Critical Access Hospital

Medical Staff Credentialing File Checklist

Document Overview: Utilize this tool to ensure that your Medical Staff Credentialing/ Privileging documentation is compliant with the CMS Conditions of Participation.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

Medical Staff Credentialing/Privileging Program Review Tool

Document Overview: Targeting key topics related to the management of the Medical Staff, this tool is designed to help prepare your Leadership team for interactions with your Accrediting Organizations or CMS Survey team.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current …

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Survey Readiness Execution Checklist

Document Overview: This checklist accounts for 16 components and the necessary tasks required for survey readiness.  Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

Emergency Management Program Review Tool

Document Overview: CMS and Accrediting Organizations recently revised the requirements for Emergency Management – Use this tool to ensure your program meets the expectations. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

HHS Security Risk Assessment Tool-v3.4

Document Overview: The Office of the National Coordinator for Health Information Technology developed a downloadable Security Risk Assessment Tool to help healthcare providers conduct a security risk assessment as required by the HIPAA Security Rule and the Centers for Medicare and Medicaid Service Electronic Health Record Incentive Program to ensure it is compliant with regulations …

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Ultrasound Probe Cleaning & Disinfecting Competency Tool

Maternal Hemorrhage Safety Program Checklist

Document Overview: Designed to promote the assessment and documentation of competency, this tool contains core skills typically assigned the responsibility of cleaning ultrasound probes. Copyright & Disclaimers: ©Courtemanche & Associates Regulatory Information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.  

Template for medical staff competencies

Competency Assessment Template

Document Overview: This tool template is designed to ensure that your competency assessment documentation meets the intent of the competency assessment process. Simply populate the tool with the key steps of the skills you are assessing and follow the directions on the form. Copyright & Disclaimers: ©Courtemanche & Associates Regulatory Information may change over time …

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Immediate Jeopardy Removal Plan tool

CMS Immediate Jeopardy Removal Plan Tool

Document Overview: This tool provides guidance to organizations regarding what to expect should the organization face an “IJ” finding and how to organize your response. Copyright & Disclaimers: ©Courtemanche & Associates Regulatory Information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.  

OSHA Workplace Violence

Document Overview:   Copyright & Disclaimers: ©Courtemanche & Associates Regulatory Information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.  

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