Take the Guesswork Out of CMS Compliance
Developed through hundreds of hours of regulatory research and analysis, these CoP Crosswalk Libraries transform complex CMS Conditions of Participation into a practical roadmap for policy development and survey readiness. Each crosswalk identifies required and recommended policies, maps them directly to the applicable federal regulations, highlights key compliance topics, and outlines the evidence surveyors commonly request— saving your organization valuable time while strengthening regulatory confidence.
The CMS Policy List Hospital Leaders Have Been Asking For — Finally Created.
Throughout my career as a healthcare consultant and hospital nursing executive, I repeatedly heard the same question: “Can you give us a complete list of the policies and procedures CMS expects us to have?”
That list did not exist—so I created it.
I’m Dr. Tiffany Thompson, DNP, RN, CPHQ, and I invested hundreds of hours reviewing and interpreting the CMS Conditions of Participation to identify the compliance topics hospitals should address through policies, procedures, plans, processes, and other written evidence.
These comprehensive regulatory crosswalks do the time-consuming work for you. They help your organization quickly identify documentation gaps, prepare stronger evidence of compliance, and reduce the risk of preventable survey deficiencies—without requiring your team to navigate hundreds of pages of complex federal regulations.
Our Services
Build a strong foundation for organizational accountability and regulatory compliance. This bundle addresses the essential structures, responsibilities, and documentation expectations that guide hospital governance, performance improvement, medical staff oversight, and health information management.
Includes: Governing Body, Quality Assessment & Performance Improvement, Medical Staff, Medical Records, and Utilization Review.
Governance, Leadership & Operational Oversight
Strengthen protections for patients and prepare for scrutiny in some of the most complex and high-risk areas of hospital operations. This bundle helps organizations identify the policies, processes, safeguards, and supporting evidence needed to demonstrate compliance in specialized programs and patient-centered care.
Includes: Infection Control, Swing Beds, Psychiatric Medical Records, and Psychiatric Services
Patient Safety, Rights & High-Risk Programs
A comprehensive roadmap for the clinical services most directly involved in patient care. This bundle helps nursing and clinical leaders evaluate required documentation, clarify operational expectations, identify gaps, and prepare evidence across the continuum of hospital-based services.
Includes: Nursing Services, Pharmaceutical Services, Discharge Planning, Surgical Services, Anesthesia Services, Nuclear Medicine Services, Outpatient Services, Emergency Services, Rehabilitation Services.
Clinical Care & Nursing Operations
Bring often-overlooked regulatory requirements into clear focus. This bundle organizes the CMS expectations governing the diagnostic, environmental, nutritional, and specialized support services that are essential to safe, compliant hospital operations.
Includes: Radiologic Services, Laboratory Services, Physical Environment, Food and Dietary Services, and Organ, Tissue, and Eye Procurement
Diagnostic Support & Ancillary Services
The complete collection of all CMS Hospital Conditions of Participation in one comprehensive library. Purchase the entire library and receive a 40% Savings! This library includes more than 1,800 regulatory compliance topics, required and recommended policies, CFR references, key operational focus areas, and the evidence CMS surveyors commonly request — providing a complete roadmap for policy development and survey readiness.
The Full Conditions of Participation Library
Need support in one specific regulatory area? Each Condition of Participation chapter is available for individual purchase, allowing you to focus on the services, compliance gaps, or survey priorities most relevant to your organization. Get the same detailed regulatory crosswalk without purchasing an entire bundle.
Individual CoP Chapters
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