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Facility Compliance Resources

Facility Compliance Resources & News

We've combined the best practices from former surveyors and healthcare facility compliance experts.

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What the Experts Are Saying

Explore the Facility Compliance Resource Library & News

An exclusive, hand-picked collection of the nation’s top healthcare facility compliance professionals coming together online to educate in regard to life safety standards and best practices.
Ask the nation's top healthcare facility experts and former surveyors your facility questions.

Importance of Environment of Care Tours

The Joint Commission rescinded the Environment of Care tour standard requirement of twice a year in clinical and once a year in non-clinical. Is this still important? Is it a best practice to continue?

April 20, 2022

Current & Future Building Designs Due to COVID

Speakers Include: Lance Woolf-MBA, CHSP, Former Joint Commission Surveyor & Director of Life Safety Compliance at Soleran Chris Tokas - Deputy Director for the Facilities Development Division at California Department of Healthcare Access and Information Vic Mosby- Architect at ACI Boland Architects‍

April 14, 2022

New Water Management Standards & What They Mean

New standards in water management are raising a lot of questions, specifically related to hospital facilities that are attached to a medical office building (MOB).

March 21, 2022

The Importance of Sprinkler Inspections

Sprinkler inspections are a very important process to ensure that your facility is protected when it needs to be.

February 14, 2022

Cybersecurity: A New Focus for Emergency Preparedness

As with every new year, new regulations and upcoming changes are on the horizon. Cybersecurity will become a new regulation this year with the Joint Commission under the emergency preparedness standards. It has become a focal area within the last few years due to the advance of ransomware affecting hospitals nationwide.

January 17, 2022

Redesigning, Rebranding, and Reimagining - Soleran 2021 Recap

Cutting-edge innovation is where we live. It has always been a hallmark of our business. This year was no exception.

December 11, 2021

Is Your Facility’s Software Up To Snuff?

Engineering departments are now required to use programs that not only project future maintenance issues, but also help justify equipment changes and staffing levels.

November 16, 2021

Projected Regulatory Compliance Changes: A Regulatory Update

Speakers Include: Lance Woolf-MBA, CHSP, Former Joint Commission Surveyor & Director of Life Safety Compliance at Soleran Clint Butts-Standards Application & Interpretation Specialist at DNV

October 28, 2021

Future Healthcare Building Designs

Multiple facility directors shared with me how they are already approaching future designs due to COVID. These points may help justify the increase in cost per square footage to the C-Suite because of facility redesign.

October 25, 2021

Updates to Emergency Preparedness Standards

With the recent events of COVID-19, accreditation agencies have already stated there will be changes with the standards in 2021, but have not specifically identified what they will be.

February 14, 2021

Clarification on Fire Sprinkler Spares (LS 02.01.35 EP 7)

There has been some confusion with The Joint Commission’s new revisions on standard LS 02.01.35 EP 7 because it seems like the same old standard in an abridged manner. So what are the changes?

January 17, 2021

Top 5 Ways CMS Standards Will Change

The second wave of COVID-19 is inevitably upon us again. Earlier this year, there were many different theories stating the original response would be adequate.

July 5, 2020

Understanding the CMS 1135 Waiver

While surveying, I came across many different facility directors or emergency managers that were confused about the CMS 1135 waiver or felt it was specifically for clinical staff.

June 8, 2020

New Emergency & Water Management Standards: What Do They Mean?

Speakers Include: Lance Woolf - MBA, CHSP, Former Joint Commission Surveyor & Director of Life Safety Compliance at Soleran‍, Billy Kinch - Lead Facility Specialist at CIHQ, Taylor Vaughn - Facility Manager at Children's Health Dallas

May 12, 2022

Importance of EC Tours & Efficiently Closing the Loop

Speakers Include: Lance Woolf-MBA, CHSP, Former Joint Commission Surveyor & Director of Life Safety Compliance at Soleran Tony VanDyke - Enterprise Director at Thomas Jefferson University & Jefferson Health John Boyer- Director, Env. Affairs at Brigham and Women's Hospital

