The Greeley Company
November 19, 2018 2 Min Read

CMS and Accreditation Survey Hot Spots A Look Forward 2019

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The FutureIf hospital survey results during the past year are any indication, 2019 should be a very busy and challenging year for hospitals across the country. For CMS: Greeley has seen an uptick in EMTALA citations and we continue to see termination actions focused on infection prevention and the care of suicide patients. The Joint Commission averaged over 30 findings per survey in 2018 and will continue its enhanced survey process into 2019 as it introduces ten new elements of performance to the suicide prevention National Patient Safety Goal (NPSG 15). DNV and other accreditation agencies are expected to increase the number of findings in response to a recent CMS inspector general’s report.

In recognition of these and related challenges, Greeley will share successful strategies to overcome common pitfalls in a free webinar.

Free webinar on December 6, 2018: “CMS and Accreditation Survey Hot Spots: Looking ahead to 2019”

Watch Now

Greeley faculty will share common vulnerabilities that trigger 90-day CMS “terminations” or preliminary denial of Joint Commission (and other) accreditations. Successful strategies for common pitfalls will be reviewed related to:

  • Suicide screening and assessment (enhanced for 2019 with new Joint Commission requirements),
  • Ligature resistance in the behavioral health setting,
  • Sterilization and high-level disinfection or reusable equipment,
  • Restraint,
  • and other areas of high vulnerability.

Who should attend:

Those responsible for quality, safety and compliance in hospitals and critical access hospitals, including:

  • Survey Coordinators
  • Quality Directors
  • Infection Control Practitioners
  • Environmental Safety Officers

No matter where you are in your accreditation cycle, a survey team could arrive at your door any time. Don’t go into 2019 unprepared!

The webinar will be led by Bud Pate, Vice President of Content and Development at Greeley, a nationally recognized expert in CMS and Joint Commission Compliance. He will be joined by Lisa Eddy, an Advisory Consultant with Greeley who leads teams across the country as they help clients respond to threats to accreditation and CMS certification


Bud PateBud Pate, Vice President of Content and Development, The Greeley Company

Bud Pate is a nationally recognized expert in CMS and Joint Commission compliance, clinical process simplification, clinical quality and patient safety.

Lisa EddyLisa Eddy, RN, MSN, MHA, CPHQ, Advisory Consultant, The Greeley Company

Lisa Eddy brings over 20 years’ experience in Joint Commission and CMS accreditation and certification. Lisa’s background in nursing administration, regulatory compliance, and quality and risk management allows her to apply real world healthcare knowledge to the challenges of meeting regulatory requirements.

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