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  2. Accreditation & Survey Preparation
Inside Accreditation & Quality
- Volume
4
Issue
2

Rely on CMS memos to keep updated on CoP expectations

February 08, 2022
Accreditation & Survey Preparation
Expect hospital accrediting organizations to continue to update their standards, especially to align more with the language in CMS Conditions of Participation. ...
Mac's Safety Space
- Volume
16
Issue
2

It never really ends, does it…

February 07, 2022
Accreditation & Survey Preparation
By Steve MacArthur, Hospital Safety Consultant Concept-wise, this week’s topic is rather limited, but there is a little bit of ground to cover. I am hopeful that this is no news for most of you, bu...
Inside Accreditation & Quality
- Volume
4
Issue
2

Review your COVID-19 staff vaccine plan against CMS memo

February 01, 2022
Accreditation & Survey Preparation
Depending on what state your hospital or healthcare system is in and when you face your regularly scheduled survey, you might have weeks or only days to come into compliance with CMS’ interim final ru...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
5

(Updated) Are your surveyors vaccinated? Probably, but please don’t ask

January 26, 2022
Accreditation & Survey Preparation
CMS has officially put out guidance to its own state survey agencies that all its onsite surveyors should be fully vaccinated, and it expects the same of accrediting organizations (AOs), who are respo...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
5

TJC joins with clinical pathologist group to recognize top laboratories

January 28, 2022
Accreditation & Survey Preparation
by A.J. Plunkett (aplunkett@decisionhealth.com) The Joint Commission (TJC) is collaborating with the American Society of Clinical Pathologists (ASCP) to offer TJC-accredited hospital laboratories r...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
4

All states, territories now subject to CMS COVID-19 vaccination rule

January 21, 2022
Accreditation & Survey Preparation
All U.S. states and territories are now subject to the CMS interim final rule requiring staff to be fully vaccinated against COVID-19. In a new memo to CMS state surveyors posted January 20, the ag...
Healthcare Safety Leader
- Volume
30
Issue
1

Physical environment among top concerns CMS reports to Congress

January 25, 2022
Accreditation & Survey Preparation
In 2022, CMS plans to restart its pilot project to improve validation surveys but is likely to continue pressure on accrediting organizations (AO) to be more vigilant in finding deficiencies in physic...
Inside Accreditation & Quality
- Volume
4
Issue
1

First TJC, now CMS: Maternal health getting even more national focus

January 25, 2022
Accreditation & Survey Preparation
CMS is taking up the mantle along with The Joint Commission (TJC) to improve the safety of maternity patients who are at risk for pregnancy and postpartum complications. ...
Mac's Safety Space
- Volume
16
Issue
1

There’s one in every crowd…

January 24, 2022
Accreditation & Survey Preparation
By Steve MacArthur, Hospital Safety Consultant I suspect that this is going to be a rather brief entry (but, if I’m honest, I usually think that and then…) as it is (yet another!) entry in the “the...
Accreditation & Quality Compliance Advisor
- Volume
16
Issue
3

High court backs CMS’ vaccine mandate, but not OSHA’s

January 13, 2022
Accreditation & Survey Preparation
Look for CMS and accrediting organizations to start fully enforcing the agency’s recent interim rule requiring all staff at hospitals and other healthcare facilities to be fully vaccinated against COV...

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  • News & Analysis
    • Accreditation & Quality Compliance Advisor
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