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

Inside Accreditation & Quality

- Volume

Issue

CMS still working on updating State Operations Manual despite recent revision

September 19, 2023

Accreditation & Survey Preparation

The date on the most recent edition of CMS State Operations Manual, Appendix A, now says it was revised as of July 21, 2023. But the latest update only involved one section. ...

Inside Accreditation & Quality

- Volume

Issue

Executive Briefing 2023: TJC to increase focus on health equity, environmental sustainability, and staff support

September 26, 2023

Accreditation & Survey Preparation

In the coming year, hospitals accredited by The Joint Commission will see more on-site complaint surveys, plus more focus on their progress regarding health equity and environmental sustainability. Bu...

Inside Accreditation & Quality

- Volume

Issue

Executive Briefing 2023: TJC crafts certification for environmental sustainability

December 18, 2025

Accreditation & Survey Preparation

Environmentally sustainable healthcare is not only a patient safety issue but can also save hospitals money in the long run, said executives with The Joint Commission (TJC) in introducing a new certif...

Inside Accreditation & Quality

- Volume

Issue

AAAHC toolkit highlights importance of credentialing and privileging in ASCs

December 18, 2025

Accreditation & Survey Preparation

To assist organizations in improving their credentialing and privileging processes, the Accreditation Association for Ambulatory Health Care (AAAHC) has released an updated version of its Credentialin...

Inside Accreditation & Quality

- Volume

Issue

Strengthen ePHI authentication and access standards

October 16, 2023

Cybersecurity & Technology

Robust authentication processes are often the first line of defense against cyberthreats. The June 2023 Office for Civil Rights (OCR) Cybersecurity newsletter emphasizes the importance of strong authe...

Inside Accreditation & Quality

- Volume

Issue

Telehealth and HIPAA: Best practice guidance for vigilant compliance

October 23, 2023

Cybersecurity & Technology

by Dom Nicastro In an era where digital transformation is reshaping industries, the healthcare sector finds itself at the crossroads of innovation and privacy. Telehealth, a symbol of this transfor...

Inside Accreditation & Quality

- Volume

Issue

Situational awareness is fundamental to high reliability

October 30, 2023

What is meant by the phrase “supporting situational awareness”? It’s simple: Healthcare leaders must understand the critical link between situational awareness and clinical decision-making. ...

Inside Accreditation & Quality

- Volume

Issue

Be Ready for the Unannounced Survey Process

October 30, 2023

Accreditation & Survey Preparation, Fire & Life Safety, Physical environment

As the result of a CMS directive, unannounced surveys for organizations started in 2006. If you are undergoing a deemed status survey, your visit will be unannounced except in certain circumstances, s...

Inside Accreditation & Quality

- Volume

Issue

Mock tracer for waived testing

December 18, 2025

Accreditation & Survey Preparation

Safety concerns and potential for erroneous errors have made the Waived Testing (WT) chapter a common area of focus for surveyors during patient tracers. Surveyors will observe staff while performing ...

Inside Accreditation & Quality

- Volume

Issue

Beware of category 3: TJC executive offers update on sterile compounding requirements, Part 1

November 07, 2023

Accreditation & Survey Preparation

The clinical director of The Joint Commission’s (TJC) Standards Interpretation Group is warning hospitals that one of the greatest risks for noncompliance under revisions to U.S. Pharmacopeia (USP) &l...

CMS still working on updating State Operations Manual despite recent revision

Executive Briefing 2023: TJC to increase focus on health equity, environmental sustainability, and staff support

Executive Briefing 2023: TJC crafts certification for environmental sustainability

AAAHC toolkit highlights importance of credentialing and privileging in ASCs

Strengthen ePHI authentication and access standards

Telehealth and HIPAA: Best practice guidance for vigilant compliance

Situational awareness is fundamental to high reliability

Be Ready for the Unannounced Survey Process

Mock tracer for waived testing

Beware of category 3: TJC executive offers update on sterile compounding requirements, Part 1

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