From Mac’s Safety Space: Take this leaking boat (with apologies to The Swell Season)

February 13, 2026

Accreditation & Quality Compliance Advisor

- Volume

Issue

As I was cruising through the updated State Operations Manual from CMS, I happened upon something that I can honestly say I’d not really “seen” before. And so, I direct you to a paragraph from the guidance provided to surveyors conducting CMS surveys.

Read on.

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Found in Categories:

Accreditation & Survey Preparation

Accrediting organizations suspend most survey activities to focus on COVID-19

March 18, 2020

Accreditation & Survey Preparation, Infection Control

If you are expecting a survey from your accreditation organization (AO) in the upcoming weeks and months, check in with your liaison. Some AOs are suspending most or all survey activities as COVID-19 ...

Inside Accreditation & Quality

- Volume

Issue

Verma raps accrediting organizations’ ‘glaring conflict of interest’

February 13, 2026

Accreditation & Survey Preparation

Centers for Medicare & Medicaid Services Administrator Seema Verma took a swipe at accrediting organizations, noting that when they accept consulting fees from the hospitals they grade it creates ...

Patient Safety Monitor Journal

- Volume

Issue

The Joint Commission seeks to reduce maternal deaths

March 24, 2020

Patient Safety, Policies and Procedures, Accreditation & Survey Preparation

The Joint Commission (TJC) has issued guidance and an alert to hospitals to help prevent what it calls a shocking number of women who die from typically preventable pregnancy complications. The acc...

Inside Accreditation & Quality

- Volume

Issue

You be the surveyor, April 2020

March 24, 2020

Accreditation & Survey Preparation

What deficiencies would you cite and why? And how would you correct them? You be the surveyor. The following information was taken from a CMS Form-2567 “Statement of Deficiencies” posted online ...

Patient Safety Monitor Journal

- Volume

Issue

Coronavirus and preparing for the worst

February 13, 2026

Accreditation & Survey Preparation, Natural & Manmade Disasters, Infection Control

Preparing for a worldwide pandemic, especially when you don’t know how fast it will spread or how serious its consequences will be, is one of the hardest things that healthcare workers do. ...