
TJC Sentinel Event Alert 58 Focuses on Inadequate Hand-off Communication
Inadequate hand-off communication is a contributing factor to adverse events, including many types of sentinel events.
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The Interim Candidate Interview: A Two-Way Street
There are some basic guidelines that many healthcare leaders fail to follow in the process of selecting a qualified candidate to become part of their leadership team. As an HR professional, I can’t remember how many times I have taught classes and reminded executive...
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Modern Healthcare Announces the 100 Most Influential People in Healthcare, 2017
Modern Healthcare recently posted the 16th annual publication of the 100 Most Influential People in Healthcare, an awards & recognition program which honors individuals in healthcare who are deemed by their peers and the senior editors of Modern Healthcare to be the...
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Accreditation 101: Finding Success as an Accreditation Specialist
Nan Tomsky, MN, RN, CPHRM, Principal Consultant at Compass Clinical Consulting, and Richard Curtis, RN, MS, HACP, CEO of the Center for Improvement in Healthcare Quality and a nationally recognized expert on the CMS Conditions of Participation (CoPs) and certification...
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Hospitals and Health Systems: Which is the Best Accrediting Source for Your Organization?
Victoria Fennel, PhD, RN-BC, CPHQ, was published in Becker's Hospital Review in part seven of the eight-part “Accreditation Options” series. In the previous articles, we have analyzed the four main sources for external accreditation with deeming status. The article,...
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Sterilization and High-Level Disinfection: Not Just for ORs Anymore
It is a frequent assumption that sterilization and high-level disinfection (HLD) are limited to the main OR and sterile processing departments (SPD). However, accrediting agencies are beginning to place a greater focus on hospital-based clinics and satellite practices...
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Achieving Accreditation and Compliance Goals through Quality Department Interim Leadership
An 800+ bed hospital in the South was experiencing significant leadership changes, including the transition of an interim Chief Executive Officer, Chief Nursing Officer, and many director- and manager-level interims. The hospital contracted with Compass Clinical...
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Whitepaper: Accreditation Options for Hospitals & Health Systems
This decision to maintain accredited status with one particular source is rarely questioned, much less examined from a strategic perspective. But perhaps it is time for hospital leaders to evaluate the decision to pursue accreditation and view it as a key element of their hospitals’ strategies. This whitepaper explores some of the accreditation options available to hospitals— including TJC, HFAP, DNV GL, and CIHQ—paying close attention to the philosophies of different accrediting bodies, as well as the implications, costs, and benefits associated with them.
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Lena Browning Joins Compass Clinical Consulting
We are pleased to welcome Lena Browning MHA, BSN, RNC-NIC, CSHA, to Compass Clinical Consulting. As part of the accreditation and regulatory compliance mock survey team, she will focus on helping client organizations prepare for survey by the Joint Commission or the...
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Why Become a Regulatory and Accreditation Interim Executive?
Many hospitals find complying with regulatory and accreditation standards to be a challenge—knowing how to address deficiencies and ensure that the entire organization is prepared to do so is not something one learns in school. As a result, even an excellent hospital can find its well-being in jeopardy following a surprise survey that results in citations. Often, these organizations look to experts to assist in responding to the findings.
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