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  2. Accreditation & Survey Preparation
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
16

IPPS rule: CMS proposes new ‘birthing friendly’ designation, along with PHE-related CoPs

April 19, 2022
Accreditation & Survey Preparation
CMS says it wants to expand COVID-19 and other infectious disease reporting requirements beyond the current public health emergency (PHE) as a way to stay prepared for the next pandemic. That proposal...
Inside Accreditation & Quality
- Volume
4
Issue
4

Survey prep: Check documents on surgical, hyperbaric suite fire safety

April 19, 2022
Accreditation & Survey Preparation, Fire & Life Safety
New elements of performance mean that surveyors will be taking a closer look at the fire safety n hospital surgical and hyperbaric suites. ...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
16

COVID-19 PHE is renewed through July 15

April 08, 2022
Accreditation & Survey Preparation
CMS continues to gradually end some emergency blanket waivers allowed under the COVID-19 public health emergency (PHE) for some providers, but for now the 1135 waivers remain intact for acute care and...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
15

CMS tweaks COVID-19 vaccine memos to clarify survey process

April 06, 2022
Accreditation & Survey Preparation
Surveyors on site for a Life Safety Code®-only complaint or LSC-only follow-up survey are not expected to check for compliance with the new requirements to vaccinate healthcare workers against COVID-1...
Inside Accreditation & Quality
- Volume
4
Issue
4

Ask the expert: What medical records will be reviewed during hospital survey?

April 12, 2022
Accreditation & Survey Preparation
What charts or other medical information, including closed records, can you could expect a Joint Commission surveyor to ask for during survey? ...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
14

Are you ready for OSHA’s wave of new rules?

February 15, 2026
Accreditation & Survey Preparation, Workplace safety
Are you ready for a wave of new federal worker safety and health regulations? OSHA is moving forward with several rulemakings, three of which are healthcare-specific, that could affect many employers....
Inside Accreditation & Quality
- Volume
4
Issue
4

Review endoscope cleaning policies now that AAMI has updated its standard

April 05, 2022
Accreditation & Survey Preparation, Infection Control
You may need to update your policies, processes, and procedures for the cleaning and storage of endoscopes now that the Association for the Advancement of Medical Instrumentation (AAMI) has an updated...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
13

DNV resumes all annual surveys onsite and unannounced

March 23, 2022
Accreditation & Survey Preparation
As of May 2, DNV Healthcare will resume doing all its annual NIAHO® surveys onsite and unannounced now that COVID-19 rates are going down. ...
Volume
25
Issue
4

Excerpt: Soaring to Success - The Path to Developing High-Reliability Clinical Teams

February 15, 2026
Accreditation & Survey Preparation
CRM has two main parts. The first deals with teamwork and communication and covers the interpersonal and social aspects of the working environment. The second deals with human factors and situational ...
Healthcare Safety Leader
- Volume
30
Issue
3

Put healthcare life safety compliance training and education front and center

February 15, 2026
Accreditation & Survey Preparation, Environment and Facilities
Training and education in any professional role can help individuals improve their skills and learning competencies. Training and education opportunities, however, often get sidelined by day-to-day du...

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  • News & Analysis
    • Accreditation & Quality Compliance Advisor
    • Mac's Safety Space
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    • Medical Environment Update
    • Patient Safety Monitor Journal
  • CMS Compliance Crosswalk
  • OSHA Program Manuals
  • Resources
    • Accreditation 101
    • Mock Tracers & Checklists
    • E-Books
    • Survey Training Essentials Toolkit
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    • Become a Member
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    • Contact Us
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