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

Energy Security: Benefits of Hospital Microgrids

Healthcare facility managers need to keep medicine, machines, information and life-support systems operating when the surrounding infrastructure is not.


UT MD Anderson to Expand Texas Medical Center Via Two New Facilities

Inspiration Tower and Prism will serve as the new front door to UT MD Anderson.


Hoag Hospital Reports Data Security Incident 

The hospital discovered suspicious activity within its network on Oct. 8, 2026.


What To Know Now About OSHA's Updated Hazcom Rule

The update requires careful attention because compliance is not optional, and OSHA has set firm deadlines extending through 2028.


HealthSource of Ohio and UC Health Partner for New Medical Office Building

Construction is anticipated to be completed in 2028.


 
 


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.