Safety data sheet with chemical warnings.

June 2023 eNewsletter

Articles this month include:

“Safe Handling Practices for Hazardous Chemicals”

“FPPE – OPPE: Lessons Learned”

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Therapist interviewing patient for treatment plan

May 2023 eNewsletter

Articles this month include:

“Behavioral Health Treatment Plans”

“Top 2022 TJC Deficiencies and Potential Solutions in the Hospital Environment”

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Counting Surgical Instruments after surger.

April 2023 eNewsletter

Articles this month include:

“Count Sheets – Where Do They Belong?”

“The Environment of Care and Positive Patient Care Outcomes”

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On the radar alert for healthcare regulatory topic

On The Radar

CMS S&C’s Quality, Certification, and Oversight Reports (QCOR) – Are you on the list?

By Anne Kelly, EdD, BSN, HACP-CMS Associate Consultant | May 17, 2023

CMS posts onsite survey reports by Accrediting Organizations and State Survey Agencies of substantial noncompliance. Are you on the list?

Expiration of Public Health Emergency

By Denise E. Smith, RN, MS, CLNC, HACP-CMS, Senior Consultant | May 10, 2023

Recently, CMS issued, “Guidelines for the Expiration of the COVID-19 Public Health Emergency”. Learn timelines for regulatory requirements issued during the PHE.

CMS Setting the Bar Higher for Hospital Quality Assurance and Performance Improvement Programs

By Christopher Pratt, MS, BSN, HACP-CMS, Senior Consultant & Accredited Provider Program Director | April 17, 2023

CMS released QSO-23-09-Hospital in early March to provide greater emphasize of organization’s efforts to deliver safe, quality patient care.

hand holding half light bulb and half brain.

C&A Blog

Safety Briefings for Survey Teams

May 31, 2023

A safe work environment during an actual regulatory survey is paramount. Learn tips to ensure safety for survey teams or other visiting organizations.

Functional-Organizational Integration- Key Factors in Accreditation Decisions.

May 19, 2023

As organizations continue to expand should new care locations or services be included in their accreditation program? Learn more about the criteria to consider.

Managing CPAP Machines Safely in Behavioral Health Facilities

May 10, 2023

CPAP machines present two potentially serious safety concerns in the Behavioral Health environment: ligature risk and improper cleaning/disinfecting/storage of medical equipment. CPAPs can be safely used if these two concerns are well-managed.

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