The document discusses CMS survey findings related to fire safety and building codes. It explains that CMS uses K-Tags to identify specific deficiencies found within a facility's compliance with the Life Safety Code. The K-Tags correspond to different sections of the code related to areas like construction type, exits, fire alarm systems, and more. It also describes the 2786 form CMS surveyors use to document their assessment and how findings get integrated into the overall 2567 report.
The extended deadline for ICD-10 implementation has drawn mixed responses from healthcare providers. The article looks at the Pros and Cons of ICD-10 delay.
Developing Life Safety Plans for Health Care FacilitiesTodd Wyatt
There is no code or standard of practice specifying how to develop a life safety plan (LSP). A thorough and concise LSP provides a "picture" of the facility's design. This "picture" is used to determine if the intended design meets the minimum requirements of the applicable codes, standards, and regulations.
A “good” LSP identifies problems during design instead of construction, makes future inspections easier by starting with a code-compliant building, and provides the necessary documentation to facilitate future facility rehabilitations. A “bad” LSP may require compliance by demolition instead of eraser.
This presentation will focus on (4) major components of life safety design : means of egress components, fire-resistant rated construction, compartmentalization, and occupancy and use classifications.
Outcomes of FDA Audit. Brief about how FDA audit was conducted and the observ...Shashi Kumar
This is the presentation which contains the outcomes of the FDA audit or brief about how FDA audit was conducted and the observations from them. The FDA audit was conducted for medical device manufacturing and was cleared successfully.
The extended deadline for ICD-10 implementation has drawn mixed responses from healthcare providers. The article looks at the Pros and Cons of ICD-10 delay.
Developing Life Safety Plans for Health Care FacilitiesTodd Wyatt
There is no code or standard of practice specifying how to develop a life safety plan (LSP). A thorough and concise LSP provides a "picture" of the facility's design. This "picture" is used to determine if the intended design meets the minimum requirements of the applicable codes, standards, and regulations.
A “good” LSP identifies problems during design instead of construction, makes future inspections easier by starting with a code-compliant building, and provides the necessary documentation to facilitate future facility rehabilitations. A “bad” LSP may require compliance by demolition instead of eraser.
This presentation will focus on (4) major components of life safety design : means of egress components, fire-resistant rated construction, compartmentalization, and occupancy and use classifications.
Outcomes of FDA Audit. Brief about how FDA audit was conducted and the observ...Shashi Kumar
This is the presentation which contains the outcomes of the FDA audit or brief about how FDA audit was conducted and the observations from them. The FDA audit was conducted for medical device manufacturing and was cleared successfully.
An introduction to the Microgeneration Certification Scheme (MCS) from BRE Global outlining the requirements of the scheme for micro-renewable energy installers.
Western Region Conference - California HVAC Strategic Plan UpdateHARDI
Dale Gustavson of Better Buildings Incorporated talks about Energy Efficiency efforts in California and the potential role for the HVAC sector at the 2011 HARDI Western Region Conference.
Explore the Implicit Requirements of the NERC CIP RSAWsEnergySec
Regulated entities should consider the RSAW templates when preparing evidence of compliance with the NERC CIP Standards. There are a number of implicit requirements in CIP v5 which an entity needs to fulfill to be compliant, which are not specifically identified in the actual requirements.
In this webinar, our experts will discuss such implicit requirements. Key learning's from this session would be:
RSAW format
Implicit requirements of CIP RSAWs
Leveraging technology for RSAW management
The Must-Have Program/Project Management Reporting Feature before Applying fo...Shane Emerson
The document has provided you with enough insights about the C4ISR-TLS contract. Not only will this document help you in having a thorough knowledge about the contract requirements and stuff but also it would help you in selecting the best eCommerce solution
Structural audit being carried by Licensed consultants in Mumbai Thane as per the BMC bye laws no. 77. As per mandatory clause in the recent GR by Municipal corporation, buildings above 15 years needs to carry Structural audit every 5 years and above 30 years of completion of construction, every 3 years the audit needs to be carried.
In Mumbai and surrounding areas like , Thane, Ghatkoper, Kurla, Chembur, Vashi, Sanpada, CBD Belapur, Nerul, Kharghar, New Panvel, Juinagar, because of salinity, maximum of the structural homes were going through with damages externally and internally. This herbal cause, needs periodic maintenance. Managing committees going through all through their tenure, take those troubles as a chief essential assignment because of lack of awareness and knowledge. Companies like “CSR Consultant and Associates”, do recognize the restrictions wherein the handling committee ought to carry out those tasks, on the equal time renowned the troubles. CSR engineers is available in available for such issues. They offer indepth knowledge, audit / survey reports, RCC structural reports, numerous technology to be had and recommend feasible answers to the Society Managing committee. CSR Engineers are acknowledged for his or her acute and sharp observations to signify first-class viable and maximum low-cost answers to increase the lifestyles of the homes. Terrace waterproofing answers, plumbing, tiling for beautification, marble fixing, outside and inner RCC structural rehabilitations, replastering, Civil recuperation and portray are few of the not unusual place factors taken into consideration. Apart from the traditional methods, CSR Associates introduces modern-day and maximum feasible technology in phrases of lifestyles span extension and flexibilities.
