Massachusetts General Hospital Patient Care Services
Excellence Every Day


click here

PCS Home Page Nursing Chaplaincy Institute for Patient Care Occupational Therapy Orthotics & Prosthetics Physical Therapy Respiratory Care Services Social Service Speech Language & Swallowing Disorders Clinical Resources MGH Internal Access Only
"promoting excellence every day"
Collaborative Governance Magnet Recognition Regulatory Readiness Innovation Units

Other Topics: Anticoagulation | CAUTI | Central Lines | Diversity | Downtime (internal access only)

Ethics | Evidence-Based Practice | Fall Prevention | Pain | Patient Education/Health Literacy | Patient Experience | Patient Experience | Practice Alerts & Updates (internal access only) | Pressure Injuries | Process Improvement | Professional Development | Restraints
SUD | EED Home

Epic Documentation | Epic Communication

(internal access only)

rn cover


Striving for Excellence Every Day is part of the Mass General culture.

The Regulatory Readiness Portal is designed to support you in working toward this goal with a particular focus on expectations during external surveys. These periodic reviews assure the public that Mass General provides care based on evidenced-based practice and the most current standards for patient safety.

The Regulatory Readiness Portal provides easy access to information about key areas of compliance through National Patient Safety Goals resources and educational materials, a Tuesday Take Away archive, Regulatory Readiness audits, checklists, and more.

PCS Office of Quality & Safety staff are also available to help address questions about regulatory preparation and other patient safety issues. Please contact us at any time:

Colleen Snydeman RN, PhD, Director

Judi Carr, RN, MS, Staff Specialist

Karen Miguel, RN, Staff Specialist

Mary Ann Walsh, RN, Nurse Clinician

Magnet Recognition Journey Resource Guide

Joint Commission Regulatory Readiness Resource Guide

Readiness checkmarkChecklists & Reviews

In striving for Excellence Every Day, monitoring of current performance a commitment to continuous improvement creates an environment of safe patient care. The checklists below will help you and your staff assess your current performance relative to some key areas:



Tuesday Take Away
    This week's featured topic: Think F.A.S.T When You Suspect a Stroke


The Joint Commission logo
               2017 National Patient Safety Goals (NPSGs) for Hospitals

  GOAL 1: Identify patients correctly

  GOAL 2: Improve staff communication

  GOAL 3: Use medicines safely

         Goal 3 has 3 standards
related to safe medication management: labeling of medications, anticoagulation therapy,
         and medication reconciliation.

  GOAL 6: Use alarms safely

  GOAL 7: Prevent infections

         Goal 7 has five standards related to preventing healthcare-associated infections.

  GOAL 15: Identify safety risks

  Universal Protocol                                                    return to top


If you have questions or suggestions related to the Regulatory Readiness portal, please contact Georgia Peirce at (617) 724-9865 or via email at

updated 11/9/18

PCS Home | Chaplaincy | Excellence Every Day Portal | Institute for Patient Care | Nursing | Occupational Therapy | Orthotics & Prosthetics | Physical Therapy

Respiratory Care | Social Service | Nursing | Speech Language Swallowing Disorders | Clinical Resources | Search PCS | Contact PCS

MGH Home Page | MGH Intranet | MassGeneral Hospital for Children | Partners Healthcare

Massachusetts General Hospital 55 Fruit Street, Boston MA 02114 / (617) 726-2000 / TDD: 617-724-8800