Accreditation

Mock surveys make a difference in staff education

Briefings on Accreditation and Quality, February 1, 2009

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Constructing a tracer process from scratch for a 645-bed hospital is no simple matter, but that was precisely the task before Medical City Dallas Hospital’s survey readiness committee, says Carol Carach, RN, BSN, MPH, regulatory and accreditation survey supervisor at the facility.

“When I arrived in November of 2006, we didn’t have any sort of formal readiness process and we were up for our Joint Commission [formerly JCAHO] survey in 2007,” says Carach.

However, the facility had a survey readiness committee that decided it would institute mock drills and tracers.

“That’s where we got started,” says Carach. “We [looked at] maybe three units as part of our initial drill and then instituted a more formal tracer.”

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