CMS surveys are unannounced, but you should be familiar with the Conditions of Participation, determine compliance and implement actions to correct any issues.  You should also understand the process that occurs during a survey and actions to take after a survey.  The checklist will...

Example A – Condition of Participation from the State Operations Manual (SOM)  Appendix A – Hospitals

Tag A- 0449

§482.24 (c) – Standard:  Content of the Medical Record

The medical record must contain information to justify admission and...

Accreditation Questions for Ongoing Survey Readiness

The following folder contains quiz questions to help accreditation professionals coach staff and provide education on new and revised standards/Elements of Performance (EP) for continuous survey readiness. The questions are based on...

In this folder, you will find questions and tools that focus on the top hospital standards that continue to receive Requirements for Improvement (RFIs) at the time of surveys. These tools will have the summary "...

This is considered a top compliance issue by The Joint Commission

This is considered a top compliance issue by The Joint Commission

This is considered a top compliance issue by The Joint Commission

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