Replastering Of Building, Painting, Flooring, Plumbing, Weather Shed Roofing Work, Concreting Works, Basement & Foundation Waterproofing Contractors, Repairs To R.C.C. & Ceiling, Polymers, Roof Construction, Building Water Proofing Polymer RCC Repairs, Contractors, Flooring Contractor, Companies, Company, Mumbai, India
Repair And Rehabilitation Of Rcc Buildings, Repairs To R.C.C. Polymers, Replastering, Replastering Of Building, Painting, Painting Of Building, Construction Work Painting, Painting For Old Building, Painting Contractor, Plumbing, Polymer Repairs To R.C.C.
ControlCase covers the following:
- What does SOC stand for?
- What is SOC 2 compliance?
- What is SOC 2 certification?
- What is a SOC 2 report?
- Who can perform a SOC 2 audit?
- How do managed service providers comply with SOC 2
- How to lower cost of SOC 2 audit?
- ControlCase methodology for SOC 2 compliance
A Clear Path to NIST & CMMC Compliance - 2023 Cleveland Security Summit.pdfJack Nichelson
All DoD contractors are now be subject to CMMC 2.0 DFARS 252.204-7012 & 7019. This means, that any DoD suppliers looking to earn new business or up for a renewal will need to complete a new NIST 800-171 Self-Assessment and upload the results to the Supplier Performance Risk System (SPRS) before a contract is awarded. If you do business with the DPD, NASA, GSA or another state/federal agency, you need to be prepared for the CMMC framework. In this presentation, we discuss the potential impacts on your business, while introducing an affordable, practical and secure solution for contractors preparing for CMMC 2.0 certification. In addition to answering questions from attendees, this presentation will cover the following topics: • What You Need to Know About CMMC • CMMC 2.0 Proposed Changes • The Crawl – Walk – Run of CMMC • Preliminary Steps for CMMC Success • How to improve your NIST SP 800-171 Self-Assessment SPRS score
A McKesson Perspective for Physicians: ICD-10-CM/PCSrmsspeciality
Your health information management and medical billing systems are foundational to your revenue cycle and ICD-10 transition. Ensure these foundational systems are updated and fully tested. Learn more about the ICD-10 transition from McKesson.
Do you feel like there are more regulatory and accrediting surveys being conducted than ever before? Have you been the host of a CMS survey…or two… in the last several years? Do you feel like the surveys are becoming more onerous or prescriptive?
Successfully Tackling the First Two Hours of a Cms Surveycourtemanche
CMS surveys can create a highly stressful situation for any organization; however, following the tips provided here, you can mitigate much of that stress.
An introduction to the Microgeneration Certification Scheme (MCS) from BRE Global outlining the requirements of the scheme for micro-renewable energy installers.
Western Region Conference - California HVAC Strategic Plan UpdateHARDI
Dale Gustavson of Better Buildings Incorporated talks about Energy Efficiency efforts in California and the potential role for the HVAC sector at the 2011 HARDI Western Region Conference.
Explore the Implicit Requirements of the NERC CIP RSAWsEnergySec
Regulated entities should consider the RSAW templates when preparing evidence of compliance with the NERC CIP Standards. There are a number of implicit requirements in CIP v5 which an entity needs to fulfill to be compliant, which are not specifically identified in the actual requirements.
In this webinar, our experts will discuss such implicit requirements. Key learning's from this session would be:
RSAW format
Implicit requirements of CIP RSAWs
Leveraging technology for RSAW management
The Must-Have Program/Project Management Reporting Feature before Applying fo...Shane Emerson
The document has provided you with enough insights about the C4ISR-TLS contract. Not only will this document help you in having a thorough knowledge about the contract requirements and stuff but also it would help you in selecting the best eCommerce solution
Structural audit being carried by Licensed consultants in Mumbai Thane as per the BMC bye laws no. 77. As per mandatory clause in the recent GR by Municipal corporation, buildings above 15 years needs to carry Structural audit every 5 years and above 30 years of completion of construction, every 3 years the audit needs to be carried.
