Accreditation & Survey Preparation | .accreditationqualitycenter

Healthcare Safety Leader

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Issue

It’s that time of year: Clear exits and walkways of snow and ice

February 16, 2026

Accreditation & Survey Preparation

Whether snow and ice removal is a duty for your facilities staff or for a contractor, remind them that they must clear all means of egress—not just the main entrances. Under The Joint Commission’s ...

Inside Accreditation & Quality

- Volume

Issue

CMS releases its final guidance for hospitals with co-located services

February 16, 2026

Accreditation & Survey Preparation, Policies and Procedures

If your hospital or its satellite buildings are co-located with other healthcare facilities, you now face slightly fewer requirements than first proposed for ensuring compliance with acute care Medica...

Mac's Safety Space

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Far below, where shadows fester as they grow…

December 20, 2021

Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant Isn’t that a jolly holiday message? So, just when you thought it couldn’t get any more stressful, our munificent friends in Chicago are bestowing y...

Mac's Safety Space

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Issue

Mac's Safety Space Extra: You gotta get in to get out

December 15, 2021

Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant For those of you who were not tasked with traveling over Thanksgiving, but may be coming face to face with it over the next week or so (particularly i...

Inside Accreditation & Quality

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Issue

What’s up in 2022? New standards, recurring problems, and playing catchup

February 16, 2026

Accreditation & Survey Preparation

In the upcoming year, surveys will include new standards, revised requirements, modified processes and procedures, and a continued focus on infection control and fire safety. However, none of that pro...

Accreditation & Quality Compliance Advisor

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Issue

CMS suspends enforcement of vaccine mandate for healthcare workers

December 02, 2021

Accreditation & Survey Preparation

CMS has joined with OSHA in suspending its mandate for COVID-19 vaccination of healthcare workers, but says hospitals are welcome to enforce the requirement voluntarily. ...

Inside Accreditation & Quality

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Survey readiness: Review your compliance against top EC, LS challenges

February 16, 2026

Accreditation & Survey Preparation

In preparing for your upcoming survey, review how your facility stands up to the top 10 most challenging standards within the physical environment outlined by Herman A. McKenzie, MBA, CHSP, director o...

Inside Accreditation & Quality

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Issue

Put on your Grinch suit: Time to remind staff of holiday dos and don’ts

February 16, 2026

Accreditation & Survey Preparation, Environment and Facilities

Much-needed holiday happiness might be around the corner, but now’s the time to review your hospital attire and holiday decoration policies. Then remind managers and staff what the expectations are fo...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS releases its final guidance for hospitals with co-located services

November 17, 2021

Accreditation & Survey Preparation

CMS has released final guidance hospitals for compliance with Conditions of Participation when services or buildings are co-located with other healthcare facilities. ...

Inside Accreditation & Quality

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HFAP finds deficiencies in credentialing, competency assessments

February 16, 2026

Accreditation & Survey Preparation

Accreditation survey results released by the Accreditation Commission for Health Care’s (ACHC) HFAP brand show that ambulatory surgery centers (ASC) continue to struggle with their credentialing and p...

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It’s that time of year: Clear exits and walkways of snow and ice

CMS releases its final guidance for hospitals with co-located services

Far below, where shadows fester as they grow…

Mac's Safety Space Extra: You gotta get in to get out

What’s up in 2022? New standards, recurring problems, and playing catchup

CMS suspends enforcement of vaccine mandate for healthcare workers

Survey readiness: Review your compliance against top EC, LS challenges

Put on your Grinch suit: Time to remind staff of holiday dos and don’ts

CMS releases its final guidance for hospitals with co-located services

HFAP finds deficiencies in credentialing, competency assessments

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