Accreditation & Survey Preparation | .accreditationqualitycenter

Inside Accreditation & Quality

- Volume

Issue

Review your antibiotic stewardship program against latest CoP revisions

July 01, 2026

Accreditation & Survey Preparation, Infection Control, Quality & Errors

Hospital antibiotic stewardship programs will become a Condition of Participation (CoP) requirement as of March 30, 2020. ...

Inside Accreditation & Quality

- Volume

Issue

CMS updates IC CoP as of March 30

July 01, 2026

Accreditation & Survey Preparation, Infection Control, Quality & Errors

Here is the revised wording of the hospital Condition of Participation (CoP) adding requirements for antibiotic stewardship. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS updates its surveyor’s manual for first time in more than a year

July 01, 2026

Accreditation & Survey Preparation

Just in time for the holidays, CMS is offering the gift of a newly revised State Operations Manual (SOM), one of the first significant overhauls in more than a year, especially for hospitals. Expect u...

Accreditation & Quality Compliance Advisor

- Volume

Issue

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

July 01, 2026

Patient Safety, Policies and Procedures, Accreditation & Survey Preparation, Workplace safety

As of January 1, CMS eliminated the paper version of the form to report patient deaths associated with restraint or seclusion. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Will you create TJC’s next Emergency Preparedness poster?

December 11, 2019

Natural & Manmade Disasters, Environment and Facilities, Accreditation & Survey Preparation

Selected posters will be exhibited at the Emergency Management Standards Base Camp on April 21, and at the 2020 Emergency Preparedness Conference on April 21 and 23. ...

Inside Accreditation & Quality

- Volume

Issue

Fire safety may trump ligature risk, but surveyors likely will want both

December 17, 2019

Environment and Facilities, Fire & Life Safety, Accreditation & Survey Preparation, Behavioral & Mental Health

The Joint Commission’s (TJC) newest engineering director, Herman A. McKenzie, MBA, CHSP, told hospital leadership that life safety (LS) trumps ligature risk. But be prepared to not have a choice. ...

Inside Accreditation & Quality

- Volume

Issue

TJC to focus on how hospitals prevent obstetric hemorrhage, treat severe hypertension

December 17, 2019

Patient Safety, Accreditation & Survey Preparation

Obstetric hemorrhage and severe hypertension are the two focus areas of the requirements that will come online in July 2020 ...

Patient Safety Monitor Journal

- Volume

Issue

Revisiting The Joint Commission’s drug diversion advice, resources amid growing opioid epidemic

December 17, 2019

Accreditation & Survey Preparation, Quality & Errors

10% of healthcare workers in the U.S. are abusing drugs of some sort. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Suicide prevention NPSG now applies to Critical Access Hospitals

July 01, 2026

Accreditation & Survey Preparation, Behavioral & Mental Health

The accreditor noted concerns about the very high rate of suicides in rural communities that critical access hospitals serve. ...

Inside Accreditation & Quality

- Volume

Issue

Expect the next decade to focus on coping with new technology and old problems

December 10, 2019

Accreditation & Survey Preparation, Natural & Manmade Disasters, Environment and Facilities, Infection Control, Leadership & Finance, Fire & Life Safety, Patient Safety, Policies and Procedures, Quality & Errors, Behavioral & Mental Health, Workplace safety

Healthcare compliance changed quite a bit in the last decade. For one thing, fire safety moved into the current millennium with the adoption of the 2012 versions of NFPA 101 Life Safety Code® (LSC) an...

Subscribe to Accreditation & Survey Preparation

Review your antibiotic stewardship program against latest CoP revisions

CMS updates IC CoP as of March 30

CMS updates its surveyor’s manual for first time in more than a year

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

Will you create TJC’s next Emergency Preparedness poster?

Fire safety may trump ligature risk, but surveyors likely will want both

TJC to focus on how hospitals prevent obstetric hemorrhage, treat severe hypertension

Revisiting The Joint Commission’s drug diversion advice, resources amid growing opioid epidemic

Suicide prevention NPSG now applies to Critical Access Hospitals

Expect the next decade to focus on coping with new technology and old problems

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