Accreditation & Survey Preparation | .accreditationqualitycenter

Accreditation & Quality Compliance Advisor

- Volume

Issue

What’s wrong in this photograph?

November 10, 2022

Accreditation & Survey Preparation, Environment and Facilities, Fire & Life Safety

What’s the problem in this photograph and how would you fix it if you were to find this in your hospital’s kitchen? ...

Inside Accreditation & Quality

- Volume

Issue

Managing your primary source verification process

November 15, 2022

Accreditation & Survey Preparation, Policies and Procedures

Primary source verification (PSV) is required for confirming a practitioner’s identity before they join your organization. This can include checking with the practitioner’s listed training program to ...

Inside Accreditation & Quality

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Issue

Ask the experts: Answers from TJC’s 2022 Executive Briefing

November 08, 2022

Accreditation & Survey Preparation

Presentations at the annual Executive Briefing held by The Joint Commission (TJC) are designed to provide key information for hospital leaders, but sometimes there are as many questions as answers aft...

Healthcare Safety Leader

- Volume

Issue

New RFIs possible as The Joint Commission tweaks Environment of Care and Life Safety standards again

November 08, 2022

Accreditation & Survey Preparation

Review your Environment of Care (EC) and Life Safety (LS) policies and procedures now that The Joint Commission has issued another round of revisions, effective January 1, 2023. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

It’s official: CMS creates new rural emergency hospital provider type

November 04, 2022

Accreditation & Survey Preparation

CMS has finalized the rural emergency hospital (REH) as a new provider type in the hopes of helping rural areas keep much needed healthcare services as hospitals continue to close. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS revises COVID-19 vaccination memos to combine survey instructions as infection rates decline

October 27, 2022

Accreditation & Survey Preparation, Infection Control

CMS has combined three earlier Quality, Safety & Oversight Group (QSO) memos on required COVID-19 vaccinations into a single memo, with revisions to note how surveyors should cite noncompliance. ...

Healthcare Safety Leader

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Issue

As PHE draws down, consult your staff on changes to ensure you’re meeting their needs, too

November 01, 2022

Accreditation & Survey Preparation

Take time to consult with your organization’s staff before reverting to pre-pandemic practices and procedures. Some things might not need to change. Some things might need to change quickly. And some ...

Inside Accreditation & Quality

- Volume

Issue

TJC: Tackling healthcare equity is newest patient safety concern for leadership

November 01, 2022

Accreditation & Survey Preparation, Patient Safety, Policies and Procedures

The Joint Commission (TJC) will be focusing on healthcare equity as a patient safety priority when new Leadership requirements come into effect in January. ...

Mac's Safety Space

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Issue

How do you square with rounding?

October 31, 2022

Accreditation & Survey Preparation, Environment and Facilities

I think we all know that rounding as it might have once been required in the past (from a regulatory perspective) is a way to monitor conditions in the environment. Is it a good way? Is it the only wa...

Volume

Issue

Q&A: All things fire and life safety with Dale Lyman

December 21, 2025

Accreditation & Survey Preparation, Natural & Manmade Disasters, Environment and Facilities, Leadership & Finance, Fire & Life Safety

Dale Lyman, CFPS, has lived and breathed fire and other kinds of safety for decades. He spent most of his career in various roles for the city of Greeley, Colorado. That 35-year stint included roles a...

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What’s wrong in this photograph?

Managing your primary source verification process

Ask the experts: Answers from TJC’s 2022 Executive Briefing

New RFIs possible as The Joint Commission tweaks Environment of Care and Life Safety standards again

It’s official: CMS creates new rural emergency hospital provider type

CMS revises COVID-19 vaccination memos to combine survey instructions as infection rates decline

As PHE draws down, consult your staff on changes to ensure you’re meeting their needs, too

TJC: Tackling healthcare equity is newest patient safety concern for leadership

How do you square with rounding?

Q&A: All things fire and life safety with Dale Lyman

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