Online Learning

Quality Academy

Healthcare Accreditation and Regulatory Education

About the Quality Academy

The Quality Academy is your smart site for healthcare accreditation and regulatory education. It is designed to provide expert on-demand education specifically for healthcare professionals. We offer research-based programs presented by experts in the field. You will discover an abundance of tools and innovative strategies that will aid you in applying what you learn immediately. The programs are self-paced, easy to follow and affordably priced.

Completion is eligible for CE credits through the ANCC.

Our goal is to assist our healthcare colleagues with solutions in their ongoing efforts to achieve safety and positive patient outcomes in healthcare.

Foundational Courses

New to regulatory? Get your bearings here.

TJC 101 Survey Process

Ace The Joint Commission (TJC) Accreditation Survey Process for healthcare settings with this foundations course and know what to expect when an unannounced survey occurs.

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EC/Physical Environment Regulatory Requirements

Learn the foundations of safety in the physical environment for hospitals and ambulatory sites, understand scoring challenges and succeed in CMS and TJC surveys.

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Provision of Care

This course provides the foundation for regulatory and accreditation requirements for healthcare including focus areas, such as assessment, re-assessment, pain, falls, nutrition, and restraint. In addition, learn about problematic areas and strategies for success in ongoing compliance.

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Patient Rights

In this 5-part Patient Rights course, learn the regulatory requirements for CMS and TJC accreditation, common noncompliance areas, proven solutions, tips for tracing your own process.

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Human Resources

Human Resources Management is a foundational course about healthcare compliance with regulatory requirements. This four-part course provides an overview of requirements, explanations of survey focus areas and troublesome compliance areas, and tips for success.

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CMS LTC Survey Process

Learn the Basics About NEW Critical Element Pathways for LTC

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CMS Survey Process 101

CMS 101 foundations provides current survey approaches to prepare leaders, doctors, nurses and other healthcare professionals for regulatory compliance.

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CMS Preventing Covid-19 in Hospitals

CMS and CDC have introduced Interim Guidance to assist healthcare organizations with the management of Covid-19 in Hospitals and Continuing Care Settings. Learn more about the latest expectations and new guidance for optimizing PPE supplies.

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The Joint Commission Survey Process with Covid-19

Learn about the virtual and onsite survey process for Joint Commission accreditation approved by CMS for deemed status.

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Infection Prevention & Control

Wondering how The Joint Commission (TJC) and the Centers for Medicare and Medicaid (CMS) requirements differ, and how to meet both? Enroll now to learn about the similarities and differences to enhance your Infection Prevention and Control Programs.

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Essential Courses

Ready for a deeper dive? Find solutions here.

Moderate Sedation

Moderate Sedation and Patient Safety go hand in hand for providers and nursing staff who use sedation for diagnostic and treatment procedures in hospital and ambulatory settings and must meet regulatory requirements. Learn how to use performance tracing to meet TJC and CMS requirements for sedation safety.

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Fire Drill Essentials

Life safety aka Fire Safety is essential in healthcare settings. Enroll in this course to hone fire response and meet regulatory requirements.

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Complaints & Grievances

Sometimes confusion exists between complaints and grievances and what regulatory and accreditation expectations mean. This essentials course provides clarity for hospitals and other healthcare settings on how to respond to complaints and grievances.

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EOC Rounding Quick Tips

Rounding in the physical environment to identify safety issues and fire threats is complex and challenging. Use these essential tips to exceed CMS and TJC expectations, reduce your workload and maintain a safe environment.

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EC/Physical Environment Implementation Essentials

Enroll in this course to exceed CMS and TJC hospital requirements for the physical environment to enhance patient safety and survey success.

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Surgical Site Infection Prevention – Ambulatory

Learn the latest expert recommendations and successful mitigation strategies for preventing Surgical Site Infections in an Ambulatory Surgery Setting

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Surgical Site Infection Prevention – Hospitals

Experts estimate that 60% of surgical site infections are preventable. Learn about the latest recommendations including the 7S Bundle and patient engagement strategies to focus staff, providers and patients on this common goal.

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Personal Protective Equipment

Learn tips for donning and doffing PPE to maintain safety and prevent unintended contamination.

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Long Term Care Course Bundle

This 6 – Course bundle provides Infection Prevention & Control guidance, survey process tips, PPE, and environmental management.

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Managing Flexible Endoscopes

Learn necessary staff competencies and critical steps for cleaning, disinfecting and storing endoscopes properly to minimize potential harm for all patients.

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Advanced Courses

Need fresh ideas? Explore new developments here.

