March 2022 Newsletter

In the News This Month

Happy March Everyone, springtime is almost upon us!

As the new year progresses, we are thankfully seeing the most recent Covid-19 variant surge recede. With this slow-down, we expect to see increased emphasis by CMS on new and revised survey topics that were put into effect this January. To assist your organization in ensuring their programs are in alignment with these updates, our feature article, "Key CMS Survey Topics For 2022" by Chris Pratt, outlines the new and revised topics and highlights some of the specifics you should expect survey teams to include during the review of your facility.

What better way to ensure you're in compliance with new and revised regulations than to have a Mock Survey. Pat Cook's article, "The Benefits of a Mock Survey" spotlight how this service can better prepare your team for regulatory success.

We hope you find these articles informative and helpful in assisting you with your ongoing regulatory readiness. Please reach out to us at for additional information or any service needs you may have.

Key CMS Survey Topics for 2022

Mar 1 2022

Key CMS Survey Topics for 2022
New and revised survey topics from the Centers for Medicare and Medicaid Services (CMS) took effect in January 2022. You should expect survey teams to include these topics during review of your facility. These include surveyor expectations for COVID-19 Vaccination of Healthcare Personnel, reinforcing EMTALA obligations for maternal patients, ...
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About the Authors

Christopher Pratt, MS, BSN, HACP

Chris Pratt is a Senior Consultant with Courtemanche and Associates with more than 33 years in clinical and leadership experience working in varying healthcare positions from the bedside to the Boardroom. In this role, he is responsible for assessing healthcare organizations’ readiness for licensing, accreditation, and regulatory compliance. He is trained in the survey process, auditing approach and survey outcome determination utilized by The Joint Commission, DNV, Centers for Medicare and Medicaid Services (CMS), and other regulatory agencies and accrediting organizations. He assists organizations with post-survey activities, education, patient safety strategies, and quality improvement initiatives and has experience in various health care settings including acute care, behavioral health, and ambulatory care settings.

Courtemanche & Associates Healthcare Consultant Chris Pratt
Benefits of a mock survey

Mar 1 2022

How a Mock Survey Can Benefit Your Organization
Have you given thought to the benefits of a mock survey? Many organizations use mock surveys to make certain they are ready for their next Accreditation or Regulatory Survey; however, mock surveys can benefit your organization in other ways. This month's article will explore how the information collected from ...
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C_APPS 2022

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.

C_APPS Healthcare Accreditation Tools & Resources 2022

Feb 8 2022

2022 TJC Staff & Licensed Independent Practitioner’s Required Education Matrix
This month we are pleased to provide our members with the 2022 Required Education Matrix. This tool contains the most up-to-date information on the required educational topics for both staff and licensed practitioners, based on the TJC Hospital Accreditation Program requirements.
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February Focus

2022 TJC Staff and Licensed Independent Practitioner's Required Education Matrix

This month's package includes:

  • An updated list of topics requiring Staff/LIP education and/or training.
  • The chapters and standards associated with each requirement.

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.

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