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Accreditation & Quality Compliance Advisor
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From Mac’s Safety Space: You lift me up!?!

February 25, 2026
Accreditation & Survey Preparation
As I wander around the countryside visiting hospitals of all shapes and sizes, there are a few common challenges that seem to give just about everyone fits. And probably among the most common of commo...
Accreditation & Quality Compliance Advisor
- Volume
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From Mac's Safety Space: Uniformly clean

February 25, 2026
Accreditation & Survey Preparation
Reaching in once again to the viewer mailbag, we find a question regarding the laundering of staff uniforms. In this particular instance, this organization is moving from a business casual dress code ...
Accreditation & Quality Compliance Advisor
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How CMS penalizes hospitals for finding blood clots

February 25, 2026
Accreditation & Survey Preparation
When it comes to blood clots in surgical patients, "vigilant hospitals get penalized because [when] they look more, they find more. Their rankings look atrocious," says the author of a repor...
Accreditation & Quality Compliance Advisor
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From Mac’s Safety Space: Do we really hafta?

February 25, 2026
Accreditation & Survey Preparation
Recently I received a question from the field regarding whether employers are required to provide antibody testing at the conclusion of the Hepatitis B vaccine administration process. Now, this is an ...
Accreditation & Quality Compliance Advisor
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From Mac’s Safety Space: How many feet in a mile? How many square feet in a smoke compartment?

February 25, 2026
Accreditation & Survey Preparation
I recently came across a survey finding that I thought would be worth sharing with the class. In this particular survey, an organization was cited because it had not identified the square footage of t...
Accreditation & Quality Compliance Advisor
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Participate in our benchmarking survey!

February 25, 2026
Accreditation & Survey Preparation
For our final 2013 benchmarking survey and report, we decided to go back to our first year to see if one of our original surveys would benefit from and update so we could compare and contrast how thi...
Accreditation & Quality Compliance Advisor
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AHAP Staff Challenge: Environment of Care and Life Safety

February 25, 2026
Accreditation & Survey Preparation
The standards in the EC chapter are organized around some basic concepts. What are those concepts?...
Accreditation & Quality Compliance Advisor
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Q&A: Ongoing compliance success: Creating your action plan

February 25, 2026
Accreditation & Survey Preparation
Q: How should I approach monitoring and addressing compliance issues?...
Accreditation & Quality Compliance Advisor
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FTC issues compliant over lack of information security

February 25, 2026
Accreditation & Survey Preparation
The Federal Trade Commission (FTC) released a complaint against LabMD, Inc. The complaint alleging that a lack of information security was an unfair practice under Section 5 of the FTC Act. The compla...
Accreditation & Quality Compliance Advisor
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From Mac’s Safety Space: Many too many...high numbers

February 25, 2026
Accreditation & Survey Preparation
In looking through the ol’ e-mail bag, I received a request for info relative to what the “magic number” was to be able to “count” an influx exercise in compliance with t...

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  • News & Analysis
    • Accreditation & Quality Compliance Advisor
    • Mac's Safety Space
    • Inside Accreditation & Quality
    • Healthcare Safety Leader
    • Medical Environment Update
    • Patient Safety Monitor Journal
  • CMS Compliance Crosswalk
  • OSHA Program Manuals
  • Resources
    • Accreditation 101
    • Mock Tracers & Checklists
    • E-Books
    • Survey Training Essentials Toolkit
    • Webinars
    • Tools
  • Membership
    • Become a Member
    • Advisory Board
    • Sponsorship Opportunities
    • Contact Us
    • FAQ