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Inside Accreditation & Quality
- Volume
5
Issue
10

Executive Briefing 2023: TJC crafts certification for environmental sustainability

December 15, 2025
Accreditation & Survey Preparation
Environmentally sustainable healthcare is not only a patient safety issue but can also save hospitals money in the long run, said executives with The Joint Commission (TJC) in introducing a new certif...
Healthcare Safety Leader
- Volume
31
Issue
10

Time to review policy on holiday decorations and educate staff

December 15, 2025
Accreditation & Survey Preparation
Halloween is almost upon us, followed by a two-month holiday season starting with Thanksgiving and going through New Year’s. That means it’s time to review your holiday decorating policy, update it as...
Mac's Safety Space
- Volume
17
Issue
10

Mac's Safety Space: Additional training may not bode well if you’re managing the environment

October 02, 2023
Accreditation & Survey Preparation
There are one or two takeaways from the recent CMS approval of our friends from Chicago to continue accrediting critical access hospitals that gave me pause. ...
Healthcare Safety Leader
- Volume
31
Issue
9

Book excerpt: Miscellaneous aspects of the Life Safety Code

September 26, 2023
Accreditation & Survey Preparation
Important aspects of Life Safety Code® compliance that are important to be aware of come survey time. ...
Inside Accreditation & Quality
- Volume
5
Issue
9

Executive Briefing 2023: TJC to increase focus on health equity, environmental sustainability, and staff support

September 26, 2023
Accreditation & Survey Preparation
In the coming year, hospitals accredited by The Joint Commission will see more on-site complaint surveys, plus more focus on their progress regarding health equity and environmental sustainability. Bu...
Accreditation & Quality Compliance Advisor
- Volume
17
Issue
38

Joint Commission to launch sustainability certification program in 2024 for hospitals

December 15, 2025
Accreditation & Survey Preparation
Facilities can start working toward certification immediately and apply on January 1, 2024, or fill out a pre-application form before the formal launch date. ...
Healthcare Safety Leader
- Volume
31
Issue
9

TJC providing surveyors with more training on IJ investigations, EC and LS requirements

September 19, 2023
Accreditation & Survey Preparation
At the urging of CMS, The Joint Commission has been providing surveyors with extra training on procedures related to investigating possible immediate jeopardy situations, as well as the use of open-en...
Inside Accreditation & Quality
- Volume
5
Issue
9

CMS still working on updating State Operations Manual despite recent revision

September 19, 2023
Accreditation & Survey Preparation
The date on the most recent edition of CMS State Operations Manual, Appendix A, now says it was revised as of July 21, 2023. But the latest update only involved one section. ...
Healthcare Safety Leader
- Volume
31
Issue
9

Review sterile processing decontamination area for common deficiencies

September 12, 2023
Accreditation & Survey Preparation
Sterile processing departments have and will continue to receive a lot of scrutiny during surveys. That is also where hospitals can see a lot of high-risk deficiencies or even a ruling of immediate th...
Mac's Safety Space
- Volume
17
Issue
9

Mac’s Safety Space: How do you risk assessment?

September 11, 2023
Accreditation & Survey Preparation
If I have learned nothing over the course of the last little while, it is that the administration of the risk assessment process in any organization is as close to an essential undertaking as any I ca...

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  • News & Analysis
    • Accreditation & Quality Compliance Advisor
    • Mac's Safety Space
    • Inside Accreditation & Quality
    • Healthcare Safety Leader
    • 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
    • Webinars
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    • Become a Member
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