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ARTICLES IN Accreditation & Quality Compliance Advisor - VOLUME 18 ISSUE 16

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS updates its surveyor’s manual for first time in more than a year

December 20, 2025

Accreditation & Survey Preparation

Just in time for the holidays, CMS is offering the gift of a newly revised State Operations Manual (SOM), one of the first significant overhauls in more than a year, especially for hospitals. Expect u...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Asymptomatic Carriers of C. Diff May Be Significant Source of Infection at Hospitals

December 20, 2025

Infection Control, Patient Safety

In the hospital setting, screening for asymptomatic carriers of Clostridioides difficile (C. diff) at the time of admission could reduce infection rates, a study published this week says. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

IHI Pushes Safety as a Primary Business Strategy

December 20, 2025

Leadership & Finance, Policies and Procedures, Quality & Errors

Hospital leaders must adopt safety and quality as primary business strategies, rather than regarding them as tertiary metrics that rank below finances and other stressors on the C suite’s list of top ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

BD Launches Fully Sterile Surgical Skin Preparation

December 20, 2025

Infection Control

As our understanding of factors leading to infection has evolved, so have antiseptics and aseptic technique. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Joint Commission Portal Addresses Nurse Burnout

December 20, 2025

Quality & Errors, Accreditation & Survey Preparation, Healthcare Staff

It’s not a new problem. According to a 2016 study from the Mayo Clinic, at least 15%–20% of adults in the U.S. report high levels of stress. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Q&A: What You Need to Know About CMS’ Antimicrobial Stewardship Rule

December 20, 2025

Accreditation & Survey Preparation, Infection Control, Quality & Errors

The following is a Q&A with two experts at Chicago-based Lumere, a healthcare think tank focused on helping health systems eliminate medical errors and cut unnecessary costs. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Hospitals Might Get Penalized by CMS for Serving Disadvantaged Patients

December 20, 2025

Patient Safety, Policies and Procedures, Quality & Errors, Accreditation & Survey Preparation

The study found that the CMS rating system does not account for social risk factors (SRF) and as a result, provider organizations could be judged on “social factors outside of their control.” ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Study: More Docs Involved in Patient Care Means Longer Hospital Stays

December 20, 2025

Quality & Errors

For every additional doctor involved in a patient’s care, patients will stay nearly an extra day in the hospital. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

TJC clarifies 1135 waivers, which suspend rules during a disaster

December 20, 2025

Accreditation & Survey Preparation, Natural & Manmade Disasters

Joint Commission–accredited hospitals and CAHs must have a process for requesting an 1135 waiver from CMS ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

OSHA Raises Its Civil Penalties for 2020 by Nearly 2%

December 20, 2025

Environment and Facilities, Policies and Procedures

The new penalty amounts take effect immediately, applying to any penalties assessed after January 15. ...

CMS updates its surveyor’s manual for first time in more than a year

Asymptomatic Carriers of C. Diff May Be Significant Source of Infection at Hospitals

IHI Pushes Safety as a Primary Business Strategy

BD Launches Fully Sterile Surgical Skin Preparation

Joint Commission Portal Addresses Nurse Burnout

Q&A: What You Need to Know About CMS’ Antimicrobial Stewardship Rule

Hospitals Might Get Penalized by CMS for Serving Disadvantaged Patients

Study: More Docs Involved in Patient Care Means Longer Hospital Stays

TJC clarifies 1135 waivers, which suspend rules during a disaster

OSHA Raises Its Civil Penalties for 2020 by Nearly 2%

Resource/w tools selected

STET CMS & tools

OSHA Dental Facilities Update - November 2023

OSHA Medical Facilities Update - November 2023

Tab 2, Medical Facilities OSHA Manual- August 2023

Tab 2, Dental Facility OSHA Manual- August 2023

Chapter 2: Chapter Format and Tracer Planning