The BHC standards address three essential leadership responsibilities: planning, management and control. Organizations are expected to implement both long-range and short-range planning which encompass requirements of the standards. The TIER® Workflow System Manual is designed to be cross-referenced with portions of an organization’s Operational Plan for Services to assist organizations with development of their continuum of care, service design and service delivery process. The manual describes the Service Delivery function as well as Human Resources, Environmental Management and Quality Management functions. In addition, outlines are provided for development of the component environmental management plans required by JCAHO.

Organizations must also establish operational management processes to implement planning requirements. These processes include policies and procedures, various record systems, minutes and reports related to implementation of the BHC functions. To support the planning and management processes, organizations also must establish a comprehensive and systematic process to measurement and evaluate organizational performance including outcome measurement of services, goals and objectives.

The TIER® Workflow System is an enterprise software system comprised of four modules and a billing accounts receivable package. Its design requirements targeted accreditation compliance as well as attention to “ease of use” for end users. TIER® Workflow is designed to help organizations achieve and maintain compliance with the BHC standards and to do so with minimal use of staff time. This is accomplished via TIER’s® multiple methods for data collection, analysis and measurement related to service delivery, human resources, environmental management, and quality management modules.

Each TIER® Module includes forms for data entry, analysis, and reporting that encompass key documentation requirements of the BHC functions. The comparison matrix on the following pages lists TIER® forms, and report related to standards for each BHC function.

Use of this matrix can assist organizations with presurvey preparation activities including periodic performance reviews (PPR) . The list can be shared with the JCAHO surveyor(s) at time of survey as a guide to help navigate source documents during compliance review. Organizations can expand the matrix to incorporate the additional forms and reports that they create within TIER® once installed.