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

Inside Accreditation & Quality

- Volume

Issue

CMS memo puts focus on governing body’s role in quality assessment & performance improvement

April 11, 2023

Accreditation & Survey Preparation

CMS has significantly expanded its guidance to its state and regional surveyors, telling them to put more focus on governing bodies’ responsibility for quality assessment and performance improvement (...

Inside Accreditation & Quality

- Volume

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

- Volume

Issue

Q&A: Keeping staff aware of sharps safety in the laboratory

April 25, 2023

Infection Control, Workplace safety

Sharps safety is a perennial problem in the laboratory environment, and staff can become inured to the dangers that needles, syringes, and other sharps pose after dealing with them day in and day out....

Inside Accreditation & Quality

- Volume

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...

Inside Accreditation & Quality

- Volume

Issue

Have you considered artificial intelligence in credentialing?

May 30, 2023

Accreditation & Survey Preparation, Policies and Procedures

Artificial intelligence and machine learning present opportunities in the credentialing and enrollment processes within the healthcare industry. ...

Inside Accreditation & Quality

- Volume

Issue

Review emergency abortion protocols and educate staff as hospitals face EMTALA investigations

December 19, 2025

Accreditation & Survey Preparation

Establish an incident response team to handle decisions about high-risk pregnancy cases that may present dilemmas in your hospital’s emergency department (ED) as states continue to pass more restricti...

Inside Accreditation & Quality

- Volume

Issue

CMS deficiency statements lay out problems in case of woman denied abortion

June 13, 2023

Accreditation & Survey Preparation

In August 2022, a Joplin, Missouri, woman who was 17 weeks pregnant suffered a placental abruption, or loss of amniotic fluid, and sought care at a local hospital. When that hospital said it could not...

Inside Accreditation & Quality

- Volume

Issue

Worried about fake credentials? Review your primary source verification processes now

March 28, 2023

Accreditation & Survey Preparation, Patient Safety, Policies and Procedures

Recent news of more than 7,500 fraudulent nursing degrees being issued should serve as a shocking reminder for healthcare organizations to check their verification processes. ...

Inside Accreditation & Quality

- Volume

Issue

Anesthesiologist takes steps to reduce gas emissions in his practice and beyond

May 23, 2023

Accreditation & Survey Preparation

Use evidence-based reasoning to get more people, including clinicians, involved in environmental sustainability efforts in your healthcare system. ...

Inside Accreditation & Quality

- Volume

Issue

CMS continues to issue guidance on end of COVID-19 public health emergency

May 16, 2023

Accreditation & Survey Preparation

Discuss now how your hospital wants to handle COVID-19 vaccine requirements for staff once CMS ends the mandate, which was first established in late 2021 at the height of the public health emergency (...

CMS memo puts focus on governing body’s role in quality assessment & performance improvement

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

Q&A: Keeping staff aware of sharps safety in the laboratory

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

Have you considered artificial intelligence in credentialing?

Review emergency abortion protocols and educate staff as hospitals face EMTALA investigations

CMS deficiency statements lay out problems in case of woman denied abortion

Worried about fake credentials? Review your primary source verification processes now

Anesthesiologist takes steps to reduce gas emissions in his practice and beyond

CMS continues to issue guidance on end of COVID-19 public health emergency

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