Run Joint Commission Behavioral Health Tracer Preparation — Free

Audit Details

Tracer type selected

Identify the tracer being performed.

Unit, program, or service line identified

Document the behavioral health unit, program, or service line reviewed.

Tracer date and time

Record when the mock tracer was completed.

Surveyor or reviewer name

Name of the internal reviewer conducting the tracer.

Record reviewed and patient identifier masked

Document the record reviewed using a masked identifier only.

Assessment and Admission Documentation

Initial behavioral health assessment completed within required timeframe critical (required)

Verify the initial assessment was completed within organizational policy and applicable standards.

Yes No N/A

Assessment includes presenting problem, risk factors, and protective factors critical (required)

Confirm the assessment documents presenting concerns, suicide or self-harm risk, violence risk, and protective factors as applicable.

Yes No N/A

Mental status exam and clinical observations documented

Check that the mental status exam and relevant clinical observations are present and complete.

Yes No N/A

Medical history, medication history, and allergies documented

Verify history, current medications, and allergies are documented and reconciled where applicable.

Yes No N/A

Assessment supports level of care and immediate safety needs critical (required)

Confirm the assessment supports the selected level of care and identifies immediate safety interventions when needed.

Yes No N/A

Treatment Planning and Care Coordination

Treatment plan is individualized and based on assessment findings critical (required)

Verify the plan reflects the patient’s assessed needs, goals, and risks rather than generic language.

Yes No N/A

Goals are measurable and time-bound

Confirm treatment goals include observable outcomes, target dates, or review intervals.

Yes No N/A

Interventions match identified diagnoses or problem statements

Check that interventions are clinically aligned with the documented diagnoses, risks, and priorities.

Yes No N/A

Patient participation or refusal documented

Verify the record shows patient involvement, consent, or refusal to participate in treatment planning as applicable.

Yes No N/A

Interdisciplinary coordination documented

Confirm communication with psychiatry, nursing, therapy, case management, or external providers is documented when relevant.

Yes No N/A

Documentation Timeliness and Record Integrity

Progress notes entered within policy timeframe critical (required)

Verify progress notes are completed within the organization’s required documentation window.

Yes No N/A

Late entries and corrections are clearly labeled

Check that late entries, addenda, and corrections are dated, timed, and labeled according to policy.

Yes No N/A

Required signatures and credentials present critical (required)

Confirm notes, assessments, and plans include the author’s signature, credentials, and authentication as required.

Yes No N/A

Documentation is internally consistent across disciplines

Verify there are no conflicting dates, goals, risk statements, or care instructions across the record.

Yes No N/A

Missing documentation items identified

Select any missing or incomplete documentation elements found during the tracer.

Note (optional)

Findings and Corrective Actions

Deficiencies documented with clear evidence critical (required)

Summarize each deficiency or non-conformance with objective evidence from the tracer.

Immediate risk items escalated critical (required)

Confirm any critical safety or compliance issues were escalated per policy.

Yes No N/A

Corrective action owner and due date assigned

Document the responsible owner and target completion date for each corrective action.

Reviewer Attestation

Reviewer signature critical (required)

Signature of the internal reviewer completing the tracer.

Get your results

Enter your email — we'll send you a PDF of your filled-out template, plus the occasional MangoScoop newsletter (templates, workflow tips, product updates). Unsubscribe anytime — link is in every email.

Email (required)

Your name (optional)

Run: Joint Commission Behavioral Health Tracer Preparation

Audit Details

Assessment and Admission Documentation

Treatment Planning and Care Coordination

Documentation Timeliness and Record Integrity

Findings and Corrective Actions

Reviewer Attestation

Get your results