Accreditation & Survey Preparation | .accreditationqualitycenter

Inside Accreditation & Quality

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AOs continue to update COVID-19 survey protocols as pandemic lingers

June 07, 2022

Accreditation & Survey Preparation

Noting a rise in COVID-19 cases in four out of five states in late April and early May, The Joint Commission (TJC) sent out a reminder to stay masked during survey. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS updates guidelines for ambulatory surgical centers—can hospital SOM be far behind?

June 03, 2022

Accreditation & Survey Preparation

CMS has updated Appendix L of its State Operations Manual (SOM) with guidance on new or revised Conditions for Coverage (CfC) for ambulatory surgical centers (ASC) that have been formalized in various...

Inside Accreditation & Quality

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Tackling credentialing and privileging challenges for low-volume APPs

May 31, 2022

Accreditation & Survey Preparation, Policies and Procedures, Quality & Errors

Various accreditors require you to measure the competency of an advanced practice practitioner (APP), such as a nurse practitioner or physician assistant, based on the work they’ve done recently at yo...

Mac's Safety Space

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I’ll see you and I’ll raise you 96 hours…

May 30, 2022

Accreditation & Survey Preparation

A couple of (relatively – you know me!) quick thoughts relative to Emergency Management for your consideration as we start the slide from Spring to Summah (which has pretty much happened everywhere, b...

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Breaking down new and revised Joint Commission workplace violence prevention requirements

December 21, 2025

Accreditation & Survey Preparation, Workplace safety

The Joint Commission unveiled new and revised workplace violence prevention requirements effective January 1, 2022. Specifically, it issued three new elements of performance (EP) for existing standard...

Accreditation & Quality Compliance Advisor

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Issue

New TJC FAQ addresses shortage in imaging contrast

May 17, 2022

Accreditation & Survey Preparation, Quality & Errors

TJC issues guidance on critical shortage in imaging contrast. ...

Inside Accreditation & Quality

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Tips on how to master physician performance reviews

May 24, 2022

Accreditation & Survey Preparation, Policies and Procedures

Short of terminating a physician’s employment, appraising a physician’s performance is often the responsibility that administrative and medical staff leaders hate most. ...

Healthcare Safety Leader

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What to know about the 96-hour rule on EM operations

May 24, 2022

Accreditation & Survey Preparation

A breakdown of The Joint Commission's requirement on 96-hour sustainability in the event of an emergency. ...

Mac's Safety Space

- Volume

Issue

OPSIG could be your new best friend

May 22, 2022

Accreditation & Survey Preparation

I find myself frequently Googling (and re-Googling) certain topics, particularly the whole issue relative to the timing of fire drills. ...

Inside Accreditation & Quality

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PHE renewed, but signs show it may be close to ending

May 17, 2022

Accreditation & Survey Preparation

The Secretary of Health and Human Services (HHS) extended the COVID-19 public health emergency (PHE) another 90 days, but there are indications it might not last much longer. ...

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AOs continue to update COVID-19 survey protocols as pandemic lingers

CMS updates guidelines for ambulatory surgical centers—can hospital SOM be far behind?

Tackling credentialing and privileging challenges for low-volume APPs

I’ll see you and I’ll raise you 96 hours…

Breaking down new and revised Joint Commission workplace violence prevention requirements

New TJC FAQ addresses shortage in imaging contrast

Tips on how to master physician performance reviews

What to know about the 96-hour rule on EM operations

OPSIG could be your new best friend

PHE renewed, but signs show it may be close to ending

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