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Avoiding Infection Prevention Survey Catastrophes
Infection prevention issues are the most frequent high-risk regulatory survey findings, often putting the organization’s accreditation or Medicare certification at risk. Common vulnerabilities include:

- Adherence to the equipment sterilization cycle (use, collection, transportation, decontamination, cleaning, sterilization/disinfection, and storage)
- Maintaining appropriate temperature, humidity, and airflow to critical locations
- Safe food handling and storage
- Environmental cleanliness and safety
- Appropriate use of personal protective equipment
- Standard and transmission-based precautions
- Epidemic/pandemic readiness

Significant survey challenges cannot be met by scarce infection prevention resources alone. There must be an organization-wide, comprehensive approach that engraves prevention into the culture of the entire organization. Our faculty will offer practical approaches to meet and overcome these survey challenges.


- Plan to overcome the top 10 infection prevention survey vulnerabilities
- Develop and implement sustainable, common-sense solutions to address daunting infection prevention challenges
- Make preventing infections everyone’s focus


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Lisa Eddy, MSN, MHA, RN, CPHQ
Vice President, Clinical Compliance and High Reliability @Chartis Clinical Quality Solutions
Lisa has more than 25 years of experience in CMS certification and accrediting agency regulatory compliance. As VP of Chartis Clinical Quality Solutions (formerly known as The Greeley Company), Lisa helps organizations transform adverse regulatory findings into solutions that yield improvements in safety, efficiency and effectiveness for certification and sustainable compliance. First-hand knowledge of executive-level nursing, hospital operations, quality and risk management are all embedded in the guidance she provides to organizations to help them achieve and maintain regulatory approval.
Phillip Boaz, RN, MSN, CIC
Senior Consultant, Clinical Compliance & High Reliability @Chartis Clinical Quality Solutions
Phillip Boaz brings his clients more than 30 years of consulting and healthcare experience in the areas of critical care and trauma nursing, infection prevention, risk management, and regulatory compliance. With a background as a Centers for Medicare & Medicaid Services (CMS) surveyor in Texas, he leads full mock surveys to prepare clients for upcoming regulatory visits. He also assists clients in crafting realistic and sustainable plans of correction in response to survey findings. Phillip leads the firm's team of Infection Prevention and Control (IPC) practitioners. He has helped numerous organizations address The Joint Commission (TJC), Det Norske Veritas (DNV), The Accreditation Association for Ambulatory Health Care (AAAHC), and CMS survey findings. His solutions consistently achieve and sustain patient safety improvements and regulatory compliance.
Steve MacArthur, CSHA
Senior Consultant, Clinical Compliance & High Reliability @Chartis Clinical Quality Solutions
Steve MacArthur brings more than 40 years of consulting and healthcare experience to the firm. An expert in the areas of healthcare environmental services and safety, he plays a critical role in supporting his clients as they prepare for and respond to compliance requirements, including: agency accreditation, CMS certification, and OSHA compliance surveys. Steve conducts on-site environmental assessments, educational programs, and regulatory survey preparation of the physical environment and hospital emergency management programs for safety leaders. His experience in acute care enables him to accurately identify areas of vulnerability and provide practical and sustainable remedies.