This folder contains questions and other tools to help accreditation professionals coach staff and provide education on new and revised standards/Elements of Performance (EP) for continuous survey readiness. The questions and tools are based on the standards found in The Joint Commission’s ...
The following tips can be used as a guide to respond to the organization’s survey report. Beginning in 2017, hospitals’ survey report will be placed on the SAFER matrix. If the hospital believes they were compliant with a standard at the time of the survey, a request for clarification can be...
Documents on this list will be reviewed on the first morning of the surveys and should include information from the last 12 months prior to the surveys, if applicable.
This tool can be used by the accreditation coordinator to identify areas and by the chief nurse executive, the hospital administrator, or other senior leaders to quiz directors and managers on their knowledge of Joint Commission basics. Directors and managers can use the tool to quiz staff....