April 28, 2022

Current & Future Building Designs Due to COVID

Speakers Include: Lance Woolf-MBA, CHSP, Former Joint Commission Surveyor & Director of Life Safety Compliance at Soleran Chris Tokas - Deputy Director for the Facilities Development Division at California Department of Healthcare Access and Information Vic Mosby- Architect at ACI Boland Architects‍

April 14, 2022

Projected Regulatory Compliance Changes: A Regulatory Update

Speakers Include: Lance Woolf-MBA, CHSP, Former Joint Commission Surveyor & Director of Life Safety Compliance at Soleran Clint Butts-Standards Application & Interpretation Specialist at DNV

October 28, 2021

Security Trends within Healthcare Facilities

Speakers Include: Lance Woolf-MBA, CHSP, Former Joint Commission Surveyor & Director of Life Safety Compliance at Soleran Rob Loseman-MSML, CHEP, Director of Security, Safety & Emergency Management at University of Missouri Health Care Joe Humphries -Director of Business Development at Compliance One Group

October 14, 2021

Best Practices for Your Most Organized Survey

Speakers Include: Lance Woolf-MBA, CHSP, Former Joint Commission Surveyor & Director of Life Safety Compliance at Soleran Clarence Jones-Director of Facilities Management at Atrium Health Christopher Kolbash-Facilities Management Leader at Atrium Health Clayton Smith-Vice President of Facilities Operations at Children’s Health

September 30, 2021

Reducing Cooling Costs During The Summer Season

Presenters: Lance Wolf, Clayton Smith, John Schmidt, and Craig Elliott

May 5, 2021

Changes in Future Building Designs

Presenters: Lance Wolf, Jason Piper, Phil Shuman, and Paul Wetzel

April 21, 2021

Optimizing Your Building Automation Systems

Presenters: Lance Wolf, Adam Zorn, and James Plotz

April 7, 2021

Exploring the Pitfalls of Specializing Trades Within the Engineering Department

Presenters: Lance Woolf, Adam Zorn, Scott Amburgey, and Clayton Smith

December 9, 2020

Increasing Compliance Proficiency Through Digital Automation

Presenters: Lance Woolf, Brian Schott, Joe Hosler, and Will Walburn

November 11, 2020

How to Maintain Healthcare Facilities with Limited Resources

Presenters: Lance Woolf, Jason Piper, Damion Schinnerer, and Jeff Lehmann

October 28, 2020

Possible Changes in Emergency Preparedness

Presenters: Lance Woolf, Kawika Feltman, Robert Loseman, and Gene Mellin

October 14, 2020

COVID-19 and the Importance of Understanding Air Pressures Within Your Facility

Presenters: Lance Woolf, Maureen Aldrich, Tony Van Dyke, and Brian Crum

September 23, 2020

ASHE 2022 Top 5 Key Takeaways

Out of all the amazing speakers and topics, I came away with 5 repeated themes from the conference and what they may mean for you as you soon head into 2023. Here's my top five key takeaways in priority order. 

August 8, 2022

The Importance of Sprinkler Inspections

Sprinkler inspections are a very important process to ensure that your facility is protected when it needs to be.

February 14, 2022

Cybersecurity: A New Focus for Emergency Preparedness

As with every new year, new regulations and upcoming changes are on the horizon. Cybersecurity will become a new regulation this year with the Joint Commission under the emergency preparedness standards. It has become a focal area within the last few years due to the advance of ransomware affecting hospitals nationwide.

January 17, 2022

Redesigning, Rebranding, and Reimagining - Soleran 2021 Recap

Cutting-edge innovation is where we live. It has always been a hallmark of our business. This year was no exception.

December 11, 2021

Is Your Facility’s Software Up To Snuff?

Engineering departments are now required to use programs that not only project future maintenance issues, but also help justify equipment changes and staffing levels.

