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Inside Accreditation & Quality

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CMS approves TJC as an AO for three years

June 30, 2022

Accreditation & Survey Preparation

CMS approved The Joint Commission’s (TJC) hospital accreditation program for just another three years. If not for the pandemic, that time span might have been longer. ...

Volume

Issue

Examining in practice updated TJC workplace violence prevention requirements

December 21, 2025

Accreditation & Survey Preparation, Workplace safety

As previously reported, The Joint Commission unveiled new and revised workplace violence (WPV) prevention requirements effective January 1, 2022. The Joint Commission issued three new elements of perf...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS eases up on COVID-19 vaccination verification during regular surveys

June 15, 2022

Accreditation & Survey Preparation

Now that hospitals and other healthcare providers have had time to meet the CMS staff COVID-19 vaccination requirements, CMS is easing up on verification. ...

Mac's Safety Space

- Volume

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We live in a 3-D world…

December 21, 2025

Accreditation & Survey Preparation, Environment and Facilities

One of the common themes that’s emerged from our transition into what is presumably going to be a post-COVID world (somehow I still think that we not yet reached the mid-point of the COVID-athon, but ...

Volume

Issue

Preparing for the inevitable survey: What you need to know

December 21, 2025

Accreditation & Survey Preparation, Fire & Life Safety

Survey says? Hopefully a bunch of good stuff. The Life Safety Code® (LSC) & Health Care Facilities Code (HCFC) survey is conducted in accordance with the appropriate protocols and regulations t...

Volume

Issue

Emergency blanket waivers come to halt and other compliance tips

December 21, 2025

Accreditation & Survey Preparation, Fire & Life Safety, Policies and Procedures, Infection Control

The Centers for Medicare and Medicaid Services (CMS) on April 7 issued an update to the COVID-19 emergency declaration blanket waivers for specific providers. CMS officials say they will continue t...

Inside Accreditation & Quality

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TJC seeing progress meeting maternal health standards, but work remains

June 14, 2022

Accreditation & Survey Preparation, Patient Safety

Even if your facility does not regularly handle labor and delivery, be sure to include the emergency department (ED) in planning and education to address problems such as maternal hemorrhage and sever...

Accreditation & Quality Compliance Advisor

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Issue

CMS seeks comment on HAC measures collection, restraint-related death reporting

June 10, 2022

Accreditation & Survey Preparation

CMS wants to suspend calculations of hospital penalties for hospital-acquired conditions (HAC) for fiscal 2025 year because of the impact of the COVID-19 pandemic as well as revise the information it ...

Accreditation & Quality Compliance Advisor

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Issue

CMS revises COVID-19 data reporting for psychiatric, rehabilitation hospitals

June 01, 2022

Accreditation & Survey Preparation

CMS has revised the frequency of reporting certain COVID-19 data elements for psychiatric and rehabilitation hospitals according to a newly updated Quality, Safety & Oversight (QSO) memo. ...

Healthcare Safety Leader

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Issue

Scoring under WPV standards will be discussed with your governing body

June 07, 2022

Accreditation & Survey Preparation

If you have an incident of workplace violence (WPV), expect someone from the Office of Quality and Patient Safety (OQPS) at The Joint Commission (TJC) to show up on your doorstep soon afterward, espec...

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CMS approves TJC as an AO for three years

Examining in practice updated TJC workplace violence prevention requirements

CMS eases up on COVID-19 vaccination verification during regular surveys

We live in a 3-D world…

Preparing for the inevitable survey: What you need to know

Emergency blanket waivers come to halt and other compliance tips

TJC seeing progress meeting maternal health standards, but work remains

CMS seeks comment on HAC measures collection, restraint-related death reporting

CMS revises COVID-19 data reporting for psychiatric, rehabilitation hospitals

Scoring under WPV standards will be discussed with your governing body

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