Accreditation & Compliance Journal
Subscribe to receive the latest hospital accreditation & compliance news and updates from our team.
You have Successfully Subscribed!
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...read more
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.read more
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...read more
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.read more
Kate Fenner, PhD, RN has been published in Becker’s Hospital Review in our eight-part series on accreditation options for healthcare organizations. The article, "Accreditation Options Update: Going Bare -- The State Option as an Alternative to Accreditation"...read more
The Joint Commission (TJC) announced in the August 2017 Perspectives that it has edited Medication Management (MM) standards for the ambulatory care, behavioral health care, critical access hospital, home care, hospital, nursing care center, and office-based surgery...read more
Victoria M. Fennel, PhD, RN-BC, CPHQ, has been published in Becker’s Hospital Review with the fifth article in our eight-part series on accreditation options for healthcare organizations. The article, "Understanding the center for improvement in healthcare quality"...read more
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.read more
The Joint Commission has released sentinel event data from the second quarter of 2017. 10 Most Reported Sentinel Events for Q2 2017 So far in 2017, 400 sentinel events have been reported. The following are the 10 most reported sentinel events from the second quarter...read more
DNV GL’s NIAHO® standards are directly related to the CMS Conditions of Participation and apply to hospitals of all sizes. To focus efforts on the fundamental aspects of the Conditions of Participations, the standards are less prescriptive than the Joint Commission’s and the survey process supports CMS’ quality initiatives with focus on continual improvement prioritized by the organizatioread more
In May 2017, the Centers for Disease Control ( CDC) released its new guideline “Centers for Disease Control and Prevention Guideline for the Prevention of Surgical Site Infection, 2017,” for surgical site infection (SSI) prevention, the first such update since the turn of the century. Estimated costs of SSIs range from $10,443 to $25,546 per infection, although it can cost more than $90,000 to treat an SSI involving a prosthetic joint implant or an antimicrobial-resistant organism.read more
High and Low-risk Devices are all the Same to TJC Surveyors? New Maintenance Standards Could Prove Costly for Hospitals
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...read more
The Compass Difference
When you hire Compass to work with you, we bring a small team of consultants in to learn about your organization. We don’t invade your hospital – we become part of it. By keeping our team small, your people will get to know us and trust us and will see us as part of your team. We believe transparency is a critical success factor for any project, so you will always know about project progress and obstacles in real time.