November 16, 2021

Future Healthcare Building Designs

Multiple facility directors shared with me how they are already approaching future designs due to COVID. These points may help justify the increase in cost per square footage to the C-Suite because of facility redesign.

October 25, 2021

A Facility Director's Dream: Compliance Survey Dashboard

The Compliance Survey Dashboard is a program that helps you not only transition to 100% electronic documentation but gives you the ability to immediately check where you are in your regulatory testing at the touch of a button.

September 20, 2021

5 Key Takeaways from ASHE Annual Conference

With all my years of experience as a facility director and Joint Commission surveyor, I came away with a few great nuggets worth sharing.

August 23, 2021

Upgrading your Preventative Maintenance Program

Facility directors today are wondering what to do with their current and already outdated PM program. Over the last few years, preventative maintenance has evolved so much that every program keeps requiring more and more. Demands have progressed to the point they are not only being used for PM scheduling and regulatory compliance, but they are also being utilized for financial projections, staff performance, and asset longevity projections. 

August 2, 2021

Getting Ahead of the Facility Tech Curve

Facility directors always mentioned keeping track of all the regulations and required documentation as a daunting task. I was often asked about other alternatives to the usual binder systems.

October 11, 2020

Why Do Emergency Management Reviews?

Past surveys regarding emergency management have been deemed just another hurdle to overcome to meet regulatory needs. The standards were merely seen as a checkbox to fill.

September 13, 2020

How Essential Are Emergency Management Reviews?

Until recently, emergency management had become a quick session during an accreditation survey. The session evaluated standards and ensured you met them.

August 30, 2020

Working with Vendors to Ensure Documentation Compliance

Documentation over the past few years has become more of a focus during accreditation surveys. This is partially due to the many different versions of the NFPA that are being utilized today.

August 2, 2020

3 Tips for Confidence in Your Facilitys Air Handling Units

What can you do now to ensure your facility will be able to manage this pandemic or the next one? If Covid-19 has opened our eyes to anything, it is the need to develop flexible plans and out-of-the-box solutions to accommodate a large and highly contagious patient population.

July 26, 2020

Quick Tips For Your Next Joint Commission Survey

Survey time is always a period of anxiety for facility directors no matter how prepared they think they are. New regulations or what accrediting agencies focus on during the survey process are always areas of concern for directors.

June 21, 2020

Importance of Environment of Care Tours

In today’s world, hospitals require every department to be more productive within their work environment while utilizing fewer resources.

June 15, 2020

Redesigning, Rebranding, and Reimagining - Soleran 2021 Recap

Cutting-edge innovation is where we live. It has always been a hallmark of our business. This year was no exception.

December 11, 2021

Is Your Facility’s Software Up To Snuff?

Engineering departments are now required to use programs that not only project future maintenance issues, but also help justify equipment changes and staffing levels.

November 16, 2021

A Facility Director's Dream: Compliance Survey Dashboard

The Compliance Survey Dashboard is a program that helps you not only transition to 100% electronic documentation but gives you the ability to immediately check where you are in your regulatory testing at the touch of a button.

September 20, 2021

ICM-Why Your Facility Needs It

With the clinical side being pushed to telehealth in 2020, the move to electronic documentation has been inevitable. So, you may be already asking, “What is ICM and what does it do?”

May 23, 2021

How hospitals & businesses reimagine compliance

“When I leave the unit, I’m done. There is really nothing else you need to do. Time saved is at least 20 hours a week just doing reports.”

Johns Hopkins Hospital

How hospitals & businesses reimagine compliance

"We believe we'll have fewer deficiencies for The Joint Commission! It's made the hospital safer. It used to take days to gather info for JC, now it takes seconds to find the date, locations and status!"

Texas Children's Hospital

How hospitals & businesses reimagine compliance

"Now findings can be seen by the manager in real-time and corrected on the spot or on the same day of the finding."

Johns Hopkins Hospital

How hospitals & businesses reimagine compliance

"The idea is to do proactive maintenance instead of reactive. It wasn't possible before Soleran to the degree we needed."

Hurley Medical Center

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