Better Compliance, Better Care

Providing solutions for your healthcare accreditation and regulatory needs.


Our 99% customer satisfaction directly correlates to our expert team providing healthcare professionals with the guidance they need to meet their goals.

         Exciting News to Share!

SAYAS Alliance Logo

SAYAS Alliance, parent company of Courtemanche & Associates, has expanded services to our client base
with the acquisition of Medical Resource Network (MRN).

MRN, established over 30 years ago, provides legal nurse consulting services designed to support healthcare organizations.

Our Services

We offer a comprehensive line of healthcare industry services and products to assist with survey readiness, improve quality, and enhance patient safety.


Center for Medicare and Medicaid Services


The Joint Commission


Det Norske Veritas


Accreditation Association for Ambulatory Healthcare


The Center for Improvement in Healthcare Quality
Acute Care
Critical Access Hospitals

Resolution Services

Solutions and evidence-based concept approaches and integration to achieve goals and performance improvement.

  • In the News

    Stay informed with up-to-date industry news

Emergency Management Chapter for Ambulatory Care Re-write

By Christopher Pratt, MS, BSN, HACP-CMS, Senior Consultant & Accredited Provider Program Director | March 27, 2024

Explore TJC’s new Emergency Management Chapter for Ambulatory Care, key updates and what they mean for your organization’s emergency preparedness efforts.

Are You Ready for The Joint Commission’s NEW Infection Control Chapter?

By Christopher Pratt, MS, BSN, HACP-CMS, Senior Consultant & Accredited Provider Program Director | March 27, 2024

Explore the key changes in TJC’s new Infection Control Chapter, designed to align with CDC guidelines and enhance infection prevention practices. Read more!

Workplace Violence – What’s New in Behavioral Health for 2024?

By Denise Smith, RN, MS, CLNC, HACP-CMS, Senior Consultant | March 1, 2024

Learn about the new and updated 2024 Joint Commission standards for preventing workplace violence in behavioral healthcare settings. Read more.

Orientation – Success for New Employees

By Denise E. Smith, RN, MS, CLNC, HACP-CMS, Senior Consultant | March 1, 2024

Learn the key components of effective healthcare employee orientation including house-wide, departmental and job-specific training to integrate & retain staff.

CMS New Fact Sheet on Accrediting Organizations

By Patricia Cook, BS, R.Ph, HACP-CMS, Head of Consulting | February 13, 2024

On February 8, 2024 CMS published a new Fact Sheet, focused on their efforts to Strengthen their Oversight of Accrediting Organizations. Learn more.

Assessing Your Dental Services for Compliance – Part II

By Denise E. Smith, RN, MS, CLNC, HACP-CMS, Senior Consultant | January 30, 2024

Learn about critical elements of dental services including water quality, amalgam waste, imaging safety, emergency care, discharge instructions, and more.

Let's Get Started.

C&A has been partnering with healthcare professionals for over 30 years with a 99% customer satisfaction. Contact us today to discuss your organization’s tailored plan!

Survey Readiness


The C&A team of expert consultants understands your needs and can help your organization navigate the course for regulatory compliance and success. We offer a broad array of customized consulting services to provide results-oriented strategies and tools to assist clients in achieving goals and improving performance.

Consulting Services

  • CMS & Joint Commission Mock Surveys
  • Ambulatory Programs
  • Virtual Consulting
  • Post Survey Support
  • Onsite Survey Support

How We Can Help

  • Prepare for a Joint Commission (TJC) Survey
  • CMS, DNV, Other Regulatory & Accrediting Agency Readiness
  • Customized, Personalized and Professional Assessment
  • Guidance and Hands-On Collaboration
  • Results Oriented Strategies & Tools

Resolution Services

Turn to the C&A team when new leaders arrive, when vacancies exist from role reassignments or consolidations, or when a little extra support is needed for Initial Accreditation, Ongoing Accreditation, Medicare Certification, or quality and regulatory matters.


For Successful Transitions

Leader and Staff Transitions can be unsettling to an organization. Quickly acquiring skills needed to either oversee Accreditation and Regulatory or perform these essential duties can be overwhelming. Our team at C&A stands prepared to assist you with expert mentors.

We Can Help

  • Avoid role confusion with expert guidance
  • Maintain regulatory success with interim support
  • Provide new leaders with the tools they need
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