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Your Thought Content Leader In Hospital Accreditation
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The Last 5 Blogs


Hospital Accreditation: Making Your Medical Records Survey Ready
Posted by
on 9/18/2018 10:00:00 AM
One of the most challenging aspects of a survey is demonstrating that your medical record documentation meets accreditation and certification standards. Weeks and months of effort are swept away in an instant when practitioners fail to appropriately document the care…


Hospital Accreditation: Hospital Accreditation: Determining Severity of Deficiencies
Posted by
on 8/21/2018 10:00:00 AM
You’re sitting in the exit conference of a CMS survey. It’s been a pretty rough week. The survey hasn’t gone very well and you’ve steeled yourself for the bad news. Sure enough, the message comes through loud and clear. Your hospital has sustained condition-level…


Hospital Accreditation: Hospital Accreditation: Patient Visitation & the Support Person
Posted by
on 8/7/2018 10:00:00 AM
We know that patients have a right to receive visitors while they are in the hospital. This includes designating a support person who can be with the patient. In some cases, the support person can make decisions on the patient’s behalf about who may or may not…


Hospital Accreditation: Standing Orders from A CMS Perspective
Posted by
on 7/24/2018 10:00:00 AM
The use of standing orders (protocols) are becoming more and more widespread in hospitals across the United States. So how do you assure that their use in your hospital will be compliant to CMS expectations? The interpretive guidance in Appendix A of...


Hospital Accreditation: Hospital Accreditation: Emergency Preparedness - Staff Training
Posted by
on 7/10/2018 10:00:00 AM
I surveyed a hospital several years ago and asked various staff about their role in the event of a disaster. The answer was always the same: “I report to my unit and await instructions from my supervisor”. I asked the hospital’s emergency preparedness coordinator…