U.S. Department of Health and Human Services (HHS). Views expressed in this material do not necessarily reflect the official views or policy of CMS or HHS, and any reference to a specific product or entity herein does not constitute endorsement of that product or entity by CMS or HHS. 12SOW Compass HQIC Network/Hospital Quality Improvement Contractor – [0240] – 12/15//2022.

Target Audience

Staff contributing to meeting Joint Commission and CMS health equity requirements including, but not limited to, CEOs, trustees, compliance, accreditation, social workers, case managers, quality and performance improvement, health information management, informatics, marketing/public relations, diversity equity and inclusion, and community health improvement.

Learning Objectives

  • Describe the new health equity-related requirements for the Joint Commission and CMS.
  • Assess hospital readiness to meet the new Joint Commission and CMS requirements.
  • Outline sources for data, including hospital community health needs assessments, for health equity reporting.
  • Describe how to assess and analyze your patients’ social risk factors and how these needs evolve over time.
Course summary
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Dr. Shawn Rossi, DHA, FACHE

Dr. Shawn Rossi serves as the vice president of communication and member engagement for the Mississippi Hospital Association, where she has served for over 20 years. She is a Fellow of the American College of Healthcare Executives and holds a doctorate in health administration from the University of Mississippi Medical Center. Dr. Rossi’s research focuses on community health improvement, investment and collaboration.


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