Accreditation Services

Trusted Experts in Healthcare Accreditation

Our experts understand the accreditation needs of hospitals and clinics– and we know the requirements inside and out. We help clients obtain accreditation and implement transformational change to ensure their organization is survey ready every day.

We believe accreditation standards represent how an organization should do business on a daily ongoing basis and should be a part of every employee’s job description. This creates a culture of quality that is accountable and will substantially lower costs, both in dollars and personnel expenses, while improving care for members.

Our trusted advisers — including nurses, physicians, and certified facilities management professionals — can help you assess, build and maintain continuous patient safety and regulatory compliance.  

We will work with your organization on topics such as:
  • Disease-Specific Care Certification
  • Joint Commission standards compliance
  • National Patient Safety Goals
  • CMS/Medicare requirements
  • Continuous process improvement
  • Infection control
  • Medical leadership
  • Medication safety
  • Medical education and training
Additional Accreditation Services
  • Interim or initial accreditation support for first-time applicants
  • Maintenance for re-accreditation, cycle-based accreditation status
  • Review, evaluation and strategy development for provisional accreditation status
  • Conduct a detailed pre-assessment of all of the departments of the organizations in order to identify the strength and weakness of each department in preparation for accreditation-gap analysis
  • Annual mock audits and file reviews, including scoring
  • Assistance in designing an Accreditation Survey Readiness
  • Operational and documentation support to create and update documented processes, materials, and reports for accreditation submission
  • Assist in the compliance with the accreditation in higher education standards and familiarize University facilitators with the program and institutional accreditation standards
  • Facilitate the organization and completion of Mock Surveys in preparation for accreditation in higher education
  • Identification of potential accreditation score improvement for standards, HEDIS, and Consumer Assessment of Healthcare Providers and Systems (CAHPS)