Leadership & Finance

Project management tool to help the accreditation coordinator monitor compliance activities.

Getting leadership involved in the accreditation process is crucial for your success. With this tracer, try to get hospital leaders involved in the process at least once a week. The title says Friday, but any day can work.

A chart of how to structure chapter teams.

Examples of who should be in a chapter team, goals, and tasks.

A fill-in-the-blank contract listing the responsibilities and expectations of those working on a quality improvement program.

An article on how to take another facility’s innovation or quality improvement project and making it work in your facility.

The Federal Emergency Management Agency offers this checklist to use as you review your orders of command succession, which is required for your emergency preparedness planning.

Surveyors continue to focus on the monitoring of contracted services. This article and accompanying checklists shows you how to get on top of it.

Use forms such as these to develop a list of the clinical contracts that Joint Commission surveyors might ask to review, along with the non-clinical contracts the CMS has shown an interest in.

This article and checklist are a starting points on apologizing patients after an adverse event, as well as doing a root cause analysis to discover what went wrong.