Hospital Accreditation Essentials with Tracers & Data Analysis - In-Person: April 12-14, 2023


Join us for this 3-day in-person seminar designed to provide you with practical solutions and implementation tips. This seminar sets the stage for a successful survey and building a framework to deliver the highest level of patient safety and care. Included this year is an additional day of Tracers & Data Analysis. This add-on session demonstrates how to conduct tracers in your organization. You will participate in case study discussions and learn about program-specific tracers.

Please see our required Covid protocols on the Health & Safety tab below.

Hospital Accreditation Essentials with Tracers & Data Analysis - In Person
U.S. Standards
Event Description

Event Description

Our team is actively monitoring the Covid landscape. The health, safety and well-being of our participants are our highest priority. We will monitor the situation and will update our guidelines as conditions change. Please see our current Health & Safety Guidelines tab for more information.

Join us for this three-day seminar designed to provide you with practical solutions and implementation tips to help you set the stage for a successful survey, and build a framework to deliver the highest level of patient safety and care. This year we've added a session of Tracers & Data Analysis, which demonstrates how to conduct tracers in your organization. You will participate in case study discussions and learn about program-specific tracers.

The Hospital Accreditation Essentials with Tracers & Data Analysis will include presentations from Joint Commission Resources experts, case studies and take home tools. This seminar will help you be prepared with:

  • Updates to the accreditation process for hospitals
  • Discussion about hot topics and challenging standards, frequently cited requirements and compliance strategies for infection prevention and control
  • Medication Management
  • National Patient Safety Goals
  • Environment of Care
  • Life Safety 
  • Ways to identify types of tracers that will help you detect and close gaps in care
  • Knowledge to evaluate tracer data, a skill you can bring back to your organization to help improve processes, reduce risk, and take better care of your patients
  • Objectives:
  1. Discuss modifications in the accreditation process
  2. Identify new and challenging requirements within each chapter in the Comprehensive Accreditation Manual  for Hospitals
  3. Apply compliance strategies into your organization's continuous readiness program

Intended Audience:

This program is designed for those responsible for directing, coordinating or implementing Joint Commission hospital accreditation and standards compliance. This is also an excellent training opportunity for you if your organization is interested in pursuing Joint Commission accreditation. The program is valuable for all health care professionals who provide oversight of their hospital’s accreditation process including, accreditation directors/managers, quality improvement directors/managers, risk managers, safety directors/managers, nursing directors/managers, and clinicians who provide care and services to hospital patients.

The attendees will have access to program materials through the Learning Management System until: June 14, 2023

The Joint Commission is a private, not-for-profit  organization dedicated to continuously improving the safety and quality of care provided to the public. Joint Commission Resources, Inc. (JCR), a wholly controlled, not-for-profit affiliate of The Joint Commission, is the official publisher and educator of The Joint Commission.



AGENDA (As of 1/13/2023)  Please check back for updates.


Joint Commission Resources

Joint Commission Resources

Robert Kepshire, MBA, MA, MS, RN, CENP
Joint Commission Resources



Location Details

Location Details

The Joint Commission Conference Center
One Renaissance Blvd.
Oakbrook Terrace, IL 60181

Parking is available in any of the visitor spots in front of the building and in our attached parking garage.

The Joint Commission is a smoke free campus and smoking anywhere on the premises is prohibited. Smoking is defined as (1) lighting or burning any type of substance that contains tobacco, including cigarettes, cigars, and pipes; and (2) using electronic cigarettes.

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Guest room location options:

Staybridge Suites (Located next door to The Joint Commission)
200 Royce Blvd.
Oakbrook Terrace, IL 60181

Marriott Courtyard (Located approximately 2-3 blocks from The Joint Commission)
6 Trans Am Plaza Drive
Oakbrook Terrace, IL 60181
Courtyard is walking distance to program site, also inquire at the front desk if they may have shuttle transportation.

