Accreditation & Survey Preparation | .accreditationqualitycenter

Mac's Safety Space

- Volume

Issue

Unauthorized field modifications – what you don’t know can hurt you

September 12, 2022

Accreditation & Survey Preparation, Environment and Facilities, Physical environment

By Steve MacArthur, Hospital Safety Consultant I have an absolutely clear understanding that there are very few (OK, very, very, very few) healthcare facilities for which there is enough space for ...

Accreditation & Quality Compliance Advisor

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Issue

CMS revised guidance offers nursing homes flexibility in nurse aide training

December 21, 2025

Accreditation & Survey Preparation, Healthcare Staff

Nursing homes struggling to get uncertified temporary nurse aides (TNA) trained to federal training requirements by the Oct. 7 deadline now have more flexibility. ...

Inside Accreditation & Quality

- Volume

Issue

Survey time: Check your ice machine outlets, brush up on IC, staff safety

September 06, 2022

Accreditation & Survey Preparation

The Joint Commission is still catching up on the surveys backlogged during the COVID-19 pandemic—but they are catching up. ...

Healthcare Safety Leader

- Volume

Issue

One PHE declared as another is on its way out—maybe

September 06, 2022

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

Hospitals are now battling both monkeypox and COVID-19 as twin health emergencies, but CMS has signaled that the waivers and flexibilities allowed for almost three years may be almost up. ...

Volume

Issue

Next up for emergency preparedness: Crisis of care standards

December 21, 2025

Accreditation & Survey Preparation

The Joint Commission’s newly reorganized and revised Emergency Management standards do not address crisis of care standards now, but the accrediting organization will be considering them in the near f...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Updated 2022 TJC Survey Activity Guide is online

August 25, 2022

Accreditation & Survey Preparation

The long-awaited update to The Joint Commission’s (TJC) Survey Activity Guide for hospitals is finally online. ...

Inside Accreditation & Quality

- Volume

Issue

Addressing bad outcomes with a disclosure process

August 29, 2022

Accreditation & Survey Preparation, Policies and Procedures

Medical errors can be devastating. For patients and their families, an error can be a life-altering or even fatal event. But for physicians and other healthcare professionals, a medical error can have...

Volume

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Putting TJC workplace violence prevention training updates into practice

December 21, 2025

Accreditation & Survey Preparation

This month, we continue our review of The Joint Commission’s new and revised workplace violence (WPV) prevention requirements effective January 1, 2022. The Joint Commission issued three new elements ...

Inside Accreditation & Quality

- Volume

Issue

One organization’s journey to automate its credentialing process

December 21, 2025

Accreditation & Survey Preparation, Policies and Procedures

How can MSPs reduce the number of days to process a credentialing file while not rushing through the process and letting problem practitioners slip through the cracks? One way is to automate steps of ...

Volume

Issue

Q&A with Ted Saunders on survey prep, learning opportunities for LSC officials

December 21, 2025

Accreditation & Survey Preparation, Fire & Life Safety

Ted Saunders is a certified fire protection specialist and a certified Life Safety Code® (LSC) specialist in the healthcare arena. He is the president of Patriot Fire & Life Safety Consulting and ...

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Unauthorized field modifications – what you don’t know can hurt you

CMS revised guidance offers nursing homes flexibility in nurse aide training

Survey time: Check your ice machine outlets, brush up on IC, staff safety

One PHE declared as another is on its way out—maybe

Next up for emergency preparedness: Crisis of care standards

Updated 2022 TJC Survey Activity Guide is online

Addressing bad outcomes with a disclosure process

Putting TJC workplace violence prevention training updates into practice

One organization’s journey to automate its credentialing process

Q&A with Ted Saunders on survey prep, learning opportunities for LSC officials

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