Clinical Compliance
Contact our teamClinical compliance challenges rarely live in one place. They show up in the emergency department, the physical environment, medical staff processes, and the way teams interpret regulation on the ground.
EMTALA, infection prevention, behavioral health, patient safety, and clinical quality all depend on consistent execution. When a state agency or CMS review escalates to an adverse action, the need for a practical, timely response becomes even more critical.
We align regulatory expectations with operational processes and clinical practice, helping organizations strengthen compliance across the health system while supporting safe, high-quality care and reducing unnecessary administrative burden.
Turning regulatory expectations into operational practice
As regulatory expectations continue to evolve, organizations need clear visibility into operational risk, practical strategies to strengthen survey readiness, and sustainable processes that support long-term compliance. Chartis works alongside healthcare leaders to simplify complex regulatory requirements, identify vulnerabilities before they become findings, and implement operational improvements that strengthen compliance while improving patient care.
Our solutions
- Regulatory and accreditation readiness: We help health systems prepare for regulatory surveys by assessing compliance risks, prioritizing vulnerabilities, and implementing practical solutions that strengthen readiness for CMS, state agency, and accreditation reviews.
- Organizational dependability: We help clients avoid preventable harm by working with clinical and operational leaders to simplify complex processes, reduce unnecessary policy and documentation burden, and strengthen accountability so compliance becomes part of everyday operations while allowing care teams to spend more time focused on patients.
- Environment of care and life safety: We evaluate the physical environment, life safety, emergency management, and related operational systems to identify gaps, strengthen compliance, and support safe, reliable care delivery across the organization.
- Specialized compliance advisory: We provide subject-matter expertise in high-risk clinical compliance areas, including EMTALA, infection prevention, behavioral health, patient safety, and clinical quality, helping organizations translate complex regulatory requirements into practical, sustainable operational improvements.
Every adverse action tells a larger operational story. Our role is to help organizations solve the underlying issues, not just respond to the findings. That approach has resulted in a 100% success rate with state agency and CMS adverse actions, including an unmatched record with hospital systems improvement agreements. ”
Frequently asked questions
When should a health system seek outside clinical compliance support?
Organizations often benefit from external expertise before a regulatory survey, following significant operational change, after receiving adverse findings, or when preparing for accreditation. An independent assessment can identify blind spots and accelerate improvement efforts.
What should an organization do after receiving a CMS or state agency adverse action?
An effective response begins with understanding the operational issues behind the findings. Chartis partners with leadership to develop Plans of Correction and evidence of Standards Compliance, address condition-level deficiencies and immediate jeopardy findings, and implement sustainable improvements that strengthen both regulatory compliance and patient safety.
How can health systems reduce regulatory risk while improving patient safety?
The strongest organizations don't treat patient safety and regulatory compliance as separate priorities. As reported sentinel events continue to rise—including a 12% increase in 2024 and a 95% increase since 2020—health systems need operational improvements that strengthen both clinical performance and survey readiness. Chartis helps organizations identify root causes, implement sustainable corrective actions, and build stronger operational systems.
How do we know whether our organization is prepared for a CMS or state agency survey?
Many compliance risks remain hidden until a survey uncovers them. Chartis helps health systems assess operational, clinical, and environmental vulnerabilities, prioritize corrective actions, and strengthen readiness before regulatory findings occur.
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