Regulation, resolved.
Walk into survey knowing what is covered, what is weak, and what you are fixing.
Policy Prism maps every CMS, state, and accreditor obligation to the policy that satisfies it, surfaces the gaps your document system cannot see, and helps you close them with source-traced, governed drafting.
Built on a structured decomposition of the CMS Conditions of Participation and Joint Commission standards.
The problem
Your policy software stores documents. It cannot tell you what they cover.
A mid-sized hospital answers to thousands of obligations across federal rules, state law, and accreditor standards, and they change constantly. Coverage that was complete last year may not be complete now. Your document system cannot confirm you cover 42 CFR Part 482, resolve a state staffing law against the federal floor, or draft the policy that closes the gap.
In scope · ~1,900 obligations
Coverage: unknown
CFR
42 CFR § 482.13
Patient rights
unknown
OAC
3701-83-16
Nurse staffing plan
unknown
TJC
LD.04.01.05
Leadership accountability
unknown
CFR
42 CFR § 482.23
Nursing services
unknown
CFR
42 CFR § 482.42
Infection prevention
unknown
TJC
MM.03.01.01
Medication storage
unknown
OAC
3701-83-19
Pharmaceutical services
unknown
CFR
42 CFR § 482.55
Emergency services
unknown
TJC
PC.01.02.03
Patient assessment
unknown
When a gap is found in the survey room, it is already a finding.
Citations and conditions
Uncovered obligations surface as survey findings, deficiencies, and corrective action plans.
State-law exposure
A stricter state rule the federal standard never mentions becomes your liability the moment it is missed.
Termination-level risk
Repeat or serious deficiencies put Medicare participation itself on the table.
Unprovable readiness
Spreadsheets and binders cannot show what changed, who owns the fix, or whether it actually closed.
Why Policy Prism
Built from the regulations up, not the filing cabinet down.
We have sat on the side of the table that has to prove coverage. Hoping the binder holds up is not a plan.
Policy Prism starts from a structured decomposition of the CMS Conditions of Participation and Joint Commission standards into discrete, checkable obligations, then traces every policy back to the rule that requires it. Not templates in a folder. A regulatory architecture you can audit.
Federal, state, and accreditor sources, decomposed into discrete obligations.
Every policy traced back to the rule that requires it, in both directions.
Scoped to your hospital profile, so you only see what applies to you.
How it works
Three moves to provable coverage.
Map what applies
Build your hospital profile. Policy Prism scopes the full obligation set to your licensure, services, state, and accreditor.
See where you are exposed
Import your policy library and run an assessment. Every obligation is matched to covering policy, or flagged as a gap.
Close it, and prove it
Draft from the gap with cited obligations, route through governance, re-run, and show the gap closed.
Traceability
Every policy traces to the rule that requires it.
Move in both directions: from a CMS A-tag to every policy that covers it, and from any policy to the obligations it satisfies. The crosswalk is always inspectable.
Gap intelligence
See the gaps before a surveyor does.
A live gap register, sortable by domain, survey risk, and owner, with a coverage map across every CMS Condition and Joint Commission chapter.
Patient rights
Nursing services
Infection control
Pharmacy
Covered
Weak coverage
Gap
State resolution
State law, resolved against the federal floor.
Set your state once. Policy Prism resolves stricter state requirements against the federal base and renders one coherent policy, with no parallel document sets to maintain.
Federal floor
42 CFR § 482.23(b)
Nursing services must be sufficient to meet patient needs.
Ohio overlay
OAC 3701-83-16
Adds a documented minimum staffing plan per unit and shift.
Resolved policy
Renders the stricter requirement
One policy that satisfies both, scoped to your state. No parallel document set.
AI authoring and governance
Draft from the gap. Govern to approval. Prove closure.
The editor drafts from selected gaps and cited obligations, then carries the work through review, approval, and attestation, with the source path intact the whole way.
Policy editor
SOURCE · 42 CFR § 482.13(a)(2)
Grievance resolution
The hospital reviews and resolves patient grievances through its established process. Each grievance receives written notice of resolution within seven days, with unresolved cases escalated to the governing body.
Insert suggestion
Drafted from the cited obligation
Trace before trust
Every recommendation shows its source path.
Nothing in Policy Prism asks for blind trust. Each finding and each suggestion traces back through the exact chain of evidence that produced it.
The whole system
Mission control for your policy architecture.
Obligations, policies, committees, owners, and gaps, visible as one governed system instead of a drawer of files. See what applies, what is covered, what is weak, who owns the fix, and what changed.
Start here
Not ready for a demo? See your own exposure first.
The Policy Stack Analysis runs your existing policy library through the engine and scores it against the regulatory scope you choose. You get a consultant-grade report: where your stack is strong, where it is exposed, and what is out of date.
Get a Policy Stack Analysis01
Coverage scored by CMS Condition and accreditor chapter
02
A ranked list of your highest-risk gaps
03
Out-of-date and conflicting policies, flagged
04
A clear next-step plan, owner by owner
Get started