The Hospital Accreditation & Compliance Journal from Compass Clinical Consulting features ideas, information and insights from our team of experts to keep you in-the-know on accreditation and compliance news, tips for ongoing readiness and survey preparation, and perspectives on trends we're seeing in real organizations across the country.

Our skilled accreditation consultants have extensive experience with both The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS), and are backed up with expertise in a wide range of related topics.

Compliance and Accreditation Services

Compass provides on-site and off-site services to help to meet regulatory quality and safety requirements and avoid cost-debilitating impact of immediate jeopardy or decertification, including TJC and CMS readiness and survey preparation services, and response and recovery services.

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Immediate Jeopardy

Compass Clinical Consulting is the best resource for help with Centers for Medicare and Medicaid Services (CMS) Immediate Jeopardy citations so threats to clinical operations can be mitigated and patient safety protected. Our clinical experts work with your staff to resolve deficiencies and protect the organization’s regulatory status.

CMS Survey Prep

We assist organizations in building or strengthening internal resources to maintain a culture of continuous readiness for surveys by The Joint Commission (TJC) or the Centers for Medicare and Medicaid Services (CMS). Because TJC and CMS surveys are unannounced, preparation and ongoing readiness are critical.

Compliance Connections

Compliance Connections is a series of web-based educational sessions conducted by Compass Clinical Consulting’s experienced compliance and accreditation experts. These sessions are designed for healthcare leaders interested in staying up-to-date with the knowledge of industry standards needed to keep their organizations compliant while providing safe, quality patient care.

Systems Improvement Agreement (SIA)

The Centers for Medicare and Medicaid Services (CMS) has a new quality improvement tool to gain compliance from hospitals with repeat or multiple Immediate Jeopardy (IJ) findings on compliance or validation surveys: the Systems Improvement Agreement (SIA). Compass Clinical is approved by CMS to serve as at the outside monitor for organizations an SIA.

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