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

Inside Accreditation & Quality

- Volume

Issue

Extended reappointment periods: A look at the changing landscape of physician evaluation

January 30, 2024

Accreditation & Survey Preparation

Happy one-year anniversary of The Joint Commission’s move to update its time frame for evaluating licensed practitioners’ ability to provide care, treatment, and services from two years to three years...

Inside Accreditation & Quality

- Volume

Issue

ACHC highlights cited deficiencies at ambulatory surgery centers

February 12, 2024

Accreditation & Survey Preparation

Ambulatory surgery centers (ASC) accredited by the Accreditation Commission for Health Care (ACHC) are being reminded of the importance of having complete documentation in patients’ medical records. ...

Inside Accreditation & Quality

- Volume

Issue

Inside CMS validation surveys: Strategies for consistent healthcare quality

December 18, 2025

Accreditation & Survey Preparation, Quality & Errors

With the advent of side-by-side validation surveys, healthcare accreditation leaders have quickly realized that they need to be thoroughly prepared for all types of surveys every day, now more than ev...

Inside Accreditation & Quality

- Volume

Issue

Quality review: Most frequent ACHC deficiencies fall under infection control

February 26, 2024

Accreditation & Survey Preparation, Infection Control

Almost 90% of hospitals surveyed by the Accreditation Commission for Health Care (ACHC) between June 1, 2022, and May 31, 2023, were cited for deficiencies under one of the accrediting organization’s ...

Inside Accreditation & Quality

- Volume

Issue

A patient complaint investigation is likely—what are your first steps?

December 18, 2025

Accreditation & Survey Preparation

If you have reason to believe your hospital may be subject to a complaint investigation by your accrediting organization (AO) or CMS, the best strategy is to be prepared with documentation, including ...

Inside Accreditation & Quality

- Volume

Issue

Transforming survey preparation efficiency, resource allocation

March 19, 2024

Accreditation & Survey Preparation

CMS’ State Operations Manual, Appendix A, offers interpretive guidelines for its own state surveyors and generally has been held as the guide for all the accrediting bodies. It outlines the tasks that...

Inside Accreditation & Quality

- Volume

Issue

CMS reopens goal to strengthen federal oversight of accrediting organizations

December 18, 2025

Accreditation & Survey Preparation

CMS officials are calling for more federal oversight of accrediting organizations (AO) due to unhappiness with patient safety mistakes they learn about from the news media and with problems identified...

Inside Accreditation & Quality

- Volume

Issue

CMS says texting of orders is OK, as long as security rules followed

December 18, 2025

Accreditation & Survey Preparation, Cybersecurity & Technology

Effective immediately, CMS says texting of patient information and of patient orders is permissible—with some caveats. In a memo to CMS state survey agency directors on February 8, CMS noted that due ...

Inside Accreditation & Quality

- Volume

Issue

ACHC reports often-cited standards at acute care, critical access hospitals

March 04, 2024

Accreditation & Survey Preparation

The Accreditation Commission for Health Care’s (ACHC) recent Quality Review Edition of its publication The Surveyor for acute care hospitals and critical access hospitals (CAH) examined the most frequ...

Inside Accreditation & Quality

- Volume

Issue

Strategic tips for overcoming high-pressure challenges in hospital accreditation

April 23, 2024

Accreditation & Survey Preparation

Hospital accreditation leaders must exhibit a blend of resourcefulness, strategic project management, interpersonal acumen, and strong commitment to detail. This month, we’ve compiled a collection of ...

Extended reappointment periods: A look at the changing landscape of physician evaluation

ACHC highlights cited deficiencies at ambulatory surgery centers

Inside CMS validation surveys: Strategies for consistent healthcare quality

Quality review: Most frequent ACHC deficiencies fall under infection control

A patient complaint investigation is likely—what are your first steps?

Transforming survey preparation efficiency, resource allocation

CMS reopens goal to strengthen federal oversight of accrediting organizations

CMS says texting of orders is OK, as long as security rules followed

ACHC reports often-cited standards at acute care, critical access hospitals

Strategic tips for overcoming high-pressure challenges in hospital accreditation

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