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TSIG Overview and Inspections - Hilti

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Accreditation Based on Impact on Patient<br />

Care<br />

Immediacy of risk to patient<br />

care <strong>and</strong> the<br />

organization’s<br />

accreditation status<br />

Higher<br />

“Sharp End”<br />

Immediate<br />

Threat To Life<br />

(PDA until resolved)<br />

Situational<br />

Decision Rules<br />

(Conditional Accreditation <strong>and</strong><br />

Preliminary Denial of Accreditation )<br />

Timeline for resolution of noncompliant<br />

findings<br />

Shorter<br />

= Resolution/<br />

Validation<br />

Direct Impact Requirements<br />

“Implementation” Based Requirements<br />

(Short Resolution Timeframe)<br />

= Resolve in 45<br />

Days<br />

(PFI Acceptable)<br />

Lower<br />

Indirect Impact Requirements<br />

“Planning” <strong>and</strong> “Evaluation” Based Requirements<br />

(Longer Resolution Timeframe)<br />

= Resolve in 60 Days<br />

(PFI Acceptable)<br />

Longer<br />

2011 NYC Healthcare Symposium<br />

“Blunt End”<br />

10/27/2011<br />

10

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