Accreditation & Survey Preparation | .accreditationqualitycenter

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: People are people, so why should it be…

March 13, 2023

Accreditation & Survey Preparation

As I am fond of saying, buildings are never more perfect than the moment before you let people inside. ...

Patient Safety Monitor Journal

- Volume

Issue

Q&A: The intersection of patient safety and accreditation

December 19, 2025

Accreditation & Survey Preparation, Patient Safety

Amid the countless standards, regulations, rules, and policies that healthcare workers are expected to comply with, it’s possible to lose sight of what all those things are for—improving patient care....

Mac's Safety Space

- Volume

Issue

Mac’s Safety Space: How much does someone really need to 'know?'

March 06, 2023

Accreditation & Survey Preparation, Environment and Facilities

Make extra sure that the folks in the ambulatory and community care settings are as well-prepared as the folks you see every day to answer questions from surveyors. ...

Inside Accreditation & Quality

- Volume

Issue

Keep stock of masks and ventilators: Public health emergency to end but COVID-19 cases will continue

March 07, 2023

Accreditation & Survey Preparation

Be prepared for COVID-19 cases to increase in number and potentially severity if the general public becomes too lax in vaccination, testing, and using precautions once the public health emergency (PHE...

Accreditation & Quality Compliance Advisor

- Volume

Issue

The Joint Commission’s psychiatric hospital accreditation program approved for another 6 years

February 24, 2023

Accreditation & Survey Preparation

After providing additional training to its surveyors to increase oversight of a hospital’s plan of correction, The Joint Commission (TJC) has been approved by CMS to accredit psychiatric hospitals for...

Inside Accreditation & Quality

- Volume

Issue

Ask the expert: Answers to recurring EMTALA and HIPAA questions

February 28, 2023

Accreditation & Survey Preparation, Policies and Procedures

Do you need to update your hospital’s sign detailing its responsibilities under the federal Emergency Medical Treatment & Labor Act (EMTALA)? What do you do when law enforcement asks for medical r...

Healthcare Safety Leader

- Volume

Issue

Review local requirements for medical gas testing

February 28, 2023

Accreditation & Survey Preparation, Physical environment, Fire & Life Safety

Be sure you understand the requirements of your state or local fire authority having jurisdiction (AHJ) when evaluating the annual testing of your hospital’s medical gas program. ...

Inside Accreditation & Quality

- Volume

Issue

ICYMI: Health equity standards now NPSG; TJC deletes some standards; PHE lives on for now

February 21, 2023

Accreditation & Survey Preparation, Natural & Manmade Disasters, Infection Control

Health equity now NPSG, PHE to end May 11, TJC completes round one standards review. ...

Healthcare Safety Leader

- Volume

Issue

Survey preparation: TJC updates standards again, PHE remains active (for now), OSHA reports

February 21, 2023

Accreditation & Survey Preparation, Natural & Manmade Disasters, Infection Control

TJC finishes first round of standards review; PHE continues through May 11 ...

Mac's Safety Space

- Volume

Issue

Mac's Safety Space: Tambourines and elephants are playing in the band…

February 20, 2023

Accreditation & Survey Preparation

Surveyors tend to focus on what is new to the mix, which means you should have completed the first go-round of the workplace analysis relative to the management of workplace violence risks in your org...

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Mac’s Safety Space: People are people, so why should it be…

Q&A: The intersection of patient safety and accreditation

Mac’s Safety Space: How much does someone really need to 'know?'

Keep stock of masks and ventilators: Public health emergency to end but COVID-19 cases will continue

The Joint Commission’s psychiatric hospital accreditation program approved for another 6 years

Ask the expert: Answers to recurring EMTALA and HIPAA questions

Review local requirements for medical gas testing

ICYMI: Health equity standards now NPSG; TJC deletes some standards; PHE lives on for now

Survey preparation: TJC updates standards again, PHE remains active (for now), OSHA reports

Mac's Safety Space: Tambourines and elephants are playing in the band…

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