Compliance Integrity Assessment (CIA) – A customizable, in-depth mock survey(s) covering topics such as Physical Environment, Life Safety, Emergency Management, Nursing Services, Quality Assessment, Governing Body, Food and Dietetic Services, Surgical Services, Emergency Services, and additional CMS Conditions of Participation.

Also available for OSHA and/or Environmental Protection Agency focuses

  • Life Safety, Security, Emergency Management Consultants
  • Workplace Safety, Environmental Consultants
  • Clinical, Certified Lab, Certified Infection Prevention Consultants
  • Certified Sterile Processing Consultants

Every Employee, Every Patient, Every Day

Excellence 365 – Customizable on-site days and virtual hours to build truly Excellence based programs. (Discount)

Surveyor Escort & Scribe Bootcamp – Half day course that teaches your team how to successfully interact with accreditation surveyors

EOC/ Physical Environment Chair Assistance – We will help you with your committee meetings, minutes, mgmt. plans, evaluations, goals, rounding and dashboards

Competent Hospital Safety Officer – Two-day course that includes PAI for Hotwork and Confined Space, as well as additional detail on best practices and more in-depth requirements of being a Hospital Safety Officer

Facility Life Safety Assessments – Full facility assessment to ensure building and life safety systems are following appliable codes and standards

Life Safety Drawings and Updates – Floor plans with all required fire safety features

Facility Master Planning – Comprehensive planning for service lines, utilization of space, and future growth for your facility and facility systems

Documentation Management – Full management of all required accreditation facility documents

  • ASC, CAH, or Acute care location with 350 licensed beds or less
  • Acute care location with 351 beds to 900 licensed beds
  • Acute care location with 901 licensed beds or above

Project Management – Management of both small and large scale operational and capital projects


Environmental, Health, & Safety

OSHA / Industrial Hygiene

Assessments and Mock Audits

Development, Maintenance, and Training of all required OSHA Healthcare programs

  • Confined Space
  • LOTO
  • Chemical and Noise Exposure Monitoring
  • Fall Protection / Ladder Safety
  • Ergonomics
  • Mold/ Asbestos
  • Construction Safety

Environmental Protection

Development, Maintenance, and Training of all required environmental programs

  • Medical Waste
  • Hazardous Waste
  • Underground Storage Tanks
  • Tier II
  • Annual Waste Reporting
Consultant Team
Taylor Vaughn
Senior Consultant Experience

Taylor Vaughn, MBA, CHFM, CHC,C LSS-HCi,s a Facility Manager at Children’s Health in Dallas, Texas, overseeing systemwide Environment of Care and Life Safety regulatory compliance. Taylor manages a team of 3 employees to oversee all Engineering, EVS, Security, and Fire Systems regulatory compliance documentation and responsibilities system-wide, including a total of 616 licensed beds and over 4 million square feet. She is also a Content Writer at Legacy FM, creating custom facilities-related training material for healthcare systems.

Taylor is the Region 5 Director for the Texas Association of Healthcare Facility Management (TAHFM), representing all of Dallas/Fort Worth. In 2020, Taylor received the TAHFM Future Leader award, given to one member in the state that shows promising leadership potential within the healthcare engineering field. She is a member of the Member Tools Task Force with the American Society of Health Care Engineering (ASHE), and she is a frequent contributor to Health Facilities Management magazine. She has written 4 full articles over the past 3 years, covering ventilation management, recruiting and retaining technical staff, and facility asset management. Taylor is the vice-chair of the Operational Optimization Task Force with ASHE, and is currently working with a team to develop an operational guideline for ASH RAE 170.

Masters, Business Administration, Amberton University Bachelors, Political Science and Government, Texas Tech University
Professional Organizations
American Society of Healthcare Engineering Texas Association of Healthcare Facility Managers
Katie Karl
Senior Consultant Experience

Over 20 Years’ Experience Including

As a nurse of 20 plus years it is my mission to support organizations
on their journey to excellence in quality and patient safety.

  • ICU, ED, Trauma Program Manager, Director of Nursing, and
    leadership in Quality, Infection Control, Patient Safety and
  • Regulatory Compliance experience includes CMS, State, TJC
    regulations for Long Tern Care, Home, Ambulatory, BH, CAH,
    and Hospital
Masters of Science Nursing, Lamar University Registered Nurse, Lamar University
Professional Organizations
National Association for Healthcare Quality (NAHQ)
Wendy Tylich
Senior Consultant Experience

I have worked in a medical laboratory since 1989. I started as a bench tech, working my way up to a section supervisor, lab supervisor, lab operations manager, and laboratory director. I am currently trained as a Black Belt in Lean Six Sigma, pending certification.

I have extensive experience in all areas of laboratory and laboratory management. I am fluent in all regulatory aspects of the medical laboratory to include CUA, CAP and JCAHO. I have limited experience with state regulations, but can learn quickly and be a resource for any medical laboratory within the United States and limited resource for any international laboratories.

I have performed over 25 on site laboratory inspections within the last two years, and continue to do these inspections to stay abreast of current changes in regulations as well as recommending lean processes and efficiency where it would be most beneficial.

I live in Nacogdoches, Texas, with my husband Joe and my dog Daisy. I love music, traveling, reading, and watching movies in my spare time.

Medical Technologist, American Medical Technologists Medical Laboratory Technician, American Society of Clinical Pathologists
Bachelor’s of Science in Applied Science and Technology, Thomas Edison State University 2017 Bachelor’s of Business Administration, Stephen F. Austin State University 2009 Associate’s of Applied Science in Medical Technology, Tyler Junior College 1990
Professional Organizations
College of American Pathology
Sheila Martin
Senior Consultant Experience

Experienced home healthcare executive including leadership positions and consulting at Corporate/System Level, Corporate Lead Accreditation & Licensure, Executive Acute Care Hospital Level, and Project Manager EHR conversion/New Hospital Construction Level. Companies included Sutter Healthcare, Dignity, HCA, CHS, UHS, Veteran’s Administration, Bon Secours, and NYC Health and Hospital System.

HACP Health Accreditation Certified Professional RN MSN MBA
Master of Science Nursing University of Virginia 1988 Master of Business Administration Averett University 1994
Professional Organizations
HSCL Member of the Joint Commission Health Care Systems Corporate Liaisons CA Hospital Association member Certification & Licensing Committee