Accreditation is a complex topic with multiple branches, specialties, and nuances. New accreditation specialists often come from disparate backgrounds, with huge variations in the type and amount of training (if any) they had before accepting their new role. There’s a steep learning curve...

Ever wonder what the difference between CMS, Joint Commission, DNV, HFAP, and CIHQ is? This chart has the answers.

Please read the attached PDF before delving into Survey Training Essentials Toolket (STET) files. It contains a short booklet on how to use and sort through STE tools

  • STET CMS: This category provides examples and tools to assist in
  • ...

The Centers for Medicare and Medicaid Services (CMS) is the arm of the federal government that has oversight for the Medicare and Medicaid funding programs, regulates the quality of healthcare, and promotes healthcare system efficiency, quality, and beneficiary awareness of benefits.

CMS...

GOVERNING BODY:

  • Can have a single governing body for multiple hospital system
  • MD membership is allowed on the govern board

MEDICAL STAFF:

  • Can have a single medical staff for multiple hospital system
  • ...

Use this checklist to validate compliance or opportunities for improvement.

CMS surveys are unannounced, but you should be familiar with the Conditions of Participation, determine compliance and implement actions to correct any issues.  You should also understand the process that occurs during a survey and actions to take after a survey.  The checklist will...

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