survey readiness

Maternal Hemorrhage Tracer Tool

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 […]

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Peri-Operative Outpatient Tracer

Document Overview: Utilize this tool to assess your processes for managing patients undergoing surgical/invasive procedures that do not require inpatient admission. Criteria is based upon the CMS Conditions of Participation and Accrediting Organization Requirements.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is

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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.

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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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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.

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list of required joint commission plans, procedures, programs, policies

TJC Required Plans-Policies-Documents List

Document Overview: Formatted in an easy-to-use document, this list contains the most current documents that your organization must have ready for the surveyors from the moment they enter your organization. Copyright & Disclaimers: ©Courtemanche & Associates Regulatory Information may change over time as healthcare expectations change. This document is current as of the date noted

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Checklist for last minute regulatory compliance surveys

Last Minute Survey Checklist

Document Overview: Our last-minute survey checklist contains many of the most common survey findings that are easily correctable.  Use this list as a last-minute survey checklist or as a guide to daily survey readiness operations. Copyright & Disclaimers: ©Courtemanche & Associates Regulatory Information may change over time as healthcare expectations change. This document is current

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