Accreditation & Survey Preparation | .accreditationqualitycenter

Inside Accreditation & Quality

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Issue

Avoid RFIs: Remind staff not to eat, drink around infectious materials

October 15, 2019

Accreditation & Survey Preparation, Infection Control, Patient Safety, Policies and Procedures

That is one way to avoid an almost certain citation if those hard-at-work staffers or their refreshments are spotted by surveyors. ...

Inside Accreditation & Quality

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Issue

Validation surveys can uncover array of problems

February 20, 2026

Accreditation & Survey Preparation

What is CMS finding on validation surveys that is so concerning? ...

Accreditation & Quality Compliance Advisor

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Issue

Use new delays to catch up to more stringent USP requirements

February 20, 2026

Accreditation & Survey Preparation, Quality & Errors

Check with your state health department or board of pharmacy to see if you must still comply with the requirements under USP chapter <800> Hazardous Drugs—Handling in Healthcare Settings startin...

Patient Safety Monitor Journal

- Volume

Issue

Zero harm study finds many struggling to achieve goal

February 20, 2026

Patient Safety, Quality & Errors, Accreditation & Survey Preparation

Two million providers say they don’t have the resources to achieve zero harm ...

Inside Accreditation & Quality

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TJC, other AOs told to step up on finding EoC, LSC violations

February 20, 2026

Accreditation & Survey Preparation, Environment and Facilities, Fire & Life Safety

Expect CMS to continue its crackdown on The Joint Commission (TJC), HFAP, and other accrediting organizations (AO) for fire safety and physical environment oversight. ...

Inside Accreditation & Quality

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Issue

Infection control is front and center at annual TJC session

February 20, 2026

Accreditation & Survey Preparation, Environment and Facilities, Infection Control

Infection control dominated the day’s presentations, which also looked at expectations for sterile compounding, Legionella control, using personal protective equipment, medication management, lowering...

Inside Accreditation & Quality

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Inside Accreditation and Quality, October 2019

October 01, 2019

Accreditation & Survey Preparation, Environment and Facilities, Infection Control, Patient Safety, Policies and Procedures, Workplace safety

Subscribers, download this month's full IAQ newsletter ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS posts new discharging rule; empowers patients

February 20, 2026

Accreditation & Survey Preparation, Policies and Procedures

A newly proposed rule by CMS would put into effect new discharge planning requirements that the agency says will give patients and their families access to in to information that will “help them to ma...

Accreditation & Quality Compliance Advisor

- Volume

Issue

USP delays revised chapters; USP <800> to be “informational” only

February 20, 2026

Accreditation & Survey Preparation, Policies and Procedures, Quality & Errors

USP announced this week that it would be delaying the implementation of three new and revised chapters ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Joint Commission releases quality dashboard reports for ASCs

February 20, 2026

Accreditation & Survey Preparation, Quality & Errors

Available to Joint Commission surveyors and accredited ASCs, the reports are designed to help spur conversations about data, performance measures, and quality improvement in the survey process. ...

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Avoid RFIs: Remind staff not to eat, drink around infectious materials

Validation surveys can uncover array of problems

Use new delays to catch up to more stringent USP requirements

Zero harm study finds many struggling to achieve goal

TJC, other AOs told to step up on finding EoC, LSC violations

Infection control is front and center at annual TJC session

Inside Accreditation and Quality, October 2019

CMS posts new discharging rule; empowers patients

USP delays revised chapters; USP <800> to be “informational” only

Joint Commission releases quality dashboard reports for ASCs

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