De-risking Your Quality Management Program
A de-risking approach to project management aimed at patient care can ensure the continued best use of everyone’s time and the best possible outcome.
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Blogs
Improving High Level Disinfection Process: Observations From The Field
High-Level Disinfection continues to be one of the top 10 TJC findings for 2021. Learn what the consultants at Courtemanche and Associates would are seeing in the field.
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Hospital Fire Drill Requirements for Surgical Areas
The Joint Commission released a new hospital program fire drill requirement in surgical areas which detail specific drill elements. Requirements
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Behavioral Health – Observations from the Field
Focus on Behavioral health observations and findings the Courtemanche team of consultants are seeing and hearing about in the field.
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Key CMS Survey Topics for 2022
New and revised survey topics from the Center’s for Medicare and Medicaid Services (CMS) took effect in January 2022. You should expect survey teams to include these topics during review of your facility. These include surveyor expectations for COVID-19 Vaccination of Healthcare Personnel, reinforcing EMTALA obligations for maternal patients, revisions to the Emergency Management Appendix
Key CMS Survey Topics for 2022 Read More »
Key CMS Survey Topics for 2022
New and revised survey topics from the Centers for Medicare and Medicaid Services (CMS) took effect in January 2022. You should expect survey teams to include these topics during the review of your facility.
Key CMS Survey Topics for 2022 Read More »
How Mock Surveys Are Beneficial to Your Healthcare Organization
Have you given thought to the benefits of a mock survey? Mock surveys can assist with readiness for your next Accreditation or Regulatory Survey; however, a mock survey can benefit your organization in many other ways as well.
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Safety Alert – Potential Ventilator Malfunction
A safety alert was issued from Vyalire Medical regarding certain Bellavista 1000 and 1000e ventilators.
Safety Alert – Potential Ventilator Malfunction Read More »
TJC Clarifies Life Safety Drawing Requirements
The Joint Commission (TJC) has rolled out their new business occupancy standards under LS.05.01.10 – LS.05.01.35 with 29 Elements of Performance for hospitals, critical access hospitals, behavioral health care and human services organizations effective July 1, 2021.
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CMS Covid 19 Vaccine Mandate – Helpful Guidance
CMS Covid-19 Vaccine Mandate helpful guidance was put forth on January 27, 2022, issuing several documents to assist organizations and facilities in understanding the Covid-19 Vaccine Mandate Interim Final Rule.
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Mock Surveys: Determining Your Regulatory Alignment
Have you considered the benefits a mock survey can provide to help your team identify risk areas and opportunities for improvement? A mock survey is an excellent way to check your alignment with regulatory requirements and ensure your survey readiness.
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Immediate Jeopardy: Prevention and Risk Strategies
Are you aware of what an immediate jeopardy citation is and how to avoid one? Understanding what it is, what the risks are in your organization and developing and implementing a plan to prevent the situation from happening in your organization is crucial.
Immediate Jeopardy: Prevention and Risk Strategies Read More »
