Focus: Fire-Life Safety / Column

Regulations, Codes & Standards Q&A: Triennial surveys

Brad Keyes discusses regulations for triennial surveys by accreditation organizations

By Brad Keyes / Special to Healthcare Facilities Today


Q: I heard a rumor that the accreditation organizations (AO) are going to 18 month visits vs. the three years it has been. Is there truth to this?

A: No. None of the AOs are going to an 18-month cycle for survey. They all will be staying at the 36-month cycle, which is allocated by CMS. They would have to double the number of surveyors which would be an added cost to the healthcare facilities that are accredited by them. 

There is one accreditation organization (DNV-GL) that does visit their client hospital every year, but they still only survey on behalf of CMS every 3 years. The other two annual visits that DNV performs is a requirement of their ISO process, and they use those visits as educational visits. DNV’s process is very well received and annual visits are appreciated by their client hospitals.

Brad Keyes, CHSP, is the owner of KEYES Life Safety Compliance, and his expertise is in the management of the Life Safety Program, including the Environment of Care and Emergency Management programs.

 

 



February 20, 2019


Topic Area: Regulations, Codes & Standards


Recent Posts

Ambulatory Care Facilities Reshape FM Strategies

Facilities management playbooks were written for acute care facilities, but ambulatory sites require a different approach.


Intermountain Foundation Receives $150M Gift for Children's Hospital in Nevada

Intermountain Health Felicia and Ben Horowitz Children’s Hospital is expected to open in 2030 at the UNLV Harry Reid Research and Technology Park in southwest Las Vegas.


Texas HHSC Reaches Construction Milestone for Wichita Falls State Hospital

The $452 million, 225-bed replacement hospital will provide inpatient psychiatric care and is expected to be completed in late 2027.


Preparing Healthcare Facilities for Wildfire Air Quality Events

Wildfire smoke puts pressure on mechanical systems already working hard to maintain controlled indoor environments.


UW Health Set to Open Expansion at East Madison Hospital

The $140 million project adds 120,000 square feet to the hospital, expanding its footprint to roughly 620,000 square feet.


 
 


FREE Newsletter Signup Form

News & Updates | Webcast Alerts
Building Technologies | & More!

 
 
 


All fields are required. This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

 
 
 
 

Healthcare Facilities Today membership includes free email newsletters from our facility-industry brands.

Facebook   Twitter   LinkedIn   Posts

Copyright © 2023 TradePress. All rights reserved.