Readiness Services

Creating a Culture of Continuous Readiness

Compass assists organizations in building or strengthening internal resources to maintain a culture of continuous readiness for surveys by The Joint Commission (TJC) or the Centers for Medicare and Medicaid Services (CMS). Because TJC and CMS surveys are unannounced, preparation and ongoing readiness are critical. To keep your hospital continuously prepared, we provide high-leverage services and products to help your organization achieve survey success through proactive strategies

Continuous Readiness Packages

Control costs over time and combine preparation resources in a convenient package customized to your organization. These include on-demand question and clarification support, webinars, and other educational services on CMS and TJC changes and interpretation.

CMS & TJC Survey Preparation

Prepares the organization for an unannounced validation survey through the intense scrutiny of state surveyors in a safe setting.

CMS Conditions of Participation (CoPs)

Applies to: acute care hospitals, critical access hospitals, psychiatric hospitals, home health, hospice, and ambulatory surgery centers.

The Joint Commission (TJC)

Applies to: acute care hospitals, critical access hospitals, psychiatric hospitals, physician practices, home health, hospice, ambulatory surgery centers, and laboratory.

Disease Management Certification


Focuses on compliance to safety and health legislation.

Targeted Consultation

On-site personalized consultation proactively examines processes and targets those with the highest leverage for redesign to conserve resources.

Tracer Methodology Mock Surveys

Allow staff to respond in mock survey conditions while identifying opportunities for targeted improvement.


Focuses on areas such as: Emergency department, obstetrics, and behavioral services.

Focused Standards Assessment

We provide expert resources to complete your Focused Standards Assessment (FSA) or to validate one prepared internally. 

Assessments include: Cleaning and high-level disinfection; sterilization processes; behavioral health patients in the ED assessments; and Environment of Care areas.

Life Safety Code and NFPA

Applies to: acute care hospitals, critical access hospitals, and ambulatory surgery centers.

College of American Pathology (CAP)

Includes laboratory services and waived testing.


Related Information:

How to Prepare for a CMS CopS Survey: Strategies for Success

What’s the Difference Between CMS and TJC Surveys?

Focused TJC and CMS Mock Survey Findings: EC and LS

TJC Mock Survey Findings: Look Closely at Your Environment of Care

Compass Clinical Consulting works with your organization to craft ongoing readiness and survey preparation activities. We focus on mitigating deficiencies prior to survey, refocusing staff attention and arming managers with a response plan to launch when surveyors arrive, coach and mentor staff and managers on survey activities and educate boards and executives on the latest trends in accreditation and their implications.

To find out more about our Compliance and Accreditation services, contact us or call our office at (800) 241.0142.