Remembering, Forgetting and Retraining The Brain

When memory impairment disrupts daily activities, healthcare professionals must be mindful of CMS critical element pathways and nursing care strategies to improve memory, reduce the risk of Alzheimers and maximize brain function.

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Leadership Engagement to Reduce Harm

Lack of engagements for leaders, staff and physicians affects patient safety and professional well-being. This advanced course provides solutions to enhance leadership engagement for organizational success.

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Emergency Management 2020

This 3-hour course takes you through the regulatory requirements, focus areas, drills and more. Use this knowledge to develop preparedness and response capabilities when the unexpected occurs.

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Enterprise Wide Risk Management

When Risk Management goes enterprise-wide, leaders align guiding principles with their analysis of risks and opportunities to obtain the best strategic response for their healthcare organizations.

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Moderate Sedation

Moderate Sedation and Patient Safety go hand in hand for providers and nursing staff who use sedation for diagnostic and treatment procedures in hospital and ambulatory settings and must meet regulatory requirements. Learn how to use performance tracing to meet TJC and CMS requirements for sedation safety.

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Fire Drill Essentials

Life safety aka Fire Safety is essential in healthcare settings. Enroll in this course to hone fire response and meet regulatory requirements.

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Managing the Physical Environment during Covid-19 World Crisis

This advanced healthcare regulatory course provides smart infection prevention for patient safety and strict monitoring of the hospital environment to assure cleaning and disinfection during COVID 19 and other pandemics.

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Complaints & Grievances

Sometimes confusion exists between complaints and grievances and what regulatory and accreditation expectations mean. This essentials course provides clarity for hospitals and other healthcare settings on how to respond to complaints and grievances.

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EOC Rounding Quick Tips

Rounding in the physical environment to identify safety issues and fire threats is complex and challenging. Use these essential tips to exceed CMS and TJC expectations, reduce your workload and maintain a safe environment.

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Cleaning and Disinfecting Surgical Instruments

This two-part advanced course on the management of surgical instrumentation covers the decision process of whether to disinfect or sterilize and how to reprocess instruments effectively, using evidence-based guidelines from AORN and AAMI.

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C_Apps Resources & Tools

Regulatory & Accreditation Tools & Resources

Breast Milk Management

This month we are providing you some simple tools related to the management of Breast Milk. So often when we are conducting mock surveys at our client organizations, we encounter issues with the management of Breast Milk. Whether the issue is related to storage, labeling or management of the product by the patient, they can all be tracked back to two issues; staff reliance on memory and/or unsubstantiated competency of the skills needed to manage Breast Milk.

We are also providing two CDC published posters that can be posted for staff reference along with the Courtemanche & Associates Breast Milk Management Competency Tool. The posters should be placed in convenient locations such as on or near the Breast Milk storage refrigerator and potentially in each patient room so that the staff and patients can review the safety steps that should be taken when handling breast milk.

2021 Joint Commission Hospital Accreditation Program

This month’s C_APP’s is our Annual Required Policies, Procedures, Plans and Programs grid for The Joint Commission. It provides detailed information on the written documents your organization needs in order to meet The Joint Commission Hospital Accreditation Program Requirements. It is an extremely valuable tool to assist you in ensuring your organization is in compliance, as your policies and procedures establish the foundation for achieving compliance with these requirements.

NEW – Annual Required Education Grid for Hospitals

This month we are providing a 2021 Annual Required Education Grid for Hospitals based on The Joint Commission (TJC) requirements. Freshly updated in May and inclusive of any of the soon to take effect requirements, this resource can assist you in coordinating with your education teams to be certain you are addressing all of the required educational topics.

Malignant Hyperthermia

Guidelines & resources for Malignant Hyperthermia to assist with review of your internal process.

Medical Staff Requirements

Tools & Resources for Ongoing Practitioner Performance Evaluation (OPPE) and Focused Practitioner Performance Evaluation (FPPE).

Maternal Hypertension Preeclampsia

Maternal Hypertension-Preeclampsia Joint Commission Standards

Processing Ultrasound Transducers

Learn evidence based practice methodologies to safely reprocess Ultrasound Transducers.

Quality Assurance and Performance Improvement Requirements

Understand the basic requirements to help engage everyone in the organization in the performance measures that may be required for their areas

Preventing Suicide

Resources designed to assist with staff preparation and increased patient safety.

Maternal Hemorrhage

Learn new Joint Commission expectations with associated evidenced based resources that can help you align your maternal hemorrhage safety plan accordingly.

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Reach out and contact us today to learn more about our eLearning opportunities.

Completion is eligible for CE credits through the ANCC.

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