Accreditation & Survey Preparation | .accreditationqualitycenter

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...

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. ...

Inside Accreditation & Quality

- Volume

Issue

Be prepared to discuss health equity efforts now that they are a National Patient Safety Goal

June 27, 2023

Accreditation & Survey Preparation

Remember health equity is now an NPSG and surveyors will want to discuss your hospital's ongoing plan. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Will policy, regulation issues stifle AI’s advances in healthcare?

December 19, 2025

Accreditation & Survey Preparation, Cybersecurity & Technology

While healthcare organizations are scrambling to understand how and where AI can best fit in, there’s a mad rush to figure out policy and regulations as well. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Pediatric NPs gain a new tool to strengthen mental healthcare for young patients

December 19, 2025

Accreditation & Survey Preparation, Behavioral & Mental Health, Healthcare Staff

The National Association of Pediatric Nurse Practitioners (NAPNAP) is launching NAPNAP Cares, with online continuing education (CE) courses designed to support pediatric-focused NPs and advanced pract...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CDC: Increase in hospitalizations involving fungal infection

December 19, 2025

Accreditation & Survey Preparation, Infection Control

Hospitalizations involving fungal infections increased 8.5% each year between 2019 and 2021, according to a new CDC analysis, and was driven primarily by hospitalizations of patients with COVID-19–ass...

Inside Accreditation & Quality

- Volume

Issue

Report to Congress: CMS hospital scorecards skewed by pandemic

June 20, 2023

Accreditation & Survey Preparation

As in past years, CMS is concerned about the number and severity of deficiencies found by accrediting organizations (AO) compared to those found during CMS validation surveys at the same hospitals sho...

Inside Accreditation & Quality

- Volume

Issue

CMS still pushing accrediting organizations to take tougher stance during surveys

June 20, 2023

Accreditation & Survey Preparation

Expect accrediting organizations (AO) to focus more on the physical environment, patient rights, infection control, governing body leadership, and anesthesia services. And also expect more condition-l...

Accreditation & Quality Compliance Advisor

- Volume

Issue

All surgical team members should participate in right-site, right-procedure, right-person time outs

June 13, 2023

Accreditation & Survey Preparation, Patient Safety

Tomorrow, June 14, is National Time Out Day, and The Joint Commission (TJC) and the Association of periOperative Registered Nurses (AORN) are urging all surgical team members to participate in pre-ope...

Healthcare Safety Leader

- Volume

Issue

Use environmental ligature risk assessments to get ahead of potential survey deficiencies

June 13, 2023

Accreditation & Survey Preparation, Behavioral & Mental Health

The prevention of suicide and other forms of patient self-harm continues to be a focus of CMS and accrediting organizations (AO). While CMS does not require an environmental risk assessment, the Accre...

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What do summer haircuts and TJC have in common?

Field review on new IC standards closing on July 5

Be prepared to discuss health equity efforts now that they are a National Patient Safety Goal

Will policy, regulation issues stifle AI’s advances in healthcare?

Pediatric NPs gain a new tool to strengthen mental healthcare for young patients

CDC: Increase in hospitalizations involving fungal infection

Report to Congress: CMS hospital scorecards skewed by pandemic

CMS still pushing accrediting organizations to take tougher stance during surveys

All surgical team members should participate in right-site, right-procedure, right-person time outs

Use environmental ligature risk assessments to get ahead of potential survey deficiencies

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