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

Gaps in Nurses' Environmental Cleaning Knowledge Grow Amid Rising EVS Pressures

Environmental cleaning is crucial in preventing HAIs, but when the responsibility falls to those outside of EVS teams, problems arise. 


Ground Broken on the Southern Nevada Forensic Facility

Construction on the new secure forensic psychiatric hospital is expected to be completed in 2029.


Jackson Hospital Falls Victim to Third-Party Cybersecurity Incident

Jackson Hospital has no evidence that any personal information has been or will be used for identity theft as a direct result of this incident.


Making Healthcare Lighting Retrofits Work

Effective operational planning determines whether a retrofit project improves a facility or creates new problems.


Stadium Design is Reshaping Healthcare Facilities

Hospitals are turning to the sports industry for innovative ways to support healing and improve the patient experience.


 
 


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.