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ARTICLES IN Inside Accreditation & Quality - VOLUME 6 ISSUE 4 - PRINT FULL ISSUE

Inside Accreditation & Quality

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Issue

Managing your primary source verification process

November 15, 2022

Accreditation & Survey Preparation, Policies and Procedures

Primary source verification (PSV) is required for confirming a practitioner’s identity before they join your organization. This can include checking with the practitioner’s listed training program to ...

Inside Accreditation & Quality

- Volume

Issue

Burnout: Tackling nursing's trifecta of challenges

November 22, 2022

Healthcare Staff

The healthcare system must find a way to provide the access to training for tens of thousands of would-be nurses. ...

Inside Accreditation & Quality

- Volume

Issue

Clean those glucometers and trash the household spoons in surgery

December 06, 2022

Accreditation & Survey Preparation, Infection Control

In the last few months, surveyors have been repeatedly tagging the failure to properly clean glucometers, and the use of common household items as surgical instruments. Both of these citations could p...

Inside Accreditation & Quality

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Issue

CMS offers some flexibilities, challenges for facility conversion to REH provider

December 13, 2022

Accreditation & Survey Preparation

Acute care hospitals in rural areas with 50 beds or less or facilities that qualify as critical access hospitals might want to consider converting to CMS’ newly outlined Rural Emergency Hospital provi...

Inside Accreditation & Quality

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Issue

Survey preparation: Areas to examine before surveyors arrive

December 20, 2022

Accreditation & Survey Preparation

Review your policies and procedures about spiking IV bags and block charting during rapid titration because the two largest accrediting organizations, The Joint Commission (TJC) and DNV Healthcare, ha...

Inside Accreditation & Quality

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Issue

TJC surveys continuing full steam ahead into the new year

December 27, 2022

Accreditation & Survey Preparation

While the COVID-19 public health emergency isn’t quite over, it’s becoming clear that surveys by The Joint Commission (TJC) have largely ramped back up to pre-pandemic levels. ...

Inside Accreditation & Quality

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Issue

Follow these tips for storing holiday decorations to avoid problems later

December 18, 2025

Accreditation & Survey Preparation, Fire & Life Safety

Decorations around the hospital can bring joy to patients and staff. But they also can bring citations from CMS, accrediting organizations, or the fire marshal’s office. Ensure that the next holiday g...

Inside Accreditation & Quality

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Issue

Keyes offers workshops on emergency preparedness, fire safety compliance

January 04, 2023

Accreditation & Survey Preparation

by A.J. Plunkett (aplunkett@decisionhealth.com) Brad Keyes, CHSP, a Life Safety Code® expert and longtime contributor to Healthcare Safety Leader, Healthcare Life Safety Compliance and other HCPro ...

Inside Accreditation & Quality

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Issue

ICYMI on AQCC: Measles alert, suicides remain high, TJC reapproved for psych program

April 18, 2023

Accreditation & Survey Preparation

Roundup: CDC issues measles alert, The Joint Commission reapproved to accredit psychiatric hospitals and suicide remains a leading cause of death. ...

Inside Accreditation & Quality

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Issue

COVID-19 public health emergency wrapping up? Mostly, but not everything

May 02, 2023

Accreditation & Survey Preparation

President Biden signed legislation ending the COVID-19 national emergency, and HHS is ending the public health emergency (PHE) declaration on May 11. However, there are still thousands of COVID-19 cas...

Managing your primary source verification process

Burnout: Tackling nursing's trifecta of challenges

Clean those glucometers and trash the household spoons in surgery

CMS offers some flexibilities, challenges for facility conversion to REH provider

Survey preparation: Areas to examine before surveyors arrive

TJC surveys continuing full steam ahead into the new year

Follow these tips for storing holiday decorations to avoid problems later

Keyes offers workshops on emergency preparedness, fire safety compliance

ICYMI on AQCC: Measles alert, suicides remain high, TJC reapproved for psych program

COVID-19 public health emergency wrapping up? Mostly, but not everything

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