If your hospital or its satellite buildings are co-located with other healthcare facilities, you now face slightly fewer requirements than first proposed for ensuring compliance with acute care Medicare Conditions of Participation (CoP) when sharing services with entities not...
In the upcoming year, surveys will include new standards, revised requirements, modified processes and procedures, and a continued focus on infection control and fire safety. However, none of that promises to be more difficult than facing the COVID-19 pandemic.
Conduct your drills for maternal hemorrhage and maternal severe hypertension/preeclampsia by the end of 2021. Be sure they include a multidisciplinary team to debrief and evaluate how well you performed.
Staff education and orientation on procedures to handle those emergencies will be...
In preparing for your upcoming survey, review how your facility stands up to the top 10 most challenging standards within the physical environment outlined by Herman A. McKenzie, MBA, CHSP, director of engineering for TJC’s Standards Interpretation Group during the 2021...
Much-needed holiday happiness might be around the corner, but now’s the time to review your hospital attire and holiday decoration policies. Then remind managers and staff what the expectations are for costumes and decking those halls.
Accreditation survey results released by the Accreditation Commission for Health Care’s (ACHC) HFAP brand show that ambulatory surgery centers (ASC) continue to struggle with their credentialing and privileging policies and procedures.
In asking for tips for first-time accreditation managers, Inside Accreditation & Quality also asked consultants and accreditation executives what online sources they recommend.
The list ranges from CMS policy memos and compliance updates to the online resources and electronic...
You are not alone. Take time to read the standards and regulations. It’s OK to ask for help. Lean on your subject matter experts. Use the tools offered to you. Those are the top tips compliance consultants as well as former and current accreditation executives and surveyors want to offer first-...
Understanding the ins and outs of accreditation and compliance can be overwhelming for first time managers. Maybe someone took time to explain the job. Or maybe they just pointed at a manual and said, “good luck.”
Like any other job in a hospital, it takes education, time, and creativity...