Loading Events

« All Events

  • This event has passed.

Environment of Care & Life Safety

This educational activity is jointly provided by AXIS Medical Education and NCHA

December 7 @ 8:00 am - 5:00 pm

This one-day program will provide valuable information for those responsible for creating the Environment of Care and Life Safety programs and who must understand the Joint Commission survey methodology and recent changes to the standards. Information will be provided so attendees can implement a practical, continuously compliant program to achieve maximum performance while effectively preparing for unscheduled Joint Commission and Center for Medicare and Medicaid Services surveys. Attendees will also receive guidance to understand and interpret the most serious deficiencies commonly found in surveys. Sufficient time will also be provided for questions and discussion. A new module to this program discusses environmental risk assessment strategies for behavioral health populations.


Target Audience

This activity has been designed to meet the educational needs of hospital and health system accreditation and regulatory compliance officers, safety directors/officers, risk managers, quality management and performance improvement directors. Also, facility and engineering managers, nurses, infection control practitioners, and administrative and clinical staff who are responsible for or who manage others with Environment of Care and Life Safety responsibilities.


  • Describe the process changes related to the Statement of Conditions and Plan for Improvement.
  • Identify the structure of The Joint Commission, Hospital Accreditation Program Environment of Care and Life Safety standards.
  • Explain the content and requirements of the Environment of Care standards and the administrative requirements of the Life Safety Chapters.
  • Recall the recent changes to the Environment of Care and Life Safety chapters and determine key program management requirements within those chapters.
  • Identify strategies to use The Joint Commission standards as a framework for effective program management.


8:00 Registration/ Continental Breakfast - Crabtree Ballroom
8:30 Welcome/ Introductions
Joint Commission, CMS, Project REFRESH, the Standards Structure
9:00 Environment of Care Chapter
10:00 Break
10:15 Environment of Care Chapter (continued)
12:00 Lunch
12:45 Environment of Care Chapter (continued)
2:00Behavioral Health related to the Environment of Care
2:30 Break
2:45 Life Safety Chapter
4:15 Using Joint Commission Standards as a Framework for Effective Program Management
4:45 Questions/ Adjournment


Mark Shamash, MS, HEM, CHSP, President, Safety and Disaster Solutions, Inc.
Mark is a Certified Healthcare Safety Professional and Healthcare Environmental Manager.

Mark holds a Master of Science degree in Safety Management and consults with over 400 healthcare facilities providing services ranging from Environment of Care mock surveys, infection prevention, life safety surveys, emergency management and continuous readiness support. He also provides training, planning and assistance in implementing operational programs for Life Safety, Emergency Management, Infection Prevention and Environment of Care.

Mark has over 21 years of experience in the safety and healthcare field and has also coordinated infection prevention research studies and white paper reviews; he is an instructor with ECRI Institute’s Center for Healthcare Environmental Management and Infection Control Risk Assessment programs.

Mark Shamash services are being provided in cooperation with Kent & Associates, Asheville, North Carolina (www. kentandassociates.biz)

Venue and Accommodations

Marriott Raleigh Crabtree Valley Hotel
4500 Marriott Drive
Raleigh, NC 27612

To make your hotel reservations, call the Raleigh Marriott and request the NCHA conference room rate of $159.

The cut-off date for this discounted block of rooms is
Nov. 21.

Continuing Education Credits

Continuing Education Credits

In support of improving patient care, this activity has been planned and implemented by AXIS Medical Education and North Carolina Healthcare Association. AXIS Medical Education is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.

Credit Designation for Nursing

AXIS Medical Education designates this continuing nursing education activity for 7.0 contact hours.

Learners are advised that accredited status does not imply endorsement by the provider or ANCC of any commercial products displayed in conjunction with an activity.

A general certificate of participation will also be available for 7.0 hours.

AXIS Contact Information 

For information about the accreditation of this program please contact AXIS at info@axismeded.org.

Disclosure of Conflicts of Interest 

AXIS Medical Education requires instructors, planners, managers and other individuals and their spouse/life partner who are in a position to control the content of this activity to disclose any real or apparent conflict of interest they may have as related to the content of this activity. All identified conflicts of interest are thoroughly vetted by AXIS for fair balance, scientific objectivity of studies mentioned in the materials or used as the basis for content, and appropriateness of patient care recommendations.

The faculty reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Name of Faculty or Presenter Reported Financial Relationship
Mark Shamash, MS, HEM, CHSP Nothing to disclose

The planners and managers reported the following financial relationships or relationships they or their spouse/life partner have with commercial interests related to the content of this continuing education activity:

Name of Planner/Manager Reported Financial Relationship
James Hayes Nothing to disclose
Holly M. Hampe, D.Sc., RN, MHA, MRM Nothing to disclose
Dee Morgillo, MEd., MT (ASCP), CHCP Nothing to disclose


Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed in this activity should not be used by clinicians without evaluation of patient conditions and possible contraindications on dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.

Requirements for credit:

Attend/participate in the educational activity and review all course materials.

Complete the CE Declaration form online by December 30, 2018 at 11:59 pm ET. Instructions will be provided. If you do not enter the online portal by the above date, you will not be able to retrieve your statement of participation.

Upon successful completion of the online form, your statement of completion will be presented to you to print.

Fees & Registration

Register by Nov. 30

NCHA member fee: 195.00  (full-time employees of NCHA hospitals and health systems)

Non-member fee: 295.00

Questions? Contact:
James Hayes at jhayes@ncha.org or 919-677-4246

Register Here


December 7
8:00 am - 5:00 pm
Event Categories:
, , , ,
Event Tags:
, , , ,


Raleigh Marriott Crabtree Valley Hotel
4500 Marriott Drive
Raleigh, NC 27612 United States
+ Google Map


NCHA Education Services
James Hayes, PMP
Education Project Manager

Visit Us

North Carolina Healthcare Association

2400 Weston Parkway
Cary, NC 27513

Main: 919-677-2400
Fax: 919-677-4200

Contact Us