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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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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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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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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Editor's Note Hospitals will soon face stronger accountability for suicide prevention, as The Joint Commission prepares to implement “National Performance Goal (NPG) 8” on January 1, 2026, its September 3 news update reports. The goal, titled “The hospital reduces the risk for suicide,” replaces current requirements under “National Patient Safety…

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Editor's Note The Accreditation Association for Ambulatory Health Care (AAAHC) released its v44 Standards, introducing new guidance designed to strengthen patient-focused care, streamline compliance, and align with evolving state regulations, an August 18 AAAHC announcement reports. As detailed in the news release, the v44 Standards, effective December 16, 2025, were…

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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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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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Takeaways • Different types of ASC leadership structures can be adapted to meet organizational needs. • Regulations, accreditation standards, size, and ownership types are examples of factors influencing the leadership structure. • Ongoing success of the ASC leadership team depends on factors such as governing body diversity and strategic planning.…

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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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