Going Beyond CMS & TJC Minimum Safety Standards: The Patient Safety Assessment

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High risk Medical Device

Kevin Kiely, CHSP, CHFM, CPSO, HEM, senior consultant for Compass Clinical Consulting, is the featured in the August 1, 2017, edition of the Briefings on Accreditation and Quality Journal article, “High- and low-risk devices are all the same to surveyors; New maintenance standards could prove costly for hospitals.”  EXCERPT:  Many were shocked by The…(Read More)

Healthcare Facilities Accreditation Program Compass Clinical Consulting

HFAP is the accreditation process that has grown out of the former hospital approval process of the American Osteopathic Association. Founded in 1945, this accreditation program has experienced growth well beyond its traditional base of osteopathic hospitals to encompass over 200 acute-care hospitals, plus 200 other accredited entities…(Read More)

The Joint Commission (TJC) is, by far, one of the biggest names in hospital accreditation. Formerly known for years as the Joint Commission on the Accreditation Healthcare Organizations, TJC’s mission still rings true today: “To continuously improve healthcare for the public in collaboration with other stakeholders, by evaluating healthcare organizations and inspiring them to…(Read More)

Compass Clinical Consulting’s Director Kate Fenner, PhD, RN, is featured in a series about Hospital Accreditation Options for Hospitals and Health Systems in Becker’s Hospital Review Magazine. Excerpt: The clear majority of hospitals seek voluntary accreditation, most through The Joint Commission (TJC) and now, several hundred through the Healthcare Facilities Accreditation Program (HFAP…(Read More)

What is a CMS Systems Improvement Agreement: FAQ'S

The Systems Improvement Agreement between the hospital/healthcare organization and CMS binds the organization to engage in a series of improvement activities to address multiple deficiencies in compliance with the CoPs with the assistance of a third-party monitor/consultant approved in advance by the CMS Regional Office. The agreement grants the organization additional time…(Read More)

Did you miss any of these top articles? “Understanding the Healthcare Facilities Accreditation Program (HFAP),”; “The Hospital Utilization Management Committee (UMC) – CMS Condition of Participation (CoPS) Requirement,”; “Improving Treatment of Mental Health Patients in the Emergency Department (ED),”; “Four Common EMTALA Vulnerabilities Hospitals Should Know … But Probably Don’t,”; and…(Read More)

The ED Psychiatric Patient Management System was developed by experts at Compass Clincial Consulting as a comprehensive approach to consistently deliver best practices in the care of psychiatric patients in the emergency department. This new system provides adaptable tools to ensure the ED staff is well prepared to address psychiatric patient needs and consistently use…(Read More)

What is the Healthcare Facilities Accreditation Progam (HFAP)? The HFAP is the accreditation process that has grown out of the former hospital approval process of the American Osteopathic Association. Founded in 1945, this accreditation program has experienced growth well beyond its traditional base of osteopathic hospitals to encompass over 200 acute-care hospitals, plus 200…(Read More)

Dr. Cary Gutbezahl, CEO of Compass Clinical Consulting, was the featured guest on Health Professional Radio Network, the #1 global online radio station for health professionals ED & ER Mock Surveys Neal Howard:  Dr. Gutbezahl, You have also served as a mock surveyor in preparing hospitals for regulatory surveys. Have you ever done anything similar…(Read More)