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

Inside Accreditation & Quality

- Volume

Issue

CMS releases its final guidance for hospitals with co-located services

February 11, 2026

Accreditation & Survey Preparation, Policies and Procedures

If your hospital or its satellite buildings are co-located with other healthcare facilities, you now face slightly fewer requirements than first proposed for ensuring compliance with acute care Medica...

Inside Accreditation & Quality

- Volume

Issue

Vary your fire drills because surveyors will be checking

February 11, 2026

Natural & Manmade Disasters, Fire & Life Safety

Vary the start time of your quarterly fire drills by at least an hour on each shift because surveyors will be checking. And beware of establishing a pattern of scheduling drills because both The Jo...

Inside Accreditation & Quality

- Volume

Issue

All hazards planning: What to do when the earth shakes and water fails

February 11, 2026

Accreditation & Survey Preparation

Located in the Mojave Desert, Ridgecrest Regional Hospital in Ridgecrest, California, is a critical access hospital that is closer to Las Vegas than it is a major earthquake fault line. Still, there h...

Inside Accreditation & Quality

- Volume

Issue

Federal rules on vaccinations supersede state or local orders

February 11, 2026

Policies and Procedures, Infection Control, Quality & Errors

The new, temporarily suspended CMS interim final rule (IFR) that requires staff vaccinations against COVID-19 will supersede state or local laws or orders that prevent vaccine mandates, notes Marge Mc...

Inside Accreditation & Quality

- Volume

Issue

Inside Accreditation & Quality, January 2022

February 11, 2026

Accreditation & Survey Preparation

Subscribers, download this month's full IAQ newsletter Not a subscriber yet? Sign up for a Basic of Platinum membership to gain access to all Patient Safety Monitor Journal and Inside Accreditati...

Inside Accreditation & Quality

- Volume

Issue

Governing boards, physical environment among concerns CMS reports to Congress

February 11, 2026

Accreditation & Survey Preparation, Physical environment

In 2022, CMS plans to restart its pilot project to improve validation surveys but is likely to continue pressure on accrediting organizations (AO) to be more vigilant in finding deficiencies in physic...

Inside Accreditation & Quality

- Volume

Issue

TJC launches into 2022 with new EM standards, other changes

February 11, 2026

Accreditation & Survey Preparation, Environment and Facilities, Physical environment, Workplace safety

The Joint Commission (TJC) ended the year with a flurry of reminders about new and revised standards for 2022, many of which had either been announced before or were otherwise expected. They includ...

Inside Accreditation & Quality

- Volume

Issue

Double check infection control and fire safety with onsite laundry rooms

January 18, 2022

Accreditation & Survey Preparation

Check manufacturer’s instructions for use (IFU) as well as nationally recognized standards when updating your policy on the regular maintenance and cleaning of washing machines and dryers used for pat...

Inside Accreditation & Quality

- Volume

Issue

First TJC, now CMS: Maternal health getting even more national focus

January 25, 2022

Accreditation & Survey Preparation

CMS is taking up the mantle along with The Joint Commission (TJC) to improve the safety of maternity patients who are at risk for pregnancy and postpartum complications. ...

Inside Accreditation & Quality

- Volume

Issue

Review your COVID-19 staff vaccine plan against CMS memo

February 01, 2022

Accreditation & Survey Preparation

Depending on what state your hospital or healthcare system is in and when you face your regularly scheduled survey, you might have weeks or only days to come into compliance with CMS’ interim final ru...

CMS releases its final guidance for hospitals with co-located services

Vary your fire drills because surveyors will be checking

All hazards planning: What to do when the earth shakes and water fails

Federal rules on vaccinations supersede state or local orders

Inside Accreditation & Quality, January 2022

Governing boards, physical environment among concerns CMS reports to Congress

TJC launches into 2022 with new EM standards, other changes

Double check infection control and fire safety with onsite laundry rooms

First TJC, now CMS: Maternal health getting even more national focus

Review your COVID-19 staff vaccine plan against CMS memo

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