Accreditation & Survey Preparation | .accreditationqualitycenter

Accreditation & Quality Compliance Advisor

- Volume

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CIHQ earns CMS approval as an AO for next 5 years

December 16, 2022

Accreditation & Survey Preparation

CIHQ has been approved by CMS as a hospital accrediting organization through January 1, 2028. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Holiday decorations can cost a lot if it comes with a citation

December 07, 2022

Accreditation & Survey Preparation

Careful with those holiday decorations. They can bring joy, but too much joy can also bring a citation from CMS, accrediting organizations or the fire marshal’s office. ...

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Eyes on LSC compliance: One practitioner’s focus areas

December 20, 2025

Accreditation & Survey Preparation

“Because we are still on the 2012 edition [of the Life Safety Code® (LSC)], there isn’t anything new,” Wytosick says. “I think the biggest focus is maintaining older systems combined with construction...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Antibiotic stewardship updates from Joint Commission effective January 1, 2023

December 20, 2025

Accreditation & Survey Preparation, Infection Control, Quality & Errors

Robert Campbell, PharmD, BCSCP, director of Medication Management and of TJC’s Standards Interpretation Group, gave a presentation about the antibiotic stewardship standards at TJC’s annual Executive ...

Inside Accreditation & Quality

- Volume

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CMS offers some flexibilities, challenges for facility conversion to REH provider

December 13, 2022

Accreditation & Survey Preparation

Acute care hospitals in rural areas with 50 beds or less or facilities that qualify as critical access hospitals might want to consider converting to CMS’ newly outlined Rural Emergency Hospital provi...

Healthcare Safety Leader

- Volume

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Readers weigh in on what’s wrong with this picture

December 13, 2022

Accreditation & Survey Preparation

Can you tell what’s wrong in this photograph? If so, you are not alone. ...

Mac's Safety Space

- Volume

Issue

When the going gets tough…

December 12, 2022

Accreditation & Survey Preparation

Concerns relating to violence in the healthcare workplace has been with us a long time (was there ever a time when it wasn’t somewhere in the mix? I tend to think not). ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Joint Commission eliminates use of ‘licensed independent practitioner’

December 20, 2025

Accreditation & Survey Preparation

The Joint Commission (TJC) will no longer use the term “licensed independent practitioner” in its hospital and critical access hospital standards. Starting February 19, 2023, the term “licensed practi...

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HIPAA security best practices heading into 2023

December 20, 2025

Accreditation & Survey Preparation, Cybersecurity & Technology, Workplace safety

Workplace security. Life safety compliance. HIPAA privacy and security. They’re all intertwined with a common goal: safety for healthcare employees and patients. With that, we’re providing some HIP...

Patient Safety Monitor Journal

- Volume

Issue

TJC: Antibiotic stewardship updates effective January 1, 2023

December 20, 2025

Accreditation & Survey Preparation, Infection Control, Quality & Errors

The Joint Commission (TJC) has several updated antibiotic stewardship elements of performance (EP) that will take effect on January 1, 2023. These EPs include requirements to have an antibiotic stewar...

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CIHQ earns CMS approval as an AO for next 5 years

Holiday decorations can cost a lot if it comes with a citation

Eyes on LSC compliance: One practitioner’s focus areas

Antibiotic stewardship updates from Joint Commission effective January 1, 2023

CMS offers some flexibilities, challenges for facility conversion to REH provider

Readers weigh in on what’s wrong with this picture

When the going gets tough…

Joint Commission eliminates use of ‘licensed independent practitioner’

HIPAA security best practices heading into 2023

TJC: Antibiotic stewardship updates effective January 1, 2023

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