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.
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 […]
Survey Readiness Execution Checklist
Document Overview: This checklist accounts for 16 components and the necessary tasks required for survey readiness. 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.
Surveyor Safety Briefing Template
Document Overview: To start your survey off on the right foot, use this template to develop the 5-minute Safety Briefing you will provide to your survey team upon their arrival to your organization. Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as […]
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.
Maternal Hemorrhage Safety Program Checklist

Document Overview: Designed to promote the assessment and documentation of competency, this tool contains core skills typically assigned the responsibility of cleaning ultrasound probes. 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.
ASHE ICRA 2.0

Document Overview: Designed to promote the assessment and documentation of competency, this tool contains core skills typically assigned to those individuals responsible for the administration of medications. Copyright & Disclaimers: Courtesy share by Courtemanche & Associates. © 2022 American Society for Health Care Engineering of the American Hospital Association.
Competency Assessment Template

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 over time […]
CMS Immediate Jeopardy Removal Plan Tool

Document Overview: This tool provides guidance to organizations regarding what to expect should the organization face an “IJ” finding and how to organize your response. 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.
US Department of Health and Human Services’ Substance Abuse and Mental Health Services Administration (SAMHSA) Useful Resources on Opiod Overdose Prevention

Document Overview: This resource provides a summary of the Opioid Crisis Management Strategy set for by SAMHSA and can be used to determine and design your organizations focus area for fighting the Opioid Epidemic. Copyright & Disclaimers: ©Courtemanche & Associates Regulatory Information may change over time as healthcare expectations change. This document is current […]
Ultrasound Probe Cleaning Disinfecting Competency Tool

Document Overview: Designed to promote the assessment and documentation of competency, this tool contains core skills typically assigned the responsibility of cleaning ultrasound probes. 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.
Medication Administration Competency Skill Checklist

Document Overview: Designed to promote the assessment and documentation of competency, this tool contains core skills typically assigned to those individuals responsible for the administration of medications. 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 […]