November 2024 Newsletter

In the News This Month

,Greetings Everyone,

Regulatory and accreditation requirements for health care organizations continue to change, and keeping a finger on the pulse of all of these changes can be daunting. Our feature article written by Patricia Cook; Senior Consultant & Head of Consulting Services focuses on some of the expected survey process changes organizations may experience during their TJC Hospital Accreditation Survey in 2025, while suggesting best practices to improve patient safety as well as regulatory compliance.

Our second article, "Informed Consent Clarification from CMS," also written by Patricia Cook references CMS Communication QSO-24-10- Hospitals, issued in April 2024, which provides clarifying information related to the Informed Consent process. Pat's article highlights key directives from the memo while providing detailed requirements the informed consent documentation should include.

Thank you for taking the time to read our articles. We hope this information is helpful in assisting you with accreditation and regulatory compliance needs. If you have any suggestions for future topics or require our services, please reach out to us at info@courtemanche-assocs.com. Our team is always available and eager to assist you in any way we can.

Accrediting team walking halls of hospital with staff leader

Oct 31 2024

What to Expect during your TJC Hospital Accreditation Survey in 2025
The regulatory and accreditation requirements for health care organizations continue to change as health care evolves and adjusts to accommodate advances in health-related sciences and safety sciences. Absent of these necessary changes, our healthcare delivery systems would quickly become antiquated and fail at its very mission of protecting lives.  ...
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The Author

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.

Pat Cook
Informed Consent form with stethescope and pen

Oct 31 2024

Informed Consent Clarification from CMS
In April 2024, CMS communicated clarifying information related to the Informed Consent process. CMS Communication QSO-24-10- Hospitals shared the increasing concerns CMS has received regarding the absence or failure of hospitals to ensure that the informed consent process is utilized when practitioners or supervised medical, advanced practice provider, or ...
Read More

The Author

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.

Pat Cook
Tri logos Sayas Alliance parent company and sub division companies.

C&A is a division of SAYAS Alliance. Through our sister company Medical Resources Network, we also offer a range of legal nurse consulting services, including medical record review and analysis, medical chronologies, peer review, retention of medical experts, and adverse event and call center management. Learn more.

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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