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

The Future of Healthcare Facility Construction Projects

Brian Cowperthwaite highlights the invisible work that impacts everyone who walks through a healthcare facility.


Ground Broken on Jupiter Medical Center's Second Hospital

The 53,000-square-foot hospital will include 29 inpatient beds, four operating rooms, 24-hour emergency services, a diagnostic laboratory and imaging services.


Singing River Health System Ensnared by Data Breach

Through an investigation, on February 10, 2026, SRHS learned that the unauthorized party had accessed certain SRHS files that contained patient information.


Partnering on Personnel: Strategies for Success

Environmental services in healthcare have special staffing circumstances. They must meet stringent compliance standards and maintain accreditations.


Kaiser Permanente Opens First Two Medical Offices in Northern Nevada

These are part of its joint venture with Renown Health.


 
 


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.