In Mumbai and surrounding areas like , Thane, Ghatkoper, Kurla, Chembur, Vashi, Sanpada, CBD Belapur, Nerul, Kharghar, New Panvel, Juinagar, because of salinity, maximum of the structural homes were going through with damages externally and internally. This herbal cause, needs periodic maintenance. Managing committees going through all through their tenure, take those troubles as a chief essential assignment because of lack of awareness and knowledge. Companies like “CSR Consultant and Associates”, do recognize the restrictions wherein the handling committee ought to carry out those tasks, on the equal time renowned the troubles. CSR engineers is available in available for such issues. They offer indepth knowledge, audit / survey reports, RCC structural reports, numerous technology to be had and recommend feasible answers to the Society Managing committee. CSR Engineers are acknowledged for his or her acute and sharp observations to signify first-class viable and maximum low-cost answers to increase the lifestyles of the homes. Terrace waterproofing answers, plumbing, tiling for beautification, marble fixing, outside and inner RCC structural rehabilitations, replastering, Civil recuperation and portray are few of the not unusual place factors taken into consideration. Apart from the traditional methods, CSR Associates introduces modern-day and maximum feasible technology in phrases of lifestyles span extension and flexibilities.
Replastering Of Building, Painting, Flooring, Plumbing, Weather Shed Roofing Work, Concreting Works, Basement & Foundation Waterproofing Contractors, Repairs To R.C.C. & Ceiling, Polymers, Roof Construction, Building Water Proofing Polymer RCC Repairs, Contractors, Flooring Contractor, Companies, Company, Mumbai, India
Repair And Rehabilitation Of Rcc Buildings, Repairs To R.C.C. Polymers, Replastering, Replastering Of Building, Painting, Painting Of Building, Construction Work Painting, Painting For Old Building, Painting Contractor, Plumbing, Polymer Repairs To R.C.C.
ControlCase covers the following:
- What does SOC stand for?
- What is SOC 2 compliance?
- What is SOC 2 certification?
- What is a SOC 2 report?
- Who can perform a SOC 2 audit?
- How do managed service providers comply with SOC 2
- How to lower cost of SOC 2 audit?
- ControlCase methodology for SOC 2 compliance
A Clear Path to NIST & CMMC Compliance - 2023 Cleveland Security Summit.pdfJack Nichelson
All DoD contractors are now be subject to CMMC 2.0 DFARS 252.204-7012 & 7019. This means, that any DoD suppliers looking to earn new business or up for a renewal will need to complete a new NIST 800-171 Self-Assessment and upload the results to the Supplier Performance Risk System (SPRS) before a contract is awarded. If you do business with the DPD, NASA, GSA or another state/federal agency, you need to be prepared for the CMMC framework. In this presentation, we discuss the potential impacts on your business, while introducing an affordable, practical and secure solution for contractors preparing for CMMC 2.0 certification. In addition to answering questions from attendees, this presentation will cover the following topics: • What You Need to Know About CMMC • CMMC 2.0 Proposed Changes • The Crawl – Walk – Run of CMMC • Preliminary Steps for CMMC Success • How to improve your NIST SP 800-171 Self-Assessment SPRS score
A McKesson Perspective for Physicians: ICD-10-CM/PCSrmsspeciality
Your health information management and medical billing systems are foundational to your revenue cycle and ICD-10 transition. Ensure these foundational systems are updated and fully tested. Learn more about the ICD-10 transition from McKesson.
Do you feel like there are more regulatory and accrediting surveys being conducted than ever before? Have you been the host of a CMS survey…or two… in the last several years? Do you feel like the surveys are becoming more onerous or prescriptive?
Successfully Tackling the First Two Hours of a Cms Surveycourtemanche
CMS surveys can create a highly stressful situation for any organization; however, following the tips provided here, you can mitigate much of that stress.
Closing the Gap Toward a Culture of Safetycourtemanche
In its landmark 1999 publication, To Err Is Human, the Institute of Medicine defined patient safety as “freedom from accidental injury.” In 1999, estimated deaths from medical errors in United States hospitals were 98,000 per year thus the expectation to be free from accidental injury was more than a reasonable expectation for those accessing the health care system.
October 24, 2011 CMS published changes to many of the hospital Conditions of Participation (CoP) requirements. In March 2012, CMs provided an “Advanced Copy” in a Transmittal of the new Appendix A. Although no changes were made to the CMS CoP under “Patient Rights-Advance Directives” §489.102, significant changes were made to the “Interpretive Guidelines” and “Survey Procedures.” CMS took the opportunity to expand patient’s rights related to advance directives, (AD). The focus of the changes to advance directives centered on the incapacitated patient and the designation of a representative for decisions related to healthcare matters. The Interpretive Guidelines indicate that the decision maker need not be the same person as the designated representative. Additionally, if the patient does not have an AD designating a “representative for decision making,” the hospital follows state rules for designation of a decision maker, i.e. spouse, parents, children, siblings, etc.
