Language adds twist to unannounced survey
Accreditation Connection, August 29, 2008
Hospitals can prepare for their Joint Commission (formerly JCAHO) surveys through several methods. However, one thing they cannot predict and prepare for is the survey team itself and the personalities of the surveyors. In May, a Spanish-speaking anesthesiologist was part of the team that visited Presbyterian Hospitals of Greenville (TX) and Commerce, part of the Hunt Memorial Hospital District.
Representatives of this 201-bed hospital said they had a successful and smooth survey—but it was the team itself that caught them off guard.
“Besides being a Spanish speaker, the anesthesiologist had a very specific focus,” says Bambi Pish, RN, MSN. “He was very black-and-white about interpretations and regulations. His specific focus led to a more concentrated review in the anesthesia department.”
Access the full story in the August issue of Briefings on The Joint Commission. Access is free for BOJ subscribers; nonsubscribers can purchase a copy of the story for $10 by clicking here.
Comments
0 comments on “Language adds twist to unannounced survey ”
Related Products
-
Hospital Safety Center
Improve compliance with hospital safety standards from The Joint Commission, OSHA, and other regulators with this...
-
The Joint Commission Mock Tracer Made Simple
This updated edition of our annual best-seller includes new tools and case studies of successful tracers from facilities...
-
Simplifying Nursing Documentation
Implement a "two-form" solution that will cut nursing documentation in half while fully complying with Joint Commission...
-
Chapter Leader's Guide to Provision of Care
The Chapter Leader's Guide to Provision of Care is designed to examine and explain the Provision of Care standards for the...
-
Briefings on The Joint Commission
Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...
Most Popular
- Articles
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HIPAA Q&A: TPO disclosures to a business associate
- Q/A: Coding infusions to correct low potassium levels
- Topic: CMS, OESS post new security compliance review information, checklist
- What does case-mix index mean to you?
- The debate continues: Nurses who reported physician to the Texas Medical Board file federal appeal
- State medical board will hear unprofessional charges against OB-GYN
- Capturing all necessary codes for IUD insertion and removal can be challenging
- QA:Coding multiple initial infusions
- Major mobile operators to support free text alerts
- E-mailed
-
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- Q/A: Coding infusions to correct low potassium levels
- Know criteria for coverage when podiatrists use Dermagraft® tissue substitute
- Note: Clarification of reference (non-patient) laboratory testing
- HIPAA Q&A: TPO disclosures to a business associate
- Get the facts on coding for non-biodegradeable drug delivery implants
- Facility E/M Levels, 2009 OPPS
- Do not separately report defibrillation
- Defining 'integral' for self-administered drugs is challenging
- Consider the big picture before querying physicians
- Searched