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  2. Accreditation & Survey Preparation
Volume
25
Issue
7

It’s survey time: Tips for successful LSC survey preparation

December 21, 2025
Accreditation & Survey Preparation, Natural & Manmade Disasters, Environment and Facilities, Fire & Life Safety
Scott Wytosick, CFPS, CFI-II, life safety coordinator for Akron Children’s Hospital and former Life Safety Code® (LSC) surveyor, says preparing for a survey is all about reviewing previous surveys. ...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
28

CMS updates IC interpretive guidelines for hospitals

July 06, 2022
Accreditation & Survey Preparation, Infection Control
CMS issued six new survey tags as well as other updates to its online manual of interpretive guidelines for Conditions of Participation (COP) on infection prevention and control and antibiotic steward...
Inside Accreditation & Quality
- Volume
4
Issue
7

ACHC annual report offers tips for avoiding common hospital deficiencies

July 12, 2022
Accreditation & Survey Preparation, Infection Control
Standardize how your hospital manages its medical supplies to ensure that they are safely stored, updated, and available when needed. Also be sure to approve policies, procedures, plans, and related d...
Healthcare Safety Leader
- Volume
30
Issue
7

Next up for emergency preparedness: Crisis of care standards

July 12, 2022
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...
Mac's Safety Space
- Volume
16
Issue
7

All that’s left is a tiny glimmer…

July 11, 2022
Accreditation & Survey Preparation
Now that we’ve turned full on into July (I’m parched just thinking about it), The Joint Commission survey process is going to (at least for a time) include a focus on the new (meet the new boss, same ...
Medical Environment Update
- Volume
32
Issue
7

ACHC: Common lab deficiencies and solutions

December 21, 2025
Accreditation & Survey Preparation, Environment and Facilities, Laboratory Safety, Workplace safety
Emergency showers, manufacturer instructions, staffing and personnel issues—these are some of the standards that laboratories are struggling with, according to the Accreditation Commission for Health ...
Inside Accreditation & Quality
- Volume
4
Issue
7

Surveyors highlighting improper storage of medical supplies

July 05, 2022
Accreditation & Survey Preparation, Infection Control
Review your hospital’s practices for storing sterile devices and supplies now that three of the four hospital accrediting organizations (AO) have recently cited concerns about improper storage. ...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
27

CMS proposes COPs for new rural emergency hospital provider type

June 30, 2022
Accreditation & Survey Preparation
CMS has published a proposed list of 23 Conditions of Participation for the new rural emergency hospital provider type. The same Federal Register posting on Thursday, June 30, also included revisions ...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
27

CMS updates IC, other survey guidance for long-term care facilities

December 21, 2025
Accreditation & Survey Preparation, Infection Control
CMS has updated survey guidance on minimum health and safety standards for long-term care (LTC) facilities, including expectations for infection control and how patients are admitted, transfered and d...
Mac's Safety Space
- Volume
16
Issue
4

You go back, Jack, and do it again……

July 04, 2022
Accreditation & Survey Preparation, Health Equity, Laboratory Safety, Policies and Procedures
In this week’s installment, our friends in Chicago have sharpened their pencils (and placed them in a safe place once their edits were completed) in their guidance to behavioral health organizations, ...

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  • News & Analysis
    • Accreditation & Quality Compliance Advisor
    • Mac's Safety Space
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    • Patient Safety Monitor Journal
  • CMS Compliance Crosswalk
  • OSHA Program Manuals
  • Resources
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