Administrative Overview

Academic Policies

Administrative Policies

Employee Policies

Accreditation Bodies/JCAHO (Joint Commission on Accreditation of Healthcare Organizations)

1.0    Purpose

To establish a policy and procedure that describes the accreditation bodies such as JCAHO for facilities that must be accredited as prescribed by the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and its accompanying regulations.

2.0    Revision History

Date Version Change Ref Section
3/26/2003 1.0 New Document  
10/13/2015 1.1 Minor Revisions  

3.0    Units and Persons Affected


4.0    Policy

SUNY does not interpret our relationship as that of a business associate.

Accreditation requirements are still under consideration. If the requirement for business associate contracts with accreditors is not eliminated, the JCAHO will provide a uniform business associate addendum to its accreditation agreement for health care organizations. The JCAHO is continuing to strongly urge

5.0    Definitions

JCAHO: Joint Commission on Accreditation of Healthcare Organizations.

6.0    Responsibilities


7.0    Procedures 

None at this time

Contact Information

For more information about Administrative Policies approved by Executive Council, please contact:

Sean Brian Dermody
Assistant to the Vice President for Administration
Management Services Office
Office: Kehoe 710-11
Phone: (518) 564-2539
Fax: (518) 564-2540