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

Inside Accreditation & Quality

- Volume

Issue

Keep stock of masks and ventilators: Public health emergency to end but COVID-19 cases will continue

March 07, 2023

Accreditation & Survey Preparation

Be prepared for COVID-19 cases to increase in number and potentially severity if the general public becomes too lax in vaccination, testing, and using precautions once the public health emergency (PHE...

Inside Accreditation & Quality

- Volume

Issue

Use ACHC survey report to work toward sustained patient safety

March 14, 2023

Accreditation & Survey Preparation

For ambulatory surgery centers (ASC) accredited by the Accreditation Commission for Health Care (ACHC), personnel records, governing body oversight of contractors, generator testing, and emergency pre...

Inside Accreditation & Quality

- Volume

Issue

ACHC reports top-cited credentialing, medical staff standards

March 13, 2023

Accreditation & Survey Preparation, Policies and Procedures

Ambulatory surgery centers (ASC) accredited by the Accreditation Commission for Health Care (ACHC) are once again being reminded that they must have a completed credentials file for every practitioner...

Inside Accreditation & Quality

- Volume

Issue

Hospice interpretive guidelines revised, but still waiting on hospital update

March 21, 2023

Accreditation & Survey Preparation

CMS has revised and updated its State Operations Manual (SOM), Appendix M, on interpretive guidelines for hospice Conditions of Participation (CoP) as well as surveyor training for hospice inspectors....

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

Review environmental assessments for patient self-harm as TJC continues to press on suicide risk

April 04, 2023

Accreditation & Survey Preparation, Behavioral & Mental Health

Surveyors are being trained to spot problems with environmental risk assessments required under National Patient Safety Goal 15. ...

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...

Keep stock of masks and ventilators: Public health emergency to end but COVID-19 cases will continue

Use ACHC survey report to work toward sustained patient safety

ACHC reports top-cited credentialing, medical staff standards

Hospice interpretive guidelines revised, but still waiting on hospital update

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

Review environmental assessments for patient self-harm as TJC continues to press on suicide risk

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

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