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TeamTalk newsletter header

December 2023

Message from our CEO

Sandra Canally, Founder, CEO, The Compliance TeamAs we approach 2024 and our 30th year in business, we are thankful and proud to have provided more than 10,000 pharmacies, clinics, DME providers, physician offices, critical access hospitals, and health departments with the structure and accountability they need to adapt and meet ongoing changes in healthcare delivery.

It’s due to our ongoing efforts to stay up to date and ready to respond —to patients, payers, legal and regulatory requirements, employers, and colleagues—that The Compliance Team has always been responsive, and as such, enjoys the notoriety in the industry of being a company of firsts.

Our mission, “every patient deserves exemplary care,” has always guided our forward thinking strategies and is the cornerstone of each of our 30 plus distinct accreditation and certification programs.

Our team remains focused on continuous quality improvements so that we can help more providers achieve operational excellence through our Exemplary Provider® accreditation programs in the new year.
Sandra Canally, RN, Founder and CEO


2024 is a Big Renewal Year!
Be Ready.

When you know what to expect, have the tools to prepare, and are aware of the tasks and plans needed to renew your compliance, everything is easier! That’s what our accredited providers tell us. If your AO isn’t making renewal easy, then you might want to talk to The Compliance Team. In the meantime, access these recent educational resources:

Responding to “Questions from the Field,” Sandy Canally provides best practices to meet key requirements of the DMEPOS/Rx quality standards, including:

• inventory and equipment management
• vehicle delivery requirements
• staff training (annual and quarterly)
• quality improvement planning

View webinar recording.

Start the New Year off right by integrating quality improvement into your day-to-day practices. Learn how to overcome obstacles and develop a quality improvement plan as Sandy Canally talks with HME Business in this recent podcast. Listen.

View more DMEPOS/Rx renewal webinars listed in the TeamTips, Webinars and Events section of this newsletter.


New USP & DSCSA Brings Changes to Pharmacy Quality Standards

Final revisions of U.S. Pharmacopeia’s (USP) General Chapters <795> and <797>, published at the end of 2022, must have been implemented by pharmacy providers by November 1, 2023. In addition, the Drug Supply Chain Security Act (DSCSA) took full effect on 11/27/23.

As a result of the new USP and DSCSA changes, TCT’s Safety-Honesty-Caring® Quality Standards and Evidence of Compliance – Pharmacy Services Accreditation have been updated. TCT will host customer webinars first quarter of 2024 to review these changes and answer your questions. Stay tuned for details.

Video Clip: Advantages of Accreditation in Challenging Times

As retail pharmacy continues to change, embracing accreditation to improve your clinical services has numerous benefits. Sandy Canally and TCT’s valued customer, Jessica Strobl, PharmD, VP of Professional Services, Lewis Family Drug, discuss how retail pharmacy is changing from a transactional based model to a clinical based model, and how accreditation can benefit your pharmacy. View video clip.

rural health

Introducing Swing Bed Compare

Swing Bed Compare is a new patient satisfaction and provider benchmarking tool for critical access hospitals (CAHs) that provide transitional care services. Swing Bed Compare is a new addition to TCT’s Provider Quality Measurement™ (PQM) tool and is one of the nation’s oldest and largest database repository of HIPAA-compliant patient satisfaction survey results, with over two million data points. By evaluating your performance against other swing bed providers, you emphasize your quality of care and operational effectiveness. Make your CAH the facility of choice. Visit Swing Bed Compare to learn more and sign up for our Special Offer: Unlimited Free Access until 2025!

RHC Quality Standards Updates

Recent changes to TCT’s Safety-Honesty-Caring® Quality Standards and Evidence of Compliance – Rural Health Accreditation standards 4.0.3 and 4.0.4 involve change of ownership and change of location. TCT Exemplary Providers™ can learn more by signing in to the TCT Client Services portal.

From Quantity to Quality with PCMH

Kristen Ogden, RN, TCT’s Director of Quality Improvement, penned an article for the National Rural Health Association (NRHA) blog titled, Preparing for the Future with PCMH: The shift from quantity to quality. Learn how the adoption and implementation of this value-based care model facilitates wellness at a lower cost and puts patients at the forefront within their care teams. See how the effects of this coordinated care model has transformed the focus in clinics from illness to wellness and resulted in undeniable benefits to patients’ lives.

Also view Kristen’s webinar: Care Coordination through the Patient-Centered Medical Home Model.


TCT’s Suite of Infusion Accreditation Programs.

The Compliance Team offers physicians, pharmacists, and other infusion providers a suite of infusion accreditation programs including CMS-approved Home Infusion Therapy, Ambulatory Infusion Suite, and Physician Practice Infusion Suite.

Our infusion related pharmacy accreditation programs include Infusion/Sterile Compounding, and Specialty PharmacyRead more.


Webinar: The Benefits of HD Clinical Services Accreditation.

Learn why TCT created this cost-effective, patient-centered, accreditation program, and the quality standards behind it. View webinar



“A Quest for Leadership.” TCT’s Accreditation Advisor, Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM, writes a personal perspective essay on leadership for the American Institute of Healthcare Compliance (AIHC). She reflects on tools she’s used and her ongoing professional development and process, as she continually identifies her strengths, weaknesses, and effectiveness. Read essay.

Exemplary Provider Tools

Patient Satisfaction Surveys and Provider Benchmarking. TCT’s patient satisfaction portal, included with your accreditation or certification program, is a valuable benchmarking tool to gauge your success against similar providers.

Self-assessment, Preparation, and Compliance. Take full advantage of our self-assessment checklists, policy and procedure templates, and refresher call series. These help you and your team prepare for renewal and remain compliant.

As an Exemplary Provider you can access the above tools by logging into to our Client Services portal. Forgot your login/PW? Contact Roy Dunning at

Webinars and Events

Kristen Ogden, RN, TCT Director of Quality Improvement, continues her quarterly PCMH webinar series into 2024 with “Happy New…PCMH Standards!” webinar on Tuesday, 1/16/2024 at 1:00 p.m. ET. Invites will be emailed after the first of the year.

More webinar topics:
• Patient Deliveries and Interactions for DMEPOS Suppliers
• DMEPOS Refresher
• Renewing your DMEPOS Accreditation
• Care Coordination through the Patient-Centered Medical Home Model

We’re planning lots of educational webinars and podcasts for 2024. Stay informed by frequently checking our home page, and visiting our Conferences/Events page.

Exemplary Providers™ (EPs) can log in to our Client Services portal to access exclusive EP only webinars. Forgot your login/PW? Contact Roy Dunning at

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