Accreditation & Survey Preparation | .accreditationqualitycenter

Mac's Safety Space

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Issue

Mac’s Safety Space: If you don’t think worker safety matters when it comes to accreditation…

May 22, 2023

Accreditation & Survey Preparation

If one accepts that one of the fundamental goals of the accreditation survey process is to generate findings, there is no reason to think that frequently cited standards, etc., by other organizations ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS restarting pilot project putting agency surveyors side-by-side with AO teams

May 11, 2023

Accreditation & Survey Preparation

Surveyors from CMS could start appearing along with survey teams from each accrediting organization as the federal agency resumes its full AO validation survey program. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Changes to CAH standards allow for unified medical staff, hearings and appeal process in bylaws

December 19, 2025

Accreditation & Survey Preparation

Critical access hospitals (CAH) that are accredited by The Joint Commission (TJC) will now have the option to create a single, unified medical staff if they are part of a multihospital system. TJC has...

Patient Safety Monitor Journal

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Issue

Antimicrobial resistance: A danger that crosses borders and species

December 19, 2025

Accreditation & Survey Preparation, Physical environment, Infection Control, Quality & Errors

No single healthcare facility will beat antimicrobial resistance (AMR) alone—nor will one industry, field, or even country. To prevent a world where AMR infections become the norm requires cooperation...

Inside Accreditation & Quality

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Issue

CMS continues to issue guidance on end of COVID-19 public health emergency

May 16, 2023

Accreditation & Survey Preparation

Discuss now how your hospital wants to handle COVID-19 vaccine requirements for staff once CMS ends the mandate, which was first established in late 2021 at the height of the public health emergency (...

Mac's Safety Space

- Volume

Issue

Mac's Safety Space: If it ain’t over ‘til it’s over…

May 15, 2023

Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant Can you get over something that’s not over? I think this one will be relatively brief (as I always do), so we’ll see how far this takes us… On M...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS investigates two hospitals who refused woman an abortion

May 03, 2023

Accreditation & Survey Preparation

Two hospitals who refused to provide abortion services to a woman who was 17 weeks pregnant but faced life-threatening conditions after her amniotic fluid had drained are under investigation by CMS, a...

Healthcare Safety Leader

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Issue

New CMS waiver will allow hospitals to use micro electrical grids as backup power

May 09, 2023

Accreditation & Survey Preparation

Consider using a healthcare microgrid system (HCMS) for your facility’s required emergency electrical backup to lifesaving systems now that CMS has approved a new categorical waiver. The alternative e...

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: Safety risk inclusivity – Doing the math in your head

May 08, 2023

Accreditation & Survey Preparation

It seems there is a movement afoot in the surveyor ranks to try to identify processes that have been in place so long that the results of any risk assessment are likely fossilized, or to find conditio...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Counting will resume for minimums for ventricular assist device procedures at end of PHE

April 26, 2023

Accreditation & Survey Preparation

For hospitals with cardiac programs that include performing ventricular assist device (VAD) implants, The Joint Commission (TJC) offers the reminder that as of May 12, 2023, CMS will resume monitoring...

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Mac’s Safety Space: If you don’t think worker safety matters when it comes to accreditation…

CMS restarting pilot project putting agency surveyors side-by-side with AO teams

Changes to CAH standards allow for unified medical staff, hearings and appeal process in bylaws

Antimicrobial resistance: A danger that crosses borders and species

CMS continues to issue guidance on end of COVID-19 public health emergency

Mac's Safety Space: If it ain’t over ‘til it’s over…

CMS investigates two hospitals who refused woman an abortion

New CMS waiver will allow hospitals to use micro electrical grids as backup power

Mac’s Safety Space: Safety risk inclusivity – Doing the math in your head

Counting will resume for minimums for ventricular assist device procedures at end of PHE

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