Safety Briefings for Survey Teams
A safe work environment during an actual regulatory survey is paramount. Learn tips to ensure safety for survey teams or other visiting organizations.
Ongoing Readiness
Functional-Organizational Integration- Key Factors in Accreditation Decisions.
As organizations continue to expand should new care locations or services be included in their accreditation program? Learn more about the criteria to consider.
CMS S&C’s Quality, Certification, and Oversight Reports (QCOR) – Are you on the list?
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
Recently, CMS issued, “Guidelines for the Expiration of the COVID-19 Public Health Emergency”. Learn timelines for regulatory requirements issued during the PHE.
Managing CPAP Machines Safely in Behavioral Health Facilities
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.
Mitigating Ligature Risk in Psychiatric Hospitals
Psychiatric hospitals carry inherent safety concerns. Learn key aspects for creating a mitigation plan to address areas of ligature risk.
Readily Retrievable Documents
One of the easiest deficiencies a regulatory or accrediting organization can render against an organization is a finding that the organization was not able to provide expected documents.
Point of Use Sterile Instrument Reprocessing Procedures
We are observing increasing incidence of organizations struggling to follow their point of use sterile instrument reprocessing procedures. This is a major infection control risk and patient safety concern.
Surgical Fire Risks in Procedural Areas
We are noticing that many organizations are not including special procedural areas as part of their proactive assessments for fire and burn risk for patients.
CMS Setting the Bar Higher for Hospital Quality Assurance and Performance Improvement Programs
CMS released QSO-23-09-Hospital in early March to provide greater emphasize of organization’s efforts to deliver safe, quality patient care.