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1135 Waivers

1135 Waivers: What They Are and How to Use Them During COVID-19

A brief summary of the process for obtaining pandemic-related waivers of federal requirements, with related links.

What You Missed While Dealing with the Surge

As organizations move well into 2021, it’s critical to pause and understand regulatory changes that will undoubtedly impact compliance requirements.

Coping with a “Surge Standard of Care”

Insights to a few key questions resulting from working in unfamiliar and stressful circumstances during the pandemic.

The Rise of Virtual Surveys: Watch Out for The Joint Commission’s Virtual Document Review

Just before the end of 2020, TJC was completing about 10 percent of its scheduled on-site surveys. Now, they plan to use novel approaches like virtual surveys to work through the backlog.

Regulatory Survey Activity Is Coming: Will You Be Playing Offense or Defense?

Organizations must prepare themselves for what’s to come—heightened agency scrutiny, expanded areas of focus and reduced tolerance for non-compliance with regulations and standards.

Credentialing & Privileging

10 Essential Steps to Successfully Achieve Criteria-based Privileging Across a System

As healthcare becomes integrated through M&A, one of the most difficult challenges for a system or network to achieve is an effective system-wide criteria based privileging methodology.

Medical Staff Integration

System-wide Medical Staff Integration

As we prepare for a changed future, health systems must make it easier for medical staff to effectively deliver care across the system, without unnecessary barriers, bureaucracy or costs.

Joint Commission Survey

The Joint Commission Resumes Survey Activities

On May 27, 2020, The Joint Commission (TJC) announced that it will begin returning to survey activities in the month of June.

Emergency, Temporary or Disaster Privileges – Which One is Right for You?

What does the activation of an Emergency Operations / Emergency Response Plan (EOP) mean for the Medical Staff Services Department?

COVID-19 Staffing Alternatives

In the event of an incident causing a large influx of inpatients into a healthcare organization, contingency actions outlining alternatives to usual staffing plans should be developed.

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