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Healthcare Accreditation Bodies Are Doubling Down on Cybersecurity – Are You Ready?

May 27, 2025

Surveys Are Evolving—And They're Asking About IT

"People are not broken; systems are."
—David Rendall

Joint Commission added cybersecurity checks to its accreditation standards for 2024. CARF followed suit shortly after.

It's not just about bed counts and care plans anymore—surveyors are asking about passwords, audit logs, and backups.

If a surveyor asked about your IT policy today, what would you hand them?

What Accrediting Bodies Are Looking For

New accreditation guidance includes:

  • Secure access protocols (like role-based access control)
  • Regular risk assessments and documentation
  • Incident response procedures
  • Ongoing IT staff or vendor evaluation

It's not just an IT issue—it's a facility-wide accountability issue.

"Excellence isn't having fewer flaws. It's being intentional about your strengths."
—David Rendall

A 2024 CARF survey guidance bulletin stated that over 70% of non-compliance flags now include a cybersecurity element.

Is your leadership team ready to explain your cyber safety protocols?

Proactive Beats Panic Every Time

Start small, and build confidence:

  • Gather your most recent IT risk assessment report
  • Confirm your backup schedule and recovery plan (yes, even weekends!)
  • Meet with your IT provider to walk through your incident response plan

We've helped LTC teams prepare simple, survey-ready documentation—without drowning in jargon.

Want to learn more? See what we do for healthcare organizations here