Better Compliance, Better Care

Healthcare Regulatory & Accreditation Consultants

The C&A team of expert consultants understand 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.

  • In the News

    Stay informed with up-to-date industry news

Nurses Make a Difference 

By Christopher Pratt, MS, BSN, HACP | May 10, 2022

Nurses make a difference in our lives. How can we make a difference in theirs?

De-risking Your Quality Management Program

By Sandeep Goel, President & CEO | April 28, 2022

A de-risking approach to project management aimed at patient care can ensure the continued best use of everyone’s time and the best possible outcome.

High Level Disinfection – Observations from the Field    

By Denise E. Smith, RN, MS, CLNC, HACP | April 28, 2022

High-Level Disinfection continues to be one of the top 10 TJC findings for 2021. Learn what the consultants at Courtemanche and Associates would are seeing in the field.

Heads Up! Masks Up! Masking Requirements in Health Care Organizations

By Patricia Cook, BS, R.Ph, HACP | April 26, 2022

The Joint Commission confirmed yesterday that they will continue to survey organizations to the CDC recommendations regarding masking for Covid-19. CMS and State Agencies are also to continue to survey for compliance. Please reach out to the C&A team with further questions or for assistance with your regulatory compliance needs. Was this helpful? We appreciate …

Heads Up! Masks Up! Masking Requirements in Health Care Organizations Read More »

New TJC Standard- Proposed Health Care Disparities Requirements

By Patricia Cook, BS, R.Ph, HACP | April 14, 2022

On March 10th, TJC released proposed standards for Ambulatory Care, Critical Access Hospitals, Hospitals and Behavioral Health Care accredited organizations related to Health Care Disparities.

Are Your Linens an Elusive Culprit for Surgical Site Infections?

By Courtemanche & Associates Team | April 8, 2022

Linens in healthcare facilities can often be the culprit for surgical site infections which can go undetected. The AORN Journal recently published a feature article regarding linens in the OR as potential contaminants that are often overlooked.

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
Long Term Care
Critial Access Hospitals
Acute Care

Survey Readiness

Healthcare accreditation and regulatory services to improve quality and compliance outcomes.

  • Survey Support
  • CMS Compliance
  • Ambulatory Specific
  • Behavioral Health Specific
  • Initial Accreditation
  • Ongoing Survey Readiness
  • TJC Top Findings
  • Disease-Specific Certification

Resolution Services

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

  • Immediate Jeopardy
  • Interim Support
  • Infection Control
  • Prevention Management
  • Leadership Development
  • Coaching & Mentoring

Education & Tools

Online education for healthcare professionals. Courses and resources to aid in regulatory compliance.

  • Quality Academy
  • C_Apps Resources & Tools
  • Monthly Newsletter
  • On the Radar Alerts
  • Soar2Success (S2S)

Let's Get Started.

C&A has been partnering with healthcare professionals for over 27 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.

Meet Our Core Team

Meet our core team of expert healthcare accreditation and regulatory compliance consultants - an outstanding group of healthcare professionals. Our core team along with our top-notch partners provide a wealth of knowledge, wisdom and guidance to assist you with performance improvement and regulatory success.

Patricia Cook Consultant & Author

Senior Consultant
Head of Consulting Services

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

Educational & Tools


The Quality Academy is your eLearning smart site for healthcare accreditation and regulatory education. We offer over 50 online on-demand training courses to help your organization train your team for regulatory compliance and success.

  • On-demand education for healthcare professionals
  • Research-based programs presented by experts in the field
  • Learn tools and innovative strategies that can be applied immediately
  • Self-paced programs, easy to follow and affordably priced
  • Completion is eligible for CE credits through ANCC
  • Infection Prevention & Control
  • Preventing Covid-19 for Nursing Homes
  • The Joint Commission Survey Process
  • CMS 101 Survey Process
  • Patient Rights
  • And more...

New to regulatory?
Get your bearings here.

  • Personal Protective Equipment (PPE)
  • QAPI Essentials
  • Processing Ultrasound Transducers
  • Managing Flexible Endoscopes
  • Long Term Care
  • And more...

Ready for a deeper dive?
Find solutions here.

  • TJC & CMS Update for 2021
  • Preventing Suicide
  • Enterprise-Wide Risk Management
  • Emergency Management
  • And more...

Need fresh ideas?
Explore new developments here.

  • Personal Protective Equipment (PPE)
  • Maternal Hypertension-Preeclampsia
  • Vulnerable Patients
  • Moderate Sedation
  • Fire Safety
  • And more...

Regulatory & Accreditation
Tools & Resources

Most Popular Courses

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