Healthcare Accreditation and Regulatory Education: Quality Academy

Quality Academy

Healthcare Accreditation and Regulatory Education

About the Quality Academy

The Quality Academy is your smart site for healthcare initial 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

Survey Readiness Planning

This month’s C-APPS tools have been selected to help you and your organization prepare and smoothly execute your survey.

Surgical Suite Safety

This month’s C-APPS, offersed several tools to use in your practice that address safe use of anesthesia equipment, surgical lasers, and the prevention of surgical fires.

Medication Management

This month’s C_APPS offering focuses organizations on their Medication Management Processes providing tools and resources
designed to assess compliance on patient care units and other areas where medications are stored and/or administered.

Imaging Services

This month our C_APPs offering focuses on the imaging service or department providing tools and resources to assist with operational/procedural areas that we often find as problematic during our mock surveys.

Assessing Risk

This month in alignment with our newsletter, our C_APPs offering focuses on the process for assessing risk. As organizations recover from the pandemic, they are challenged with getting their Performance Improvement-Quality Initiatives back up and running.

Workplace Violence in Healthcare Settings

Workplace Violence in the healthcare setting, is an especially important topic in the field right now. This month’s C_APPS package provides a variety of tools and resources to guide you in putting together an effective program that encompasses education, training, and processes for the entire organization.

CMS Covid-19 Vaccination Mandate for Healthcare Workers

One new development in late 2021 was the CMS Covid-19 Vaccination mandate for Healthcare Workers. To help our members develop the required framework, this month our C_APPs offering is a policy template for the required Covid-19 Vaccination policy along with our Covid-19 Vaccination Program checklist.

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.

CMS Final Guidance Co-Located Hospitals

This month focuses on the newly released QSO from CMS that provides guidance on Co-Located Hospitals. While the QSO is specific to the co-location of hospitals, more commonly known as a hospital within a hospital, we believe many of the principles and circumstances outlined within the QSO would apply to other types of facilities with co-location as well.

Acute Changes in Patient Condition

This month’s package provides tools to address acute changes in patient condition. Recognizing changes in a patient’s baseline and reporting them to the healthcare team can provide valuable information to avoid poor patient outcomes.

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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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