
Compliance
Full Service, On-Site Survey Preparation for Continuous Compliance
Cameron Bruce Associates helps healthcare facilities maintain continuous compliance with TJC Environment of Care and other regulatory requirements. We can continually update your documents to TJC’s new or revised standards. Our project management process will guide you from your last survey all the way through your next survey and we bring critical issues to the forefront so your time and efforts are most effective. Cameron Bruce Associates will stay with you every step of the way to help manage the myriad details of continuous EC compliance.
- Conduct Mock Surveys
- Schedule Regular On-site Reviews
- Monitor Compliance
- Review Regularly Produced Documents (Minutes, Reports)
- Review Performance Improvement Data
- Assess Document Management Systems
- Update and Revise Policy and Procedure Manuals
- Develop Training Materials
- Provide Training with Documentation
- Review, Collect, and Organize Documentation
- Develop Survey Documents (Management Plans, Quarterly Reports, Annual Evaluations, etc.)
- Develop Presentation Materials
Compliance Tools
Our compliance products can help take the stress out of standards and code compliance. We offer proven tools that save you precious time and money! We will work with you to customize these items to your unique facility needs. In the future, just update the document yourself or give us a call for help.
- Compliance Checklist We assess your compliance and then maintain your compliance checklist so you
- Mock Surveys
We have created an exhaustive mock survey tool to conduct a detailed EC
Assessment of your facility. Our mock surveys are thorough and result in a
detailed element by element evaluation and an executive summary both of
which become project management tools for maintaining compliance. - Annual Evaluations
Annual Evaluations are key documents in TJC surveys. Have you updated yours
to reflect the 2009 revised chaptesr? Let us customize your annual evaluations
in a tested and proven format. - Emergency Management Plans
We will review your emergency management plans and assess their compliance
with Joint Commission, NIMS, NFPA 1600 and SEMS. Does your incident
command system reflect best practice? Do your HVA and 96-hour-
assessment drive your program and are your response plans comprehensive?
We have written dozens of customized EOPs and will update yours to reflect
best practice. For more information, follow this link: Emergency
Management. - Environment of Care Orientation and Training
Under the new accreditation process and tracer surveys, staff knowledge is
more important than ever. We develop facility-specific training materials and
modules. - Department Orientation and Training
Orientation and training guides for department-specific training - EC Management Plans
Six EC Management Plans (none required for Emergency Management) in a
concise, easy-to-use format. We continually review these plans to reflect
changes in the standards and TJC expectations - EC Documentation Binders
Binders, each with a Table of Contents and tabbed sections to help you
organize your documentation for the Life Safety Code Specialist, EC Review
session and the Emergency Management Review session. - Policy and Procedure Manuals
Allow us to customize our proven manuals to your facility or update your own
manuals. We offer tested models for house-wide applications and support
services departments. For more information, please read the section below. - National Patient Safety Goals and Sentinel Event Alerts
We will review, assess, and update processes, policies, and procedures to ensure NPSGs and SEAs are thoroughly addressed.
can monitor your readiness from year to year.
Customized Policy and Procedure Manuals
Cameron Bruce Associates has developed or edited more than 130 policy and procedure manuals for over 40 hospitals and has an extensive library of resources to customize manuals for any facility. We specialize in Emergency Operations Plans. We can either deliver printed manuals ready for distribution, or just the “Print Master” for your own printing and collating. You also get the manual electronically and we archive a copy in our office.
- Manuals - Administrative, Safety, Security, Emergency Management, Engineering, Biomedical, Environmental Services, Telecommunications, and Infection Control.
- Forms - Develop new forms to reflect new processes.
- Flowcharts and Checklists - To clearly reflect processes.