Accreditation & Survey Preparation | .accreditationqualitycenter

Mac's Safety Space

- Volume

Issue

Identifying issues and finding solutions…

February 24, 2020

Environment and Facilities, Physical environment, Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant …versus identifying issues and pointing fingers. I think we can all agree that (at least for the moment) our friends in the regulatory survey servi...

Accreditation & Quality Compliance Advisor

- Volume

Issue

New Data on Sepsis Prevalence and Costs ‘Astonished’ DHHS Researchers

February 19, 2026

Infection Control, Patient Safety, Accreditation & Survey Preparation

The largest sepsis study every conducted with Medicare data found a 40% increase in the rate of Medicare beneficiaries hospitalized with the deadly infection from 2012 to 2018. ...

Mac's Safety Space

- Volume

Issue

On your marks, get set, sweat!

February 18, 2020

Environment and Facilities, Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant But hopefully not a Billy Idol kind of sweat… Our friends in Chicago are once again tweaking the survey process, with the result being less time fo...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS to providers: Prep for 2019-nCoV, stay CLIA compliant

February 07, 2020

Infection Control, Accreditation & Survey Preparation

Are you ready for newest of the emerging diseases? CMS is watching ...

Inside Accreditation & Quality

- Volume

Issue

CMS eliminates 2nd survey for psychiatric hospitals, to merge B-tags into SOMA

February 19, 2026

Accreditation & Survey Preparation

CMS announced it is combining the interpretive guidelines that its surveyors use for psychiatric hospitals into the main Appendix A for hospitals, eliminating the need for double survey visits. ...

Inside Accreditation & Quality

- Volume

Issue

CMS updates its surveyors’ manual for the first time in over a year

February 19, 2026

Policies and Procedures, Accreditation & Survey Preparation

CMS is revising its State Operations Manual (SOM) for hospitals in one of the first significant overhauls in more than a year. But be aware that the changes are not fully online yet and more revisions...

Patient Safety Monitor Journal

- Volume

Issue

Close the loop on test results

February 04, 2020

Patient Safety, Accreditation & Survey Preparation

By Brian Ward In December, The Joint Commission (TJC) released Quick Safety Issue 52: Advancing Safety With Closed-Loop Communication of Test Results. Closed-loop communication means that every tes...

Inside Accreditation & Quality

- Volume

Issue

TJC to update medication orders requirements with more detail

February 04, 2020

Accreditation & Survey Preparation, Quality & Errors

By A.J. Plunkett The Joint Commission (TJC) is revising its medication management standards, requiring clear and accurate medication orders—catching up to what surveyors have been scoring for some ...

Mac's Safety Space

- Volume

Issue

What we all want: If everything is priority one, then everything is priority none

February 03, 2020

Environment and Facilities, Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant As our friends from Chicago appear to be embarking in earnest on their charge to be as unpredictable as possible (I know of one instance in which a tr...

Inside Accreditation & Quality

- Volume

Issue

CMS offers training on new electronic form for restraint-related deaths

February 19, 2026

Environment and Facilities, Policies and Procedures, Accreditation & Survey Preparation

As of January 1, CMS eliminated the paper version of the form to report patient deaths associated with restraint or seclusion. Form CMS-10455 must now be filed through an electronic version. ...

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Identifying issues and finding solutions…

New Data on Sepsis Prevalence and Costs ‘Astonished’ DHHS Researchers

On your marks, get set, sweat!

CMS to providers: Prep for 2019-nCoV, stay CLIA compliant

CMS eliminates 2nd survey for psychiatric hospitals, to merge B-tags into SOMA

CMS updates its surveyors’ manual for the first time in over a year

Close the loop on test results

TJC to update medication orders requirements with more detail

What we all want: If everything is priority one, then everything is priority none

CMS offers training on new electronic form for restraint-related deaths

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