Implementing an Effective CMS Survey Readiness Program

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About this Document:

The only way to ensure an effective compliance program is in place is to leverage technology and automation for support.  Implementing an effective cms survey program can be a challenge. With the CMS Emergency Preparedness Rule, it is even more imperative for providers and healthcare facilities to evaluate their compliance programs and emergency preparedness programs.

Some healthcare facilities that are greatly affected by this ruling are as follows:

  • Hospitals
  • Religious Nonmedical Health Care Institutions (RNHCIs)
  • Ambulatory Surgical Centers (ASCs)
  • Hospices
  • Psychiatric Residential Treatment Facilities (PRTFs)
  • All-Inclusive Care for the Elderly (PACE)
  • Transplant Centers
  • Long-Term Care (LTC) Facilities
  • Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
  • Home Health Agencies (HHAs)
  • Comprehensive Outpatient Rehabilitation Facilities (CORFs)
  • Critical Access Hospitals (CAHs)
  • Clinics, Rehabilitation Agencies, and Public Health Agencies as Providers of Outpatient Physical Therapy and Speech-Language Pathology Services
    Community Mental Health Centers (CMHCs)
  • Organ Procurement Organizations (OPOs)
  • Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
  • End-Stage Renal Disease (ESRD) Facilities

Monitoring communication can be done by using an Intranet with an integrated policy management solution built right in. Much compliance tracking today is done using Excel spreadsheets. This works best for single users handling limited data, and while it is a powerful tool, it is not a system for managing policies and procedures or compliance efforts alone.

Automation and workflows must be used to accurately chart performance and assess risk. When relying primarily on Excel, organizations find themselves falling short of CMS’ expectations. You must develop an automated tracking system to manage compliance documents, policies and procedures, standards of conduct and corrective action plans (CAP) developed from external and internal audits. Evaluate your compliance today!

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      Benefits to automating your compliance

    • 2.

      Vital Documents

      Critical documents that should be included to be CMS survey ready

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      Staff Compliance

      Tips on keeping your staff compliant and building cms survey readiness

    Client Feedback


    Kristen Higley

    Administrative Specialist

    We are loving the update. It’s been very helpful as I’ve been updating the site. We are currently working on getting each department on board to utilize their department pages as efficiently as possible. We are preparing for an upcoming Medicare survey as well, and it has been great to have many of our regulations covered by Portal capabilities.

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    Data Analyst

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