As accredited organizations develop relationships with other independent health care entities in their communities, it is important to remember that law and regulation requirements must be addressed. One particular area of risk is tissue management.
The Changes with Global Hazard Communication: “Don’t Miss the Date!”courtemanche
In March 2012, OSHA revised its Hazard Communication Standard (HCS)( FR77 FR 17574) to align with the United Nations’ Globally Harmonized System of Classification and Labeling of Chemicals. OSHA created and distributed Briefing Updates in order to provide ample time for the industry to address education and product manufacturers to become compliant with new label redesign. Two key dates are approaching: December 1, 2013 for completion of employee education and June 1, 2015 for relabeling and the introduction of pictograms to provide direction regarding employee use and safety.
How healthcare leaders and staff communicate with patients will influence patient outcomes. Communication delivery can promote open communication paths with healthcare staff and patients.
It is important to understand Malignant Hyperthermia (MH) and how serious the consequences to the patient can be, if not treated timely and appropriately.
As accredited organizations develop relationships with other independent health care entities in their communities, it is important to remember that law and regulation requirements must be addressed. One particular area of risk is tissue management.
1. The CMS Finding says 482.41, A‐710, but what are those notations under K‐Tags?!
By Marty Piepoli, MSW, LISW/CP, HACP
For those of us who have been through a CMS Validation Survey, it is long, arduous, frustrating;
add any other adjective of your choice!! When the survey is concluded and the regulatory staff
looks at the 2567 Findings Report, we are faced with the tasks of answering each finding with a
real time Plan of Correction (POC) within 10 calendar days of the formal receipt of the report
from CMS or your State Agency. So the pressure is on. You note a finding under A-710, which
is the Life Safety Code, NFPA-101, 2000 edition, which hospitals receiving Medicare/Medicaid
reimbursement must comply.
Accompanying this finding is reference to a K-tag and a form called a 2786 or 2786U (Fire
Safety Survey Report 2000 Code-Health Care Occupancy or Ambulatory Occupancy). So what
does this mean and how did the surveyors arrive at the findings? The 2786/2786U is the formal
document the CMS surveyor uses to complete his or her assessment of the building(s) that fall
under the healthcare or ambulatory classifications listed on your Facilities’ Life Safety Drawings.
Even though you maintain a Statement of Conditions (SOC), if accredited by The Joint
Commission, the CMS approach will be to look at the accuracy of your drawings, inquire about
the specific construction age of the building(s) and dates for new construction or renovation.
There have been occasions where the CMS surveyor has asked to view the SOC , so be prepared
to discuss these issues related to your plan to resolve deficiencies and any risk assessment done
to provide an ongoing level of fire and life safety during the repair of the deficiency.
So the K-Tags are broken down by New vs. Existing construction and specific components of the
building based on the LSC 101, 2000. The K-Tags are arranged to correspond to the various
chapters of the LSC code within the healthcare or ambulatory occupancy:
• Building Construction Type
• Interior Finish
• Corridor Walls and Doors
• Vertical Openings
• Smoke Compartmentalization & Control
• Hazardous Area
• Exit & Exit Access
• Exits & Egress
• Illumination & Emergency Power
• Emergency Plan & Fire Drills
• Fire Alarm Systems
• Automatic Sprinkler Systems
• Smoking Regulations
• Building Service Equipment
• Furnishings & Decorations
• Laboratories
• Medical Gases & Anesthetizing Areas
• Electrical
2. The K-Tag documentation concludes with Part IV, which addresses recommendations made for
waiver of specific LSC requirements. This is the area where a specific finding under the LSC, if
applied rigidly, could result in an unreasonable hardship on the facility. These hardships may
mean structural changes to a building or patient care area that can impact patient care delivery or
services provided by the organization in addition to financial impact. LSC waivers are not
routinely granted and the hardship identified must not adversely affect the health and safety of
the patients.
Once the 2786 is completed, it is integrated into the 2567 under the A-Tag 0710 that addresses
the Life Safety Code. Communication with your Facilities/Engineering department will be a
priority as you begin your Plans of Correction, since any of these findings may take an extended
period of time to correct. Hopefully, this review of the K-Tags provides some additional
information on what they mean within the CMS survey process. Included is a link to the actual
2786 form that can be used as a tool for ongoing fire and life safety assessment/rounds of your
facility.
