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

Making Multi-Site Lighting Upgrades Work

Success requires a program structure that connects audits, financial analysis, rebate administration, procurement, scheduling and closeout documentation.


Designing a Positive Care Destination for Children

The new Mary Bridge Children’s Hospital reimagines the healthcare experience to create an environment that feels welcoming from arrival to discharge.


Blackbird Health Opens 10th Clinic in Pennsylvania

The Bala Cynwyd clinic represents Blackbird Health's 13th location overall.


Healthcare Construction Infection Control: Essential CDC Guidelines for Active Facilities

Construction and renovations happen, but that doesn’t mean infection prevention can take a backseat. The CDC has some recommendations for maintaining best practices during construction.


Protecting the Most Vulnerable: Inside the NICU

SSM Health St. Mary’s Hospital leaders share how maintaining power, air quality and essential systems helps protect patients during their most vulnerable moments.


 
 


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.