Accreditation

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November 2025
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Workshop: Mastering The Joint Commission standards and CMS regulations

Editor's Note Hospitals that succeed in surveys are those that “hardwire safety so you’re not ramping up and down,” said John R. Rosing, MHA, FACHE, executive vice president and principal of Patton Healthcare Consulting. Speaking at the OR Manager Conference, Rosing reminded perioperative leaders, “If we’re really about providing quality…

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By: Tarsilla Moura
October 27, 2025
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CMS narrows surveys to immediate jeopardy, harm during shutdown

Centers for Medicare & Medicaid Services

Editor's Note The Centers for Medicare & Medicaid Services (CMS) has activated shutdown rules that confine Medicare survey and certification work to health and safety essentials, according to an October 21 memo from the agency. Per the revised memorandum, excepted work during the federal shutdown includes investigations of complaints and…

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By: Tarsilla Moura
October 22, 2025
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The Joint Commission makes nurse staffing a national performance goal for 2026

Editor's Note The Joint Commission has made nurse staffing a national benchmark for hospital accreditation, formally recognizing it as a core measure of patient safety and care quality, Nurse.org October 13 reports. For the first time, hospitals must meet specific staffing standards to earn or maintain accreditation. Under the new…

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By: Tarsilla Moura
October 15, 2025
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The Joint Commission set to spotlight hospitals’ strengths with new SAFEST initiative

Editor's Note The Joint Commission will launch a new initiative in January 2026 to highlight high-performing practices observed during accreditation surveys, according to an October 1 release from the organization. Called Survey Analysis For Evaluating STrengths (SAFEST), the program aims to provide more balanced feedback to accredited organizations while building…

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By: Tarsilla Moura
October 8, 2025
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ACS launches hospital search tool to spotlight surgical quality

Editor's Note The American College of Surgeons (ACS) has launched a new online tool that helps patients and families locate hospitals recognized for delivering high-quality surgical care, according to an August 26 ACS announcement. The “Find a Hospital” tool highlights facilities that have earned ACS accreditation or verification through an…

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By: Tarsilla Moura
October 1, 2025
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Hospital complaints surge as oversight gaps leave patients frustrated

Editor's Note Patient complaints against hospitals have skyrocketed, rising 79% in just 5 years and topping 14,500 in fiscal year 2024, HealthLeaders September 12 reports. The surge reflects not only mounting dissatisfaction with care experiences but also systemic oversight delays that leave concerns unaddressed, fueling mistrust in hospitals. The Centers…

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By: Tarsilla Moura
September 17, 2025
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How ASCs ace the AAAHC accreditation survey

For an ambulatory surgery center (ASC), earning accreditation can be more than a mark of excellence. The Accreditation Association for Ambulatory Health Care (AAAHC) offers Medicare Deemed Status Accreditation, eliminating the need for separate surveys to certify compliance with the Conditions of Participation (CoPs) required by the Centers for Medicare…

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By: Uyen Vo
August 6, 2025
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How ASCs ace the AAAHC accreditation survey: New handbook, delineation of privileges

Editor’s Note: This page is a companion piece to the main article, How ASCs ace the AAAHC accreditation survey. The posts below cover the latest version of the handbook from the Accreditation Association for Ambulatory Health Care (AAAHC) and advice on delineation of privileges.  Navigating the new handbook The latest…

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By: Uyen Vo
August 6, 2025
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The Joint Commission announces accreditation overhaul

Editor's Note The Joint Commission has launched a major redesign of its healthcare accreditation and certification programs with Accreditation 360: The New Standard. According to a June 30 announcement, the new framework introduces outcome-focused performance tools, eliminates hundreds of requirements, and promises to made standards publicly accessible. Reportedly supported by…

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By: Matt Danford
June 30, 2025
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Certification options abound for infection preventionists

Patient safety and regulatory compliance demand thoroughly vetting those tasked with preventing healthcare-associated infections. But which certification is the right fit? Those who are new to infection control have a wide range of options for verifying their newly acquired expertise. More seasoned infection preventionists (IPs) also have a number of…

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By: Angela Lewellyn, LPN, CRCST, CER, CHL
May 7, 2025
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