Accreditation Hot Spots: Complying With Troublesome CMS and Joint Commission Requirements - On-Demand
Wednesday, December 16, 2015
Bud Pate, REHS
Lisa Eddy, RN, CPHQ
What are the CMS and Joint Commission hot spots for 2016? Join Bud Pate, REHS, and Lisa Eddy, RN, CPHQ, as they examine current survey focuses and point out where CMS and The Joint Commission will concentrate their efforts during your next survey.
In just 90 minutes, find out how to prepare for your next accreditation survey and comply with the most troublesome CMS and Joint Commission requirements. Pate and Eddy will provide strategies for preparing your staff for survey and give you valuable tips about what surveyors will expect when they arrive at your facility.
After this on-demand webcast you will know:
1. How to properly prepare for an accreditation survey
2. The difference between focused and routine surveys
3. Which common events lead to adverse actions
4. The benefits of preparing progress reports
5. How to address behavioral health issues
I. How to comply
- Say what you do and do what you say
- Compliance is a byproduct of other activities
II. The problem with mock surveys
- How to improve on a mock survey
- The value of progress reports
III. Hot spots
- What’s new?
- Accreditation choices other than The Joint Commission
- Behavioral health is the biggest CMS focus area
IV. Focused survey
- Event reporting leading to more frequent surveys
- True adverse event tends to better focus the survey
- Common events leading to adverse actions
V. Routine surveys
- Less likely to hit on significant issues
- Life Safety Code®/Environment of Care
- Infection prevention
- Medication management
Meet the Speakers:
Bud Pate, REHS, is vice president with The Greeley Company, Inc., in Danvers, Massachusetts. He brings more than 30 years of high-profile problem solving to his work with hospitals and healthcare organizations across the country.
Pate is a nationally recognized expert in patient flow and in hospital and health system regulation and accreditation. His patient flow work brings him to institutions and podiums across the country to solve one of healthcare's most daunting challenges: how to reliably and consistently bring patients into contact with emergency providers and how to quickly find an inpatient bed for admitted patients.
In the regulatory world, Pate has an unmatched track record for consultation under fire, helping institutions avoid adverse accreditation and certification actions while simplifying the challenge of ongoing compliance.
Lisa Eddy, RN, CPHQ, is a senior consultant with The Greeley Company. She brings more than 22 years of experience in Joint Commission, CMS, HFAP, and NCQA accreditation and certification to her work with hospitals and healthcare organizations across the country.
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