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CMS memo puts focus on governing body’s role in quality assessment & performance improvement

April 11, 2023

Accreditation & Survey Preparation

CMS has significantly expanded its guidance to its state and regional surveyors, telling them to put more focus on governing bodies’ responsibility for quality assessment and performance improvement (...

Accreditation & Quality Compliance Advisor

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‘Tsunami of Criticism’ follows DEA’s proposed telemedicine prescribing rules

December 19, 2025

Accreditation & Survey Preparation, Cybersecurity & Technology, Quality & Errors

Telehealth and digital health advocates aren’t pleased with the US Drug Enforcement Agency’s proposed rules for prescribing controlled substances via telemedicine after the expiration of the COVID-19 ...

Inside Accreditation & Quality

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Review environmental assessments for patient self-harm as TJC continues to press on suicide risk

April 04, 2023

Accreditation & Survey Preparation, Behavioral & Mental Health

Surveyors are being trained to spot problems with environmental risk assessments required under National Patient Safety Goal 15. ...

Mac's Safety Space

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Mac’s Safety Space: Workplace violence–plotting your own course

April 03, 2023

Accreditation & Survey Preparation

Including the workplace violence worksite assessment in the annual evaluation process will help keep the topic in mind, but also informg organizational leadership as to what’s going on and what suppor...

Accreditation & Quality Compliance Advisor

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The Joint Commission proposes standard to tackle hospital impact on climate change

March 23, 2023

Accreditation & Survey Preparation, Environment and Facilities, Leadership & Finance

Hospitals may soon have to measure energy use, fleet vehicle gas consumption, solid waste disposal, and other measures under proposed climate change standards by The Joint Commission. ...

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Worried about fake credentials? Review your primary source verification processes now

March 28, 2023

Accreditation & Survey Preparation, Patient Safety, Policies and Procedures

Recent news of more than 7,500 fraudulent nursing degrees being issued should serve as a shocking reminder for healthcare organizations to check their verification processes. ...

Inside Accreditation & Quality

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Hospice interpretive guidelines revised, but still waiting on hospital update

March 21, 2023

Accreditation & Survey Preparation

CMS has revised and updated its State Operations Manual (SOM), Appendix M, on interpretive guidelines for hospice Conditions of Participation (CoP) as well as surveyor training for hospice inspectors....

Healthcare Safety Leader

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Critical access hospitals: ACHC report spotlights deficiencies within environment of care

March 21, 2023

Accreditation & Survey Preparation

Almost every critical access hospital surveyed by the Accreditation Commission for Health Care from June 1, 2021, to May 31, 2022, was cited with infection prevention and control deficiencies for not ...

Inside Accreditation & Quality

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Use ACHC survey report to work toward sustained patient safety

March 14, 2023

Accreditation & Survey Preparation

For ambulatory surgery centers (ASC) accredited by the Accreditation Commission for Health Care (ACHC), personnel records, governing body oversight of contractors, generator testing, and emergency pre...

Inside Accreditation & Quality

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ACHC reports top-cited credentialing, medical staff standards

March 13, 2023

Accreditation & Survey Preparation, Policies and Procedures

Ambulatory surgery centers (ASC) accredited by the Accreditation Commission for Health Care (ACHC) are once again being reminded that they must have a completed credentials file for every practitioner...

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CMS memo puts focus on governing body’s role in quality assessment & performance improvement

‘Tsunami of Criticism’ follows DEA’s proposed telemedicine prescribing rules

Review environmental assessments for patient self-harm as TJC continues to press on suicide risk

Mac’s Safety Space: Workplace violence–plotting your own course

The Joint Commission proposes standard to tackle hospital impact on climate change

Worried about fake credentials? Review your primary source verification processes now

Hospice interpretive guidelines revised, but still waiting on hospital update

Critical access hospitals: ACHC report spotlights deficiencies within environment of care

Use ACHC survey report to work toward sustained patient safety

ACHC reports top-cited credentialing, medical staff standards

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