Some things aren’t meant to be holey—like your hospital walls and ceilings. Despite that, 45% of last year’s hospital surveys were scored noncompliant on LS.02.01.10, element of performance (EP) 14, which covers this very issue.
This February, The Joint Commission (TJC) launched a new website with the intent of supporting healthcare organizations in developing their infection control (IC) and antimicrobial stewardship programs.
The Joint Commission (TJC) has put out several enhancements to its survey processes in 2025. One of the most notable is TJC’s redesigned survey report, put into action in January and applicable to all healthcare organizations that TJC accredits, certifies, and verifies. The commission wrote that...
Law firm Barnes & Thornburg’s 2025 Healthcare Compliance Outlook found that the majority of healthcare professionals surveyed feel stretched thin as they navigate complex regulations and mounting cyberattacks, the rapid adoption of AI, and increased scrutiny of healthcare mergers and...
With hurricane season starting in June and alarm bells being rung on the rise in global temperatures, it has never been more crucial for healthcare organizations to focus on their emergency preparedness and management plans. This is one area where accreditation can help, says Kurt Patton...
As we discussed last month with Julia Finken, RN, BSN, MBA, CPHQ, CLSSMBB, senior vice president of accreditation and regulatory compliance at Barrins & Associates and Patton Healthcare Consulting, many healthcare providers struggle with restraint and seclusion compliance...
The CMS Patient Safety Structural Measure (PSSM) went into effect this January for acute care hospitals and for cancer hospitals exempt from the Prospective Payment System (PPS). Built around five domains, the PSSM is meant to assess whether hospitals have a structure and culture that...
Near misses—unplanned incidents that have the potential to cause harm but do not—present valuable opportunities to identify systemic vulnerabilities and prevent adverse outcomes in settings like behavioral health.
Because of the risk of physical injury, psychological trauma, or even death, CMS and Joint Commission (TJC) surveyors expect strict adherence to rules regarding patient restraints. There are times when hospitals and healthcare providers need to restrain a patient physically or chemically, but...
CMS frequently uncovers common compliance issues during inspections of ambulatory surgery centers (ASC). These deficiencies involve lapses in infection control, patient safety concerns, and failures to fully adhere to CMS regulations.