Holiday Inn (Located approximately 6 blocks from The Joint Commission - do not recommend walking)
17 W. 350 22nd Street
Oakbrook Terrace, IL 60181

Hyatt Place Lombard  (Located Approximately 1.5 miles from The Joint Commission)
2340 Fountain Square Drive
Lombard, IL

Embassy Suites Lombard(Located Approximately 1.5 miles from The Joint Commission)
707 East Butterfield Rd.
Lombard, IL  60148

The Joint Commission is located approximately 14 miles from O’Hare Airport and about 20 miles from Midway Airport.

Uber & Lyft rideshare services are readily available in the area.

Suburban Taxi Companies - 1 person: Approximately $55-60 - Rates fluctuate
American Taxi: 877-755-2227
Universal Taxi: 630-617-5400
A1 Limo: 630-355-8824 -Approximately $45.00-$50 for Shared, $70-85 for private car - Rates fluctuate

If you plan on taking a taxi from the airport, please make sure you do not use a City of Chicago Taxi–these are more expensive. Make sure you use a suburban taxi service lsted above.

Looking for something to do in the evening?
Two large malls (Oak Brook Mall & Yorktown Mall), a movie theatre (Yorktown) and many restaurants are located in the area.
Some hotels can prearrange drop offs & pickups within a few miles. Please speak to the hotel directly for availability.

Health & Safety

Health & Safety

The Joint Commission and Joint Commission Resources are committed to the health and safety of our attendees and will be following these guidelines:

All attendees will be required to show proof of being fully vaccinated as per CDC guidelines and to complete a Joint Commission Covid Health Attestation Form at check-in in order to be admitted to the program.  Socially distanced seating will be provided and will be expected of attendees at all times for the duration of the program.  The State of Illinois and The Joint Commission are following the updated CDC guidance that no longer recommends universal mask wearing indoors. If you would like to wear a mask when in the building, the CDC offers information on mask types for various situations.  Please see our website for any updates to these requirements.

The Joint Commission meeting space is currently using reduced occupancy limitations to allow more space between attendees. Hand sanitizer will be provided in multiple locations throughout the meeting space.  Meals will be provided & will be served following federal and local regulations.

These guidelines are subject to change, based on current federal and local regulations. By registering you agree to comply with all CDCstatelocal and Joint Commission guidelines for Covid safety protocols. Anyone choosing to not abide by these guidelines will not be permitted to participate in the program.

There is a risk of exposure to Covid-19 in any public space where potentially infected people are in attendance. By attending this event, you voluntarily assume all risks related to any exposure to Covid-19 and agree to indemnify and hold harmless The Joint Commission and Joint Commission Resources. Those who have symptoms or have had close contact with a person diagnosed with Covid-19 should stay home and quarantine, self-monitor for symptoms, and follow CDC guidelines if symptoms develop.

Continuing Education

Continuing Education

Before registering for a program check for updates from your state, county or city on a regular basis to make sure it will be acceptable for your license/certification renewal.

Summary of Continuing Education contact hours awarded for this program:

  • ANCC: 18 CE
  • ACHE: 18 CE

Learn more about continuing education below.

Read more about Continuing Education

Payment Options

Payment Options

All Joint Commission Resources products require pre-payment. For your convenience, if you do not have a credit card available, we offer a sales quote/proforma invoice option to assist with initiating your payment. Payments submitted by check take up to 14 days to process. If you are registering for a program less than 14 days away, your registration may not be received in time and your seat may not be reserved. You will not have access to electronic program materials until your payment has been received. We strongly recommend credit card payments for any events less than 14 days away.

To take advantage of this option:

  1. Choose your item(s) and add them to your shopping cart. Select "Proceed to Secure Checkout or Create Proforma Invoice."
  2. Enter your billing and shipping details. Select "Continue."
  3. The next screen will be a full summary of your order.
  4. On the bottom right, there is a section titled "Create Proforma Invoice."
  5. Click the "Proforma Invoice" button. (See image below.) 
  6. Within 5 minutes, a sales quote will be sent to your email address with details about how to complete a check or wire transfer payment.

Or contact Customer Service at 877.223.6866, option 1 (+1 770 238 0454 outside the US) or via email at to have a proforma invoice created and emailed directly to you.