Accreditation

Survey challenges addressed through firsthand experience

Briefings on The Joint Commission, July 1, 2008

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Every year, certain National Patient Safety Goals present additional challenges to facilities, particularly at survey time. During its recent unannounced survey, Baptist Health, a five-hospital healthcare system, servicing the regions of Duval, Nassau, Baker, Clay, and St. Johns in northeast Florida, faced some specific goal challenges, which they are now focusing on for improvement.

Mary Halvorsen, RN, BSN, senior consultant for accreditation and corporate compliance at Baptist Health, suggests that all hospitals should become familiar with the challenging accreditation requirements because chances are, performance struggles at one hospital are the same at another.

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