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Consulting, Education, and Support

Providing education and regulatory preparation services for healthcare by conducting training, facility and life safety surveys with supporting document review (Joint Commission, CMS, OSHA, EPA).


Whether you want a second opinion, additional education or coaching, Marge can help.

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Online Courses & Publications

Marge is the author of multiple handbooks, training manuals, and checklists.

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Marge prepares customized presentations across the United States in person and through webinars.

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Marge McFarlane - Healthcare Safety Professional, Consultant, and Educator

Partnering for Superior Performance

Meet Marge
PhD, MT (ASCP), CJCP, CHSP, CHFM, HEM, MEP, Principal Superior Performance LLC

Marge McFarlane brings over 40 years of comprehensive experience in the environment of care, life safety, emergency management and infection prevention for construction. She is currently working with healthcare systems nationally to identify and mitigate risks in the physical environment. McFarlane has authored handbooks on the GHS update to the OSHA Hazard Communication Standard, OSHA training for Medical Facilities and is a frequent presenter for seminars, regional conferences, and audio conferences.

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The Company I Keep


Life Safety

Hospitals are built to “defend in place.” Managing facilities is a challenging and ongoing proposition. I provide an extra set of eyes to help identify opportunities for improvement and strategies for managing those opportunities.

Services include facility tours, life safety plan and document review, interim life safety staff education, and associated plans for improvement as well as assistance in developing a prioritized list for implementation.

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Environment of Care

The Environment of Care is the physical environment in which safe patient care, treatment and services occurs every day. I provide education to clinical staff as well as to those conducting environmental surveys to transition from “finding and fixing” to “tracking and trending.”

Services include Environment of Care plan reviews for safety and security, hazardous materials and waste, fire response, medical equipment and utilities; selection and tracking of performance indicators, review of the annual evaluation of effectiveness and assistance with documenting risk assessments.

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Emergency Management

CMS published new emergency CoPs in 2016. All facilities are expected to be in full compliance by November 2017.

Hospitals are structured to provide very good care every day. There are times when there is a rapid increase in the demand for services. Emergencies may be handled by the resources on hand or with the need for additional resources. Everything gets accomplished but at a quicker pace. Disasters may require significant amounts of external resources and coordination and every need may not be met.
Emergency management is the process of planning for and mitigating (reducing the impact of) internal and external events that may require additional resources. Emergency response is the activation of pre-planned processes to respond to and recover from internal or external events and to restore the day-to-day operations of the hospital.

Exercises, drills and actual events are ways to test the current emergency capabilities related to communications, the allocation of resources, staff roles, safety and security, utilities and patient care and staff support. After action reports identify strengths to be maintained and opportunities for improvement.

Services include tailored checklists for exercise design, Emergency Management Committee education, exercise evaluation and after action reports with opportunities for improvement and periodic assessments for completion and sustainability of the improvements.

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Mock Surveys & Plan Review

A mock survey follows the agenda of regulatory surveys. Joint Commission mock surveys use the life safety document review and facility tour to assess compliance with the standards and elements of performance. The mock survey includes an Environment of Care and Emergency Management session for coaching and plan review. The EOC plan reviews include each of the management plans for safety and security, hazardous materials and waste, fire response, medical equipment and utilities well as the annual evaluation of effectiveness.

CMS mock surveys include life safety document review and facility tour to assess compliance with the Conditions of Participation. The mock survey includes a session for coaching staff in the Conditions of Participation, the expectations for federal surveys and mitigation strategies for the opportunities for improvement identified.

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Infection Prevention for Construction

Infection prevention for construction has evolved from “just for” large construction and renovation projects to include a required risk assessment for maintenance and small projects. These small projects may fly under the radar of the facility planning and construction committee but may impact vulnerable populations, even if only for a short period of time.

Services include staff and contractor education as well as strategies for and preparation of risk assessments, monitoring of projects related to the project and document review.

See the facilities modification risk assessment (FMRA)

This document can be used as an infection prevention risk assessment for maintenance and repairs.

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OSHA, CMS, & EPA Compliance

OSHA regulates worker safety, CMS (Centers for Medicare and Medicaid) controls reimbursement for safe patient care, treatment and services and the EPA (Environmental Protection Agency) regulates hazardous waste. Healthcare is faced with complying with the complex and sometimes conflicting regulations from these federal agencies.

Services include navigation of the regulations and a gap analysis to ensure that all elements of compliance are addressed.

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Aids to Understanding Compliance

The Support You Need

Forms, Checklists, Webinars, & More

Marge provides education and regulatory preparation services for healthcare by conducting training, facility and life safety surveys with supporting document review.

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OSHA Training Handbook for Healthcare Facilities, 2nd Edition

Identify specific methods to train staff, identify hazards, and document assessments to become a highly effective safety professional.

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The Compliance Guide to the OSHA GHS Standard for Hazardous Chemical Labeling

Written for medical and dental offices and healthcare facilities of all sizes, this handbook includes a downloadable Hazard Communication plan template that is easily customized.

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