Updated September 30, 2026. State survey agencies conduct unannounced Medicare certification surveys on CMS’s behalf; hospitals stay survey-ready by keeping
Updated September 30, 2026. Direct answer: Medicare-participating hospitals must meet CMS Conditions of Participation (CoPs) in 42 CFR Part 482
Updated September 30, 2026. Direct answer: Accreditation 360 is The Joint Commission’s unified hospital and critical access hospital accreditation model,
Terminal cleaning is the full-room disinfection after the room is empty — discharge, transfer, isolation down. Not the daily occupied clean. CDI needs a sporicidal (EPA List K). EVS documents; IP/nursing release. Refreshed September 30, 2026.
SPD cleans, inspects, sterilizes, issues. AAMI ST79 is steam. A wet pack is not sterile — reprocess. ST108 is water; ST91 is endoscopes. 8 Sept 2026.
Updated September 30, 2026. Direct answer: A healthcare facility infection control program is a hospital-wide system—required under CMS Conditions of
ICRA means Infection Control Risk Assessment. In healthcare construction it is the ASHE 2.0 Class I–V matrix that sets dust, barrier, and pressure controls. Not an ICU score. ILSM is the life-safety twin. Verified 9 Sept 2026.
Updated September 30, 2026. Direct Answer: Healthcare facility management is the discipline of operating, maintaining, and improving the physical plant
ILSM are temporary life-safety controls when construction impairs exits, alarms, or sprinklers. Different from ICRA. Includes fire watch and controlled-room-breach response.
Updated September 30, 2026. Direct answer: A hospital medical equipment management program—usually led by Healthcare Technology Management (HTM) or clinical
Updated September 30, 2026. Direct answer: Healthcare facility maintenance programs combine preventive maintenance (scheduled tasks from manufacturer and code requirements),