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Accreditation & Quality Compliance Advisor

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Issue

CMS issues maternal morbidity and COVID-19 worker vaccination reporting requirements

February 13, 2026

Accreditation & Survey Preparation, Workplace safety, Infection Control

CMS is adding a maternal morbidity quality measure as well as a reporting requirement on COVID-19 vaccination rates among hospital and long-term care hospital workers as part of a 2,295-page inpatient...

Inside Accreditation & Quality

- Volume

Issue

Delayed, not forgotten: TJC hiring extra surveyors to deal with backlog

February 13, 2026

Accreditation & Survey Preparation

The Joint Commission (TJC) is hiring almost twice as many new surveyors than usual this year to deal with a backlog of triennial surveys delayed because of the COVID-19 pandemic. The goal is that a...

Accreditation & Quality Compliance Advisor

- Volume

Issue

AIHA voices concerns about COVID-19 ETS

February 13, 2026

Accreditation & Survey Preparation, Natural & Manmade Disasters, Environment and Facilities, Infection Control

On July 27, AIHA (formerly the American Industrial Hygiene Association) revealed concerns about the federal COVID-19 emergency temporary standard (ETS) in a 13-page letter to the Occupational Safety a...

Accreditation & Quality Compliance Advisor

- Volume

Issue

AHA asks CMS to keep some 1135 waivers to help hospitals regain footing

July 30, 2021

Accreditation & Survey Preparation, Infection Control

The American Hospital Association is pushing for CMS to continue some COVID-19-related 1135 waivers after the official close of the pandemic to help hospitals recover. ...

Mac's Safety Space

- Volume

Issue

Making movies on location…

August 02, 2021

Environment and Facilities, Physical environment, Workplace safety

By Steve MacArthur, Hospital Safety Consultant One of the constants of any effective physical environment/safety program is the effort to ensure that folks at point-of-care/point-of-service are pro...

Patient Safety Monitor Journal

- Volume

Issue

Patient Safety Monitor Journal, August 2021

February 13, 2026

Patient Safety, Quality & Errors, Infection Control

Subscribers, download this month's full PSMJ newsletter Not a subscriber yet? Sign up for a Basic of Platinum membership to gain access to all Patient Safety Monitor Journal and Inside Accreditat...

Inside Accreditation & Quality

- Volume

Issue

Inside Accreditation and Quality, August 2021

February 13, 2026

Accreditation & Survey Preparation, Infection Control

Subscribers, download this month's full IAQ newsletter Not a subscriber yet? Sign up for a Basic of Platinum membership to gain access to all Patient Safety Monitor Journal and Inside Accreditati...

Inside Accreditation & Quality

- Volume

Issue

COVID-19 vaccines: CDC asks hospitals to offer shots at discharge

February 13, 2026

Accreditation & Survey Preparation, Infection Control

Include COVID-19 vaccination status as part of your emergency room triage and medical history, and educate clinicians on how to address vaccine hesitancy. The CDC is encouraging hospitals and urgen...

Inside Accreditation & Quality

- Volume

Issue

Tips on compliance, querying with National Practitioner Data Bank

February 13, 2026

Accreditation & Survey Preparation, Quality & Errors

The National Practitioner Data Bank (NPDB) was created to help hospitals vet physicians and keep problem physicians from traveling from hospital to hospital. Hospitals are required to check the NPDB w...

Inside Accreditation & Quality

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Issue

Beware these common problems with business occupancies

February 13, 2026

Accreditation & Survey Preparation, Environment and Facilities

Update your inspection, testing, and maintenance documentation and check your exit signs when preparing to host life safety surveyors from The Joint Commission (TJC) at your business occupancies. (For...

CMS issues maternal morbidity and COVID-19 worker vaccination reporting requirements

Delayed, not forgotten: TJC hiring extra surveyors to deal with backlog

AIHA voices concerns about COVID-19 ETS

AHA asks CMS to keep some 1135 waivers to help hospitals regain footing

Making movies on location…

Patient Safety Monitor Journal, August 2021

Inside Accreditation and Quality, August 2021

COVID-19 vaccines: CDC asks hospitals to offer shots at discharge

Tips on compliance, querying with National Practitioner Data Bank

Beware these common problems with business occupancies

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