Accreditation & Regulatory Journal
January 2024

This Month’s Webinars

The Governing Body: Key Compliance Expectations

Date: January 25, 2024 January 26, 2024
Time: 2PM (ET), 1PM (CT), 12N (MT), 11AM (PT)
Length: 1 to 1.5 hours
Webinar Description
A hospital’s governing body is ultimately responsible for the safety and quality of care rendered in an organization – whether provided directly or through a contract service. When serious issues are identified, CMS often cites the governing body as being non-compliant in fulfilling this core responsibility. Join us for this informative webinar as we discuss:
  • Governance & hospital health systems
  • Establishment of a medical staff
  • Expectations for oversight of contract services
  • Provision of emergency services
  • And much more
» Details & Registration
Future Webinar Date
February 22, 2024 – CMS Condition of Participation for Radiology Services

Temporary Life Safety Measures, Waivers, and Equivalencies

Date: January 19, 2024
Time: 2PM ET, 1PM CT, 12N MT, 11AM PT
Length: 1 to 1.5 hours
Webinar Description
Once an accreditation survey has occurred, organizations must correct their deficiencies. In this webinar, we will learn about measures to be in place while the life safety issues are corrected. Additionally, what can an organization do when a life safety code deficiency cannot either be corrected or when it can’t be corrected in an appropriate time frame.
» Details & Registration
Future Webinar Date
March 15, 2024 - Topic TBD