New & Revised Requirements Addressing Antibiotic Stewardship
On August 4, 2021, The Joint Commission posted new elements of performance related to MM 09.01.01 Antibiotic Stewardship.
CMS 1754-F Hospice Conditions of Participation Changes Finalized- Competency Changes

On July 29, 2021, CMS rule 1754-F was finalized and while it is entitled “The 2022 Hospice Payment Rate Update”, the rule makes final the proposed changes to the Hospice Conditions of Participation.
Covid-19 Resources for Environmental Services
Recently the American Hospital Association, Health Research and Educational Trust and the Center for Disease Control updated their COVID-19 training and education resource for those persons responsible for maintaining the cleanliness of our organizations. While the tool addresses COVID-19, the training is founded in the basic principles of disinfection and contains great infographics that could […]
If Talent Management is the Biggest Challenge in Healthcare- What Can You Do?
Understanding OSHA COVID 19 Emergency Temporary Standard
On June 25, 2021, the Occupational Safety and Hazard Agency published its COVID-19 Emergency Temporary Standard (ETS) with an expected compliance date of no later than July 21, 2021.
The Joint Commission Resuscitation Requirements For Healthcare
The Joint Commission has shared that proposed Resuscitation Standards will be finalized in July 2021 with an effective date of January 1, 2022. Stay Tuned for more information from C&A in July on the new expectations set by these standards.
Exercise Exemption/Emergency Operations Plan
OSHA Releases New Safety Rule
On June 10, 2021, OSHA released their newest Covid-19 safety rules for healthcare workers.To learn more click here. For assistance in interpreting or designing processes that will comply, contact C&A
Medical History & Physical Requirements for Ambulatory Healthcare
Newest Guidance from CMS
On May 7th, the Centers for Medicaid and Medicare Services (CMS) released their Interpretive Guidelines for the Interoperability and Patient Access Rule. This rule is designed to provide easier access and establish clearer expectations on the sharing of health information to ensure quality and safe transitions in care. These guidelines were issued and implemented on […]
New Performance Improvement Requirements for Critical Access Hospitals
In September of 2019, CMS issued the Burden Reduction Final Rule that reset some of the requirements and expectations related to Performance Improvement within Critical Access Hospitals. Several of the required changes have taken effect within The Joint Commission Critical Access Hospital Accreditation Program but several additional changes that reside within the Leadership Chapter took effect March […]
AISLE WIDTH – Use your Tape Measure
The Joint Commission published in their April issue of EC News; a short article of significance that may go unnoticed. The article announces that effective immediately, their EC-LS surveyors will be surveying the aisle widths within your suites that exist within your health care occupancy spaces. The minimum width for these aisles is 36 inches […]