Quality & Regulatory Readiness 365 Boot Camp “Back to the Future”

**This is an in-person conference that will meet on-site at the QHR Health Conference Center in Brentwood, TN.

With the hospital’s financial performance and overall viability increasingly tied to quality, patient safety, and patient satisfaction the role of the Quality Leader has become critical to the hospital’s success.  Healthcare regulation in a state of flux, staying in compliance with CMS, The Joint Commission, DNV GL and HFAP can be a challenge. This program can help get you on the right track in all the right directions.

Continuous quality improvement and regulatory readiness is a goal for many organizations. As a Quality Leaders, CMO, COO, CNO, Department Leader, Ambulatory Leader, Infection Preventionist or Plant Operations, you will benefit from the expertise of numerous subject matter experts in the arena of performance improvement, survey readiness, credentialling, working with medical staff, reporting data to the state and federal agencies and effectively capturing, tracking and reporting hospital quality data. QHR Health seasoned quality experts will share their knowledge with national best practices, CMS Conditions of Participation and other regulatory bodies.

QHR Heath is a dynamic, integrated professional solutions provider offering independent hospitals and health systems insight, guidance, leverage and services that empower healthcare organizations to control their destiny and fulfill their mission to the communities they serve.  Our mission is to strengthen independent community healthcare. QHR Health’s Accreditation and Regulatory Services provide this forum to structure and implement a program for hospitals to receive education and a networking opportunity focusing on Patient Safety and Regulatory Requirements. Through this program hospitals have an avenue to help share a continuous readiness process that incorporates performance measurement and patient safety into the quality processes.


contact hours (up to)

Quality Track
April 4 – 5

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Regulatory Track
April 5 – 6

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Environment of Care /
Life Safety Track
April 7 – 8

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Learning Objectives – Quality Track:

  • Describe roles and responsibilities within the quality team
  • Structure a continuous improvement program
  • Effectively communicate the journey to becoming a High Reliability Organization to the Board
  • Understand the patient experience
  • Practice a RCA and Proactive Risk Assessment

Learning Objectives – Regulatory Track:

  • Describe the hospital regulatory requirements
  • Conduct effective traces
  • Understand and administer credentialing
  • Explain the requirements for cleaning, disinfection and sterilization
  • List the requirements for ligature free and ligature resistant environments

Learning Objectives – Environment of Care / Life Safety Track:

  • Describe the requirements in the Healthcare Environment
  • Conduct a survey of the physical environment
  • Learn how to prepare for document review and building tour
  • Review Emergency Management Final Rule
  • Understand Compressed Gas Cylinder management
  • Identify Survey Trends

Who Should Attend:

  • Chief Medical Officer / CMO
  • Chief Operating Officer / COO
  • Chief Nursing Officer / CNO
  • Accreditation/Quality Leader
  • Ambulatory Services Leader
  • Hospital Department Leader
  • Infection Preventionist
  • Plant Operations / Engineering
  • Emergency Management Coordinator
  • Safety Officer


American Nurses Credentialing Center (ANCC)

The QHR Health Learning Institute is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

Participants who attend at least 85% of the program and complete the course evaluations will earn up to 27.8 contact hours.

Quality Track up to 7 contact hours
Regulatory Track  up to 10.2 contact hours
Environment of Care / Life Safety Track up to 10.6 contact hours

Note:  Certificates will be posted on the program website within one week of program completion.


We are pleased to share that QHR Health enjoys negotiated rates at two local hotels for our classroom events. The rates are first-come, first-served and based on availability.

Drury Plaza Hotel Nashville Franklin
1874 West McEwen Drive, Franklin, TN 37067
Telephone: (615) 771-6778

To reserve at the QHR Health discount rate please follow this link: Book QHR Health Drury Plaza Hotel Nashville Franklin. Reservations may also be made by calling 1-800-325-0720 and referring to the Corporate Code 322799.

Hilton Franklin Cool Springs
601 Corporate Centre Drive, Franklin, Tennessee 37067
Telephone: (615) 771-1995

To reserve at the QHR Health discount rate please follow this link: Book QHR Health Hilton Franklin Cool Springs