January 2022 Newsletter

In the News This Month

Happy New Year! As this new year begins we wish that it brings you and your organization closer to the utmost of Quality Care for stellar patient, staff and guest health and welfare.

The New Year can be a time for reflection and resolution. What better time to assess your healthcare accreditation agency affiliation to ascertain the optimal fit with your organization’s strategies, goals, and culture. This month, Denise provides a glimpse at this very sort of evaluation in her first of a series “Healthcare Accreditation – A Look At Your Options”, and takes a closer look at DNV.

Pat’s article spotlights the final guidance provided from CMS on co-located hospitals, along with highlights on what the regulations require, where the focus for compliance will be and what healthcare staff can do to be prepared.

DNV accreditation & regulaatory

Jan 4 2022

Choosing the Right Healthcare Accreditation Agency
Healthcare accreditation has many benefits for an organization but choosing the right agency can be challenging. Accreditation to a health care organization stimulates continuous improvement. It enables the organization in demonstrating commitment to quality care. It raises community confidence in the services provided by the health care organization and provides ...
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About the Authors

Joseph Esch, MBA CHFM

Joseph Esch is a Life safety surveyor and consultant. He is trained under the HFAP Acute Care and Critical Access Hospital requirements, as well as The Joint Commission accreditation requirements for the physical environment, fire safety, Life Safety Code®, and Emergency Management chapters. Joseph has 14 years in healthcare, his primary focus is the operations, plant and the physical environment. He has assisted in the planning and initial startup of facility programs in several acute care facilities, including the implementation of CMMS, compliance program, capital forecasting, and facility condition indexing and has been chairman of the EOC committee. He currently holds a Certified Healthcare Facility Manager certification issued by the American Hospital association in 2015 and is a member of the American Society of Healthcare Engineers and the local chapter of Chesapeake Area for Healthcare Engineers.

Healthcare Accreditation & Regulatory Consultant Denise Smith
CMS Final Guidance

Jan 4 2022

CMS Provided the Final Guidance for Co-Located Hospitals
CMS (the Centers for Medicare and Medicaid Services) provided final guidance for the long-awaited regulations related to co-located hospitals.  Regulations that would govern how co-located hospitals interacted with each other were originally proposed in QSO-19-13-Hospital by CMS on May 3, 2019.  The original publication raised many questions from providers and ...
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About the Authors

Patricia Cook, B.S., R.Ph, HACP, GRCP

Pat Cook is a Senior Consultant and Head of Consulting Services at Courtemanche & Associates. Working in collaboration with the C&A Leaders, Pat manages Courtemanche & Associate’s business development initiatives and oversees the clinical delivery of services and support. With her extensive healthcare experience, Pat serves as a knowledgeable resource to new and existing clients, helping to guide them through their accreditation and regulatory needs.

Patricia Cook Consultant & Author

C_APPS 2021

Fresh from the Field

Our C_APPS membership provides monthly offerings January through November including regulatory & accreditation tools, resources, tracers, policy checklists, and other key aids to facilitate ongoing success with changing expectations.

Patient Visitation

Nov 4 2021

Acute Changes in Patient Condition
This month's package provides tools to address acute changes in patient condition. Recognizing changes in a patient’s baseline and reporting them to the healthcare team can provide valuable information to avoid poor patient outcomes.
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November Focus

Acute Changes in Patient Condition

This month's package includes:

  • Sample Policy Template
  • Sample Competency Document
  • Training Infograph

C_Apps Resources & Tools

C_APPS is an Exclusive Membership Service resource developed by Courtemanche & Associates that provides monthly offerings of regulatory and accreditation tools, resources, tracers, policy checklists or other key aids to facilitate ongoing success with changing expectations.

Disclaimer: The information on this website is published in good faith for general information purposes only. This website does not make any warranties about the completeness, reliability and accuracy of this information.

The Joint Commission® is a registered trademark of Joint Commission on Accreditation of Healthcare Organizations. Courtemanche & Associates has no affiliation with this entity.

Courtemanche & Associates | (704)-573-4535 | Email: info@courtemanche-assocs.com

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