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

Healthcare Accreditation – Choosing the Right 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

Denise Smith, RN, MSN, CLNC, HACP

Denise Smith is a Senior Consultant with Courtemanche & Associates. In this role she is responsible for assessing healthcare organizational readiness for licensing, certification, accreditation, and regulatory compliance. She has extensive knowledge in the requirements of The Joint Commission, DNV, and Centers for Medicare and Medicaid services including knowledge in their survey process, auditing approach and survey outcome determination. She also has knowledge and experience in AAAHC and other regulatory and accreditation organizations. She assists organizations with survey preparation, educational needs, post survey activities, patient safety strategies and quality improvement initiatives. Denise has more than 40 years of experience and expertise in Infection Prevention, Sterile Processing, Legal Nurse Consulting, Quality and Resource Management, Clinical Education, in acute inpatient and outpatient care settings.

Clinically, Denise is a licensed Registered Nurse with an extensive background in Infection Prevention and Control for perioperative settings, sterile processing, and quality management. Additionally, she has served as a Certified Legal Nurse Consultant and has aided organizations for EMTALA, Medical-Surgical and Health Care Administration areas of concern.

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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