Accreditation & Survey Preparation | .accreditationqualitycenter

Volume

Issue

Put healthcare life safety compliance training and education front and center

February 16, 2026

Accreditation & Survey Preparation, Fire & Life Safety

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...

Inside Accreditation & Quality

- Volume

Issue

Double check infection control and fire safety with onsite laundry rooms

January 18, 2022

Accreditation & Survey Preparation

Check manufacturer’s instructions for use (IFU) as well as nationally recognized standards when updating your policy on the regular maintenance and cleaning of washing machines and dryers used for pat...

Accreditation & Quality Compliance Advisor

- Volume

Issue

TJC, CMS issue guidance on COVID-19 vaccine requirement

January 17, 2022

Accreditation & Survey Preparation

Update your policies on vaccines and make sure the changes are approved before your next survey now that CMS, The Joint Commission (TJC), and the other accrediting organizations are going forward with...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Newest PHE renewal marks entry into third year of pandemic

January 14, 2022

Accreditation & Survey Preparation

For the eighth time since the COVID-19 pandemic was declared a national public health emergency (PHE), the secretary of Health and Human Services has extended the declaration for another 90 days, effe...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Supreme Court hears emergency arguments on CMS, OSHA vaccine requirements

January 07, 2022

Accreditation & Survey Preparation

Supreme Court justices hearing emergency arguments about an injunction stopping enforcement of a CMS interim final rule requiring hospital and other healthcare workers to be vaccinated against COVID-1...

Volume

Issue

Top Life Safety Code violations and how to address them

February 16, 2026

Accreditation & Survey Preparation, Fire & Life Safety

While there are many Life Safety Code® (LSC) violations identified throughout an accreditation survey, many of them are “low hanging fruit” and some of the most common findings, according to Lance Woo...

Inside Accreditation & Quality

- Volume

Issue

TJC launches into 2022 with new EM standards, other changes

February 16, 2026

Accreditation & Survey Preparation, Environment and Facilities, Physical environment, Workplace safety

The Joint Commission (TJC) ended the year with a flurry of reminders about new and revised standards for 2022, many of which had either been announced before or were otherwise expected. They includ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

DNV: Annual surveys to continue through February, but triennial onsite

January 10, 2022

Accreditation & Survey Preparation

DNV has announced that it will conduct its annual NIAHO® surveys remotely at least through the end of February. The triennial onsite surveys will continue onsite. ...

Inside Accreditation & Quality

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Governing boards, physical environment among concerns CMS reports to Congress

February 16, 2026

Accreditation & Survey Preparation, Physical environment

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...

Mac's Safety Space

- Volume

Issue

How many bad report cards before you have to give up your phone…up, up & away!

January 04, 2022

Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant In what has become one of the constants of the final quarter of the calendar year, our friends at CMS once again take aim at the disparities between t...

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Put healthcare life safety compliance training and education front and center

Double check infection control and fire safety with onsite laundry rooms

TJC, CMS issue guidance on COVID-19 vaccine requirement

Newest PHE renewal marks entry into third year of pandemic

Supreme Court hears emergency arguments on CMS, OSHA vaccine requirements

Top Life Safety Code violations and how to address them

TJC launches into 2022 with new EM standards, other changes

DNV: Annual surveys to continue through February, but triennial onsite

Governing boards, physical environment among concerns CMS reports to Congress

How many bad report cards before you have to give up your phone…up, up & away!

Resource/w tools selected

STET CMS & tools

OSHA Dental Facilities Update - November 2023

OSHA Medical Facilities Update - November 2023

Tab 2, Medical Facilities OSHA Manual- August 2023

Tab 2, Dental Facility OSHA Manual- August 2023

Chapter 2: Chapter Format and Tracer Planning