Accreditation & Compliance Journal
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We work with a wide range of institutions—both in size and in resources. A significant portion of our effort focuses on hospitals experiencing close CMS examination.
A review of these clients suggests that there are common traits that may predispose a healthcare organization to CMS compliance challenges:read more
During recent focused CMS assessments of Ambulatory Surgery Centers (ASCs), several facilities have been cited with noncompliance in the areas contracted services, emergency equipment, and a sanitary environment. Noncompliance with these CMS Q-tags could potentially be cited at the Condition level.read more
Based on the findings of a recent study published in JAMA Internal Medicine, mortality rates are lower for patients who are admitted during weeks when TJC surveyors show up unannounced than during other times of the year. What does this mean for hospitals?read more
Earlier this year, the Joint Commission's Leadership (LD) Standard LD.01.03.01 EP 12 for deemed-status home health agencies and hospices was expanded to apply to deemed-status hospitals, critical access hospitals, and ambulatory surgical centers. Read more: Leadership...read more
Your quality team has studied the new standard changes, updated policies, and conducted tracers to monitor compliance. What else can you do as an executive to help …read more
TJC Issues Sentinel Event Alert 57: The essential role of leadership in developing a culture of safety
TJC Sentinel Event Alert 57 calls upon healthcare leaders to prioritize patient safety and demonstrate a commitment to the organization’s safety culture through everyday actions.read more
Patient Safety Awareness Week, which is intended to increase awareness about patient safety among health professionals and the public, starts next week, Sunday March 12th - Saturday, March 18th. The National Patient Safety Foundation's goal is to bring together and...read more
The Joint Commission recently updated its summary data of sentinel events statistics for 2016, reviewing a total of 824 sentinel events during 2016. The majority of these, 664, were voluntarily self-reported to TJC by an accredited or certified entity, while the...read more
Effective January 18, 2017, for all accreditation programs, the US Food and Drug Administration published a final rule banning the use of powdered gloves. The FDA made this decision after determining that “Powdered Surgeon’s Gloves, Powdered Patient Examination...read more
Implemented for all healthcare organizations in January 2017, the Joint Commission’s Survey Analysis for Evaluating Risk (SAFER) matrix is designed to be a customer-centered approach to the survey process, focusing on how organizations can make the best use of their...read more
The Joint Commission recently issued an addendum to a Sentinel Event Alert about preventing violence in the health care setting, due in part to alarming increases in reports of assault, rape and homicide. In the three years prior to the Sentinel Event Alert's...read more
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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.