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

Two Steps to Controlling the Hot Zone

Strategy for disrupting dry-surface biofilm begins with a simple premise: You cannot disinfect what you cannot reach.


RiverSpring Living Breaks Ground on River's Edge Senior Living Community

Occupancy is expected in December 2028.


Encompass Health Reveals Plans to Build Inpatient Rehabilitation Hospital in Post Falls, Idaho

The hospital is expected to open in 2028 and will be part of Encompass Health's national network of inpatient rehabilitation hospitals.


Creating Compassionate Spaces in Healthcare

A new bereavement room at the Children’s Hospital of Michigan NICU aims to provide peace and privacy for families.


Study Shows Connection Between Odor and Patient Experience

A 2024 study identifies the top smells in hospital waiting rooms and how they impact the patient and visitor 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.