Patton Post – July 2026

July 2026

Inside This Issue

Physical Environment Survey Process:

The July EC News includes a comprehensive seven-page overview of the Physical Environment survey process under Accreditation 360. While too detailed to summarize here, the article walks readers through the survey from start to finish, including survey logistics, required documentation, building tours, survey findings, and available preparation tools. It also introduces resources such as the Hospital Accreditation Survey Process Guide and explains how surveyors use the SAFER® Matrix and the new SAFEST™ initiative as a prep tool.

Many hospitals have experienced significant turnover in Facilities leadership over the past several years. This article is an excellent primer for new Facilities directors, Environment of Care leaders, Accreditation professionals, and anyone preparing for their first Joint Commission survey. We recommend sharing it with new facilities and regulatory leaders as part of their onboarding and using the referenced survey tools to evaluate your organization’s readiness before the next survey.

Safely Implementing Metal Detection:

As more healthcare organizations evaluate metal detection systems in response to workplace violence concerns, the July EC News provides practical guidance on issues organizations should address before implementation. The article focuses on planning considerations such as maintaining required means of egress, managing visitor flow, selecting appropriate technology, developing screening procedures, training staff, and coordinating with Facilities and Security leaders. It also discusses a recent NFPA tentative interim amendment related to weapons detection systems and egress.

Many hospitals are evaluating or expanding weapons detection programs. This article serves as a useful planning resource for organizations early in that process. Before implementing new screening technology, involve Facilities, Security, Emergency Management, and Regulatory leaders to evaluate traffic flow, emergency egress, staffing, maintenance, and policy requirements. A well-designed screening process should enhance security without creating unintended life safety risks.

Laundry Operations Continue to Be a Survey Focus:

The July EC News includes a comprehensive Q&A addressing Physical Environment requirements for laundry processing, linen storage, and soiled linen handling. Rather than introducing new requirements, the article serves as a helpful reminder of existing Life Safety Code, ventilation, equipment maintenance, and infection prevention expectations that surveyors routinely evaluate. Topics include sprinkler clearance, corridor storage, hazardous area requirements, ventilation relationships, and inspection and maintenance of laundry equipment.

Laundry operations involve multiple departments, including Facilities, Environmental Services, Infection Prevention, and Safety. This article is a good refresher for organizations preparing for survey and can be used as a checklist when conducting Environment of Care rounds. Periodically reviewing laundry areas helps identify common compliance issues before surveyors do.

Emergency Generator Compliance Checklist:

Emergency generators remain one of the first utility systems evaluated during the Physical Environment survey. The July EC News introduces a new Emergency Generator Compliance Checklist that outlines the required inspection, testing, and maintenance activities for emergency power systems, including weekly, monthly, annual, and triennial requirements. While Joint Commission does not require organizations to use the checklist, it provides a consolidated reference for generator compliance activities.

Emergency power systems continue to be a frequent survey focus. Even organizations with well-established preventive maintenance programs may find the checklist useful when validating generator testing schedules, documentation, fuel quality records, and inspection activities. Consider using the checklist as part of an internal Environment of Care audit or survey readiness assessment.

ACHC Responds to CMS Final Rule:

While Joint Commission has not released a public statement regarding how the CMS Final Rule on Accrediting Organization oversight and consulting restrictions will affect its fee-based consulting or other operations, ACHC has published an overview for its accredited organizations. ACHC states that the rule will have minimal impact on its accreditation programs because many of the requirements are already in place.

ACHC also notes that it will strengthen its conflict-of-interest policies and is seeking CMS clarification regarding the scope of the new fee-based consulting restrictions. ACHC reminds organizations that independent third-party consultants such as Patton/Barrins remain available during periods when accrediting organizations are restricted from providing consulting services.

DNV Highlights Growth of ASC Accreditation:

DNV Healthcare announced that the first ambulatory surgery center (ASC) accredited through its ASC accreditation program has received Medicare certification, marking a milestone for the program. DNV expects continued growth in ASC accreditation as outpatient surgical services expand and organizations seek accreditation options that support Medicare participation.

QSO Memo on Accrediting Organization Final Rule:

Last month, we highlighted the CMS Final Rule strengthening oversight of Accrediting Organizations and the new restrictions on accreditor-provided consulting services. CMS has now issued QSO-26-10-ALL, providing formal guidance to Accrediting Organizations and State Survey Agencies on implementation of the Final Rule. The QSO does not introduce significant new requirements but reinforces the implementation timeline and CMS expectations as organizations prepare for the rule’s effective date of June 16, 2027.

Organizations that work with deemed accreditors should continue monitoring communications from their accrediting organization regarding implementation of the new conflict-of-interest and consulting restrictions.

CONSULTANT CORNER

A Legacy That Continues…

Patton Healthcare Consulting has always been built on a commitment to practical guidance, trusted relationships, and helping healthcare organizations achieve lasting success. While this chapter marks the retirement of Jennifer Cowel and Kurt Patton from their day-to-day leadership roles, it also reflects years of thoughtful succession planning and continued investment in our future.

As we’ve shared in recent issues of The Patton Post, we’ve welcomed experienced healthcare leaders whose expertise strengthens the support we provide to clients nationwide. Together with our long-standing leadership and consulting team, they ensure Patton continues delivering the trusted guidance, practical solutions, and client-focused service our partners have relied on for nearly two decades.

Jen and Kurt’s legacy extends far beyond their titles. Their leadership helped shape the culture and values that continue to guide our work every day. We thank them for their extraordinary contributions and wish them both every happiness in this well-earned next chapter.

Operational Excellence

Transforming Performance. Strengthening Outcomes.

Strong organizations don’t just prepare for survey—they build systems that support long-term success.

Patton Healthcare Consulting partners with healthcare organizations to improve performance, strengthen processes, enhance patient safety, and build sustainable operational improvement.

Our consultants help organizations:

• Improve operational performance and efficiency
• Strengthen quality and patient safety
• Optimize workflows and key processes
• Build sustainable strategies for long-term success

Learn more about our Operational Excellence services or contact one of us below!