accreditation, survey, joint commission, CMS, regulatory compliance, ICD10, utilization review, PCMH, HFAP, CIHQ, DNV, Lean Six Sigma

Smooth Sailing for Surveys

Calm Waters for Compliance

CMS, TJC, DNV, CIHQ, ICD10, RAC, MACRA.... don't let the tidal wave of regulations swamp you.

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Links and Resources

As a service to our clients and potential clients, we're providing links to items of interest.  These are EXTERNAL links and will navigate you away from our website.  Thank you for visiting and please contact us for any questions.

Scroll down to the link for the "State Operations Manual" which is the surveyors' interpretive guidelines.  Hospitals use Appendix A of that manual.


CMS' website is the ONLY approved source of current Conditions of Participation.  Several commercial companies publish the CoP and their interpretive guidelines, but the authoritative source is CMS.

Combined Shape

An independent, not-for-profit organization, The Joint Commission accredits and certifies nearly 21,000 health care organizations and programs in the United States. Joint Commission accreditation and certification is recognized nationwide as a symbol of quality that reflects an organizationā€™s commitment to meeting certain performance standards.


Patricia Hildebrand, Executive Director of Hildebrand Healthcare Consulting, has been a Certified Joint Commission Professional (CJCP) since 2016

CIHQ is a CMS approved deeming authority for acute care hospitals. Our accreditation program is designed to assure that hospitals comply with the Medicare Conditions of Participation and improve the quality of care, treatment, and service in their communities.


In addition to accrediting healthcare organizations, CIHQ offers the HACP certification program. 

The Healthcare Accreditation Certification Program (HACP) is the only national

professional credential solely dedicated to demonstrating competency

in the CMS survey and certification process.


Patricia Hildebrand, Executive Director of Hildebrand Healthcare, has been a Healthcare Accreditation Certified Professional (HACP) through CIHQ since 2014

National Association of Healthcare Quality (NAHQ)

NAHQ provides education, leadership development opportunities, and products to support quality professionals.


Patricia Hildebrand, Executive Director of Hildebrand Healthcare, has been a Certified Professional in Healthcare Quality (CPHQ) through NAHQ, since 2003

The American College of Healthcare Executives is an international professional society of 40,000 healthcare executives who lead hospitals, healthcare systems and other healthcare organizations. ACHE's mission is to advance its members and healthcare management excellence. ACHE offers its prestigious FACHEĀ® credential, signifying board certification in healthcare management.   


Patricia Hildebrand, Executive Director of Hildebrand Healthcare, has been a Fellow of the American College of Healthcare Executives (FACHE) since 2012


American Society for Healthcare Risk Management (ASHRM)

Established in 1980, the American Society for Healthcare Risk Management (ASHRM) is a personal membership group of the American Hospital Association (AHA) with nearly 6,000 members representing risk management, patient safety, insurance, law, finance and other related professions.

ASHRM promotes effective and innovative risk management strategies and professional leadership through education, recognition, advocacy, publications, networking and interactions with leading healthcare organizations and government agencies. ASHRM initiatives focus on developing and implementing safe and effective patient care practices, the preservation of financial resources and the maintenance of safe working environments


Patricia Hildebrand, Executive Director of Hildebrand Healthcare, has been a Certified Professional in Healthcare Risk Management (CPHRM) through ASHRM  since 2013

American Health Information Management Association (AHIMA)

The American Health Information Management Association (AHIMA) is the premier association of health information management (HIM) professionals worldwide. Serving 52 affiliated component state associations and more than 103,000 health information professionals, it is recognized as the leading source of "HIM knowledge," a respected authority for rigorous professional education and training.

Founded in 1928 to improve health record quality, AHIMA has played a leadership role in the effective management of health data and medical records needed to deliver quality healthcare to the public.

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Patricia Hildebrand, Executive Director of Hildebrand Healthcare, has been a Certified Coding Specialist - Physician based (CCS-P) through AHIMA since 1999

National Committee on Quality Assurance

The National Committee for Quality Assurance is a private, 501(c)(3) not-for-profit organization dedicated to improving health care quality. Since its founding in 1990, NCQA has been a central figure in driving improvement throughout the health care system, helping to elevate the issue of health care quality to the top of the national agenda. - See more at: http://www.ncqa.org/about-ncqa#sthash.3hKWZoSW.dpuf.


Patricia Hildebrand, Executive Director of Hildebrand Healthcare, obtained her certification as a Certified Content Expert in Patient Centered Medical Homes through NCQA in 2013