Accreditation & Survey Preparation | .accreditationqualitycenter

Patient Safety Monitor Journal

- Volume

Issue

More patient safety accountability with CMS immediate jeopardy revision

February 21, 2026

Accreditation & Survey Preparation, Patient Safety

Be prepared to be held accountable for actions by contractors, staff, or volunteers that result in noncompliance with CMS Conditions of Participation (CoP). If those actions put a patient in harm’s wa...

CMS explains its Accrediting Role

Tue, 05/28/2019 - 18:00 - - Accreditation & Survey Preparation

Inside Accreditation & Quality

- Volume

Issue

TJC’s top 10 challenges from 2018 show you need to check your sprinkler heads

February 21, 2026

Accreditation & Survey Preparation, Environment and Facilities

This photo illustrates the amount of dust that can accumulate on a sprinkler head, possibly impeding the water flow or the time it takes for the internal sensor to signal significant heat to activate ...

Mac's Safety Space

- Volume

Issue

Dry your eyes: Keeping ahead of the water(s)

May 28, 2019

Environment and Facilities, Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant One of the more ubiquitous findings in my travels are those relating to water infiltration/intrusion: peeling paint, stained ceiling tiles, pesky grow...

Inside Accreditation & Quality

- Volume

Issue

Avoid citations, paperwork: Tackle most challenging Joint Commission standard with facilities team

February 21, 2026

Accreditation & Survey Preparation, Fire & Life Safety

Ensure your facilities team has the resources they need to clean, repair, or replace sprinkler heads to reduce the number of citations—and the amount of paperwork—you may face on your next accreditati...

Mac's Safety Space

- Volume

Issue

Carbon-dating compliance: What happened when…

May 21, 2019

Environment and Facilities, Accreditation & Survey Preparation

By Steve MacArthur, Hospital Safety Consultant …and how responsible are you for the sins of the past (turns out, quite a bit). Kind of a mixed bag of things this week, so please bear with me. ...

Inside Accreditation & Quality

- Volume

Issue

Q&A: Legal marijuana use in hospitals

February 21, 2026

Accreditation & Survey Preparation, Patient Safety, Policies and Procedures

This Q&A is meant to clear up some of the broader questions around medical cannabis in healthcare—for patients as well as healthcare employees. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

TJC clarifies suicide risk NPSG requirements

February 21, 2026

Accreditation & Survey Preparation, Behavioral & Mental Health

The Joint Commission (TJC) last week released some clarifying information on its National Patient Safety Goal about suicide risk reduction, NPSG.15.01.01, which is effective July 1, 2019 ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

Introducing AQCC!

February 21, 2026

Accreditation & Survey Preparation

We've moved the Accreditation Insider to our new website, Accreditation and Quality Compliance (AQCC)! You can find archived Insider articles under News & Analysis > Accreditation Insider. ...

Accreditation & Quality Compliance Advisor

- Volume

Issue

CMS proposed rule would strengthen oversight of AOs

February 21, 2026

Accreditation & Survey Preparation

The Centers for Medicare & Medicaid Services unveiled a proposed rulerequiring greater transparency when ownership changes occur at accrediting organizations. ...

Subscribe to Accreditation & Survey Preparation

More patient safety accountability with CMS immediate jeopardy revision

CMS explains its Accrediting Role

TJC’s top 10 challenges from 2018 show you need to check your sprinkler heads

Dry your eyes: Keeping ahead of the water(s)

Avoid citations, paperwork: Tackle most challenging Joint Commission standard with facilities team

Carbon-dating compliance: What happened when…

Q&A: Legal marijuana use in hospitals

TJC clarifies suicide risk NPSG requirements

Introducing AQCC!

CMS proposed rule would strengthen oversight of AOs

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