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ARTICLES IN Inside Accreditation & Quality - VOLUME 4 ISSUE 1 - PRINT FULL ISSUE

Accreditation & Quality Compliance Advisor

- Volume

Issue

Field review on new IC standards closing on July 5

July 01, 2023

Accreditation & Survey Preparation

The window to comment on four new infection prevention and control standards currently in field review is closing. ...

Mac's Safety Space

- Volume

Issue

What do summer haircuts and TJC have in common?

July 03, 2023

Accreditation & Survey Preparation

In reviewing the July issue of The Joint Commission’s Perspectives, the top story (if you will) deals with the ongoing reduction of standards and performance elements as we approach the Nirvana that i...

Inside Accreditation & Quality

- Volume

Issue

Survey survival: Act to correct deficiencies before team departs for smoother plan of correction

July 04, 2023

Accreditation & Survey Preparation

Have a plan of action to correct as many deficiencies as possible before the survey team leaves your facility, recommends a compliance manager at a Midwest hospital that was surveyed earlier this spri...

Healthcare Safety Leader

- Volume

Issue

CMS report to Congress, part two: Smoke barriers, emergency lighting, combustible storage all targets

July 04, 2023

Accreditation & Survey Preparation

A look this week at what CMS has targeted with Fire and Smoke Barriers, Essential Electrical Systems, Flammable and Combustible Storage, and Emergency Lighting. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Eight steps to ensuring a smooth transition between EHRs

February 11, 2026

Patient Safety, Policies and Procedures, Cybersecurity & Technology, Quality & Errors

EHR platforms are complex and costly and require a lot of planning to make sure they're a good fit for a health system. Here are 8 recommendations for organizations looking to transition from one EHR ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

The Exec: Cultural transformation key element of improving CMS Stars ranking

February 11, 2026

Accreditation & Survey Preparation

To improve the hospital’s CMS stars ranking, NewYork-Presbyterian Queens set a clear vision and the goal of wanting to be a regional center of excellence, says Chief Medical Officer Amir Jaffer, MD, M...

Patient Safety Monitor Journal

- Volume

Issue

Check hand sanitizer compliance now that COVID-19 PHE waivers have ended

February 11, 2026

Accreditation & Survey Preparation, Physical environment, Infection Control, Patient Safety

“Folks ended up installing additional dispensers wherever they felt the need—some of which made sense, some of which, not so much—and had as much on hand as they could get ahold of. Lots of folks ende...

Medical Environment Update

- Volume

Issue

Lab Safety Man: Get leadership to act on lab safety issues

February 11, 2026

Environment and Facilities, Laboratory Safety, Leadership & Finance, Workplace safety

As a lab safety professional, it can be frustrating to see safety issues go unattended, especially after they have been reported. The apparent roadblocks to solutions may be a lack of funds, busy or d...

Mac's Safety Space

- Volume

Issue

Mac's Safety Space: Critical Access versus Critical Mass

July 10, 2023

Accreditation & Survey Preparation

As promised last week, I wanted to take a few more moments of your time to look at the physical environment standards changes for folks managing things at critical access hospitals. ...

Inside Accreditation & Quality

- Volume

Issue

Dog days: Training, clear policies, and procedures needed when using K-9s in hospitals

July 11, 2023

Accreditation & Survey Preparation

Consider carefully if your facility wants to add K-9 teams to enhance security, especially if those dogs may be used in patient restraint. ...

Field review on new IC standards closing on July 5

What do summer haircuts and TJC have in common?

Survey survival: Act to correct deficiencies before team departs for smoother plan of correction

CMS report to Congress, part two: Smoke barriers, emergency lighting, combustible storage all targets

Eight steps to ensuring a smooth transition between EHRs

The Exec: Cultural transformation key element of improving CMS Stars ranking

Check hand sanitizer compliance now that COVID-19 PHE waivers have ended

Lab Safety Man: Get leadership to act on lab safety issues

Mac's Safety Space: Critical Access versus Critical Mass

Dog days: Training, clear policies, and procedures needed when using K-9s in hospitals

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