One of the truisms of the compliance biz is that it is very difficult to argue your way out of a finding if that finding is the result of your organization failing to comply with its own policy/practice.
In one of those bizarre moments, I was looking at this week’s missive from the good folks at ASHE when I espied the following headline: “Window closing to comply with CMS sprinkler requirement.” My first thought was, what does closing a window have to do with CMS and sprinkler requirements?
To frame the conversation, the state of New Jersey is in the process of implementing one of the (if not the) most comprehensive regulatory requirements relative to the management of water as a function of waterborne illnesses. Certainly, the folks in healthcare are already managing these risks,...
Anyone who’s followed this Space for any length of time knows I am rather fond of the twists and turns of language, but only when those twists and turns reflect a fair degree of precision. Those twists and turns come to a screeching halt in the face of words that are treated as synonyms, and the...
You have to know where you shut them off—make sure you label those shutoff valves!
That’s one of the pearls of wisdom dispensed during the most recent Executive Briefings by our friends in Chicago. It appears that there’s been a run on unlabeled shutoff valves during this year’s surveys,...
I apologize for not pushing this out a few weeks earlier than now—I’m writing this a few days after Daylight Savings Time, so my brain is wonky and erasing my thoughts like an Etch A Sketch (you all know about that, yes? If not, this will...
I’ve had an interesting couple of weeks scrambling up and down ladders while engaged in a focused above-the-ceiling life safety compliance assessment. The experience gave me time to think about one of the basic tenets (at least, for me) of managing the physical environment, which I will...
This week brings us something of a mixed bag, but I think the two articles speak to the heart of how our management of the healthcare physical environment informs everything that goes on around and in it. I have consistently maintained (small pun intended) that pretty much everything in...
Recently, I’ve seen some survey activity that prompts me to chat a little bit about essential electrical systems (EES) and to provide you with a source of information in that regard. The survey findings have related to the connection of inappropriate equipment to a branch of the EES or an...
One of the truisms of managing healthcare in current climes and times is the importance of creating environments that can withstand the slings and arrows of outrageous fortune (and we’ve certainly had more than our share of those). In looking back at the last five or so years, it is very clear...