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Inside Accreditation & Quality

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CMS deficiency statements lay out problems in case of woman denied abortion

June 13, 2023

Accreditation & Survey Preparation

In August 2022, a Joplin, Missouri, woman who was 17 weeks pregnant suffered a placental abruption, or loss of amniotic fluid, and sought care at a local hospital. When that hospital said it could not...

Accreditation & Quality Compliance Advisor

- Volume

Issue

COVID vaccinations officially not required

May 31, 2023

Accreditation & Survey Preparation

CMS issued a final rule May 31 officially rescinding the regulatory requirement to vaccinate healthcare staff in hospitals and other health organizations against the COVID-19 virus. ...

Inside Accreditation & Quality

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Issue

Review emergency abortion protocols and educate staff as hospitals face EMTALA investigations

December 19, 2025

Accreditation & Survey Preparation

Establish an incident response team to handle decisions about high-risk pregnancy cases that may present dilemmas in your hospital’s emergency department (ED) as states continue to pass more restricti...

Healthcare Safety Leader

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Issue

Life safety, physical environment dominate problems found by CMS in validation surveys

June 06, 2023

Accreditation & Survey Preparation

If you have seen accrediting organizations get tougher in the last few years on physical environment deficiencies, be forewarned: It’s likely to get worse. ...

Mac's Safety Space

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Issue

Mac’s Safety Space: What is required by code or regulation…

June 05, 2023

Accreditation & Survey Preparation

As I think has been established, when it comes to the vehicle of compliance (particularly as a function of sustainability), the color palette is very much an infinite set of shady grayness. ...

Inside Accreditation & Quality

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Have you considered artificial intelligence in credentialing?

May 30, 2023

Accreditation & Survey Preparation, Policies and Procedures

Artificial intelligence and machine learning present opportunities in the credentialing and enrollment processes within the healthcare industry. ...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: Better late than never—CMS is still keeping score!

May 29, 2023

Accreditation & Survey Preparation

In years past, the term-ending grades for the various accreditation organizations have been transmitted to Congress in the late fall/early winter (the winter portion depends on where you are), but for...

Patient Safety Monitor Journal

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Part 1: Heidi Raines on sustaining a culture of safety

December 19, 2025

Accreditation & Survey Preparation

Creating and sustaining a culture of safety has been a challenge for many healthcare organizations, but the objective value in having one can’t be overstated. Organizations like the Institute for Heal...

Healthcare Safety Leader

- Volume

Issue

Check your latches and labels: Surveyors focusing on fire doors

May 23, 2023

Accreditation & Survey Preparation, Fire & Life Safety

Check all fire doors to ensure they latch properly and that labels on the fire door assemblies are legible. ...

Inside Accreditation & Quality

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Anesthesiologist takes steps to reduce gas emissions in his practice and beyond

May 23, 2023

Accreditation & Survey Preparation

Use evidence-based reasoning to get more people, including clinicians, involved in environmental sustainability efforts in your healthcare system. ...

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CMS deficiency statements lay out problems in case of woman denied abortion

COVID vaccinations officially not required

Review emergency abortion protocols and educate staff as hospitals face EMTALA investigations

Life safety, physical environment dominate problems found by CMS in validation surveys

Mac’s Safety Space: What is required by code or regulation…

Have you considered artificial intelligence in credentialing?

Mac’s Safety Space: Better late than never—CMS is still keeping score!

Part 1: Heidi Raines on sustaining a culture of safety

Check your latches and labels: Surveyors focusing on fire doors

Anesthesiologist takes steps to reduce gas emissions in his practice and beyond

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