gap analysis

Endoscope Cleaning-Disinfecting-Storage Tracer Tool

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Document Overview: Utilize this tool to assess your Sterile Processing Department for compliance with the CMS Conditions of Participation and Accrediting Organization Requirements related to the care of surgical instruments.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the […]

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Crash Cart Tracer Tool

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Document Overview: Understanding and complying with your organization’s Crash Cart Management Process is vital to patient safety. Use this tool to trace compliance within your organization.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the

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Competency Program Review and Human Resource File Review Tool

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Document Overview: Competency Programs are one of the most important influencers of patient safety. Targeting key topics for discussion with Organizational Leaders, this tool is designed to help prepare your Human Resource/ Education and other key Leaders on key topics that lead to a successful Competency Program and Management of   Copyright & Disclaimers: ©

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Ambulatory Care Patient Tracer

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Document Overview: Designed as a Universal tool for ambulatory care settings, utilize this tool to assess your Hospital-based or Free-Standing Ambulatory Care Operations for compliance with the CMS Conditions of Participation.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of

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Chemotherapy Tracer Tool

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Document Overview: Utilize this tool to assess your organizations delivery of chemotherapy services to patients and determine your compliance with the CMS Conditions of Participation.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document

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Glucometer Management Tracer Tool

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Document Overview: This tool template is designed to ensure that your competency assessment documentation meets the intent of the competency assessment process. Simply populate the tool with the key steps of the skills you are assessing and follow the directions on the form.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change

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Hazardous Chemical Use Tracer Tool

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Document Overview: Proper management of hazardous chemicals keeps patients, staff and visitors safe. This tool will help you to assess compliance with the most current requirements.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the

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Peri-Operative Outpatient Tracer

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Document Overview: Utilize this tool to assess your processes for managing patients undergoing surgical/invasive procedures that do not require inpatient admission. Criteria is based upon the CMS Conditions of Participation and Accrediting Organization Requirements.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is

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Medical Staff Credentialing File Checklist

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Document Overview: Utilize this tool to ensure that your Medical Staff Credentialing/ Privileging documentation is compliant with the CMS Conditions of Participation.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current as of the date noted within the document footer.

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Medical Staff Credentialing/Privileging Program Review Tool

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Document Overview: Targeting key topics related to the management of the Medical Staff, this tool is designed to help prepare your Leadership team for interactions with your Accrediting Organizations or CMS Survey team.   Copyright & Disclaimers: © Courtemanche & Associates. Regulatory information may change over time as healthcare expectations change. This document is current

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