Accreditation

Florida hospital system weathers survey surprises

Briefings on The Joint Commission, February 1, 2009

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One survey. Five hospitals. More than 40 ambulatory and outpatient locations. When Joint Commission surveyors arrived at Lee Memorial Health Systems in Fort Myers, FL, in November 2008, the result was a weeklong survey on an epic scale. But the health system was ready, having mirrored its survey readiness plan on an unusual but appropriate model: an emergency management plan. Each surveyor was assigned a chaperone and a scribe.

“Everyone was educated in their roles for survey,” says Chris Crawford, RN, MHA, LHRM, system director of standards and quality at Lee Memorial. “We had a command center set up, and if the surveyor had a need, the scribe could call the command center to ensure that whatever documentation the surveyor was looking for was made available to them.”

The scribe also kept the command center aware of the surveyor’s location, next destination, and his or her findings and concerns. At the end of each day, the health system held a debriefing session and discussed possible requirements for improvement officials believed were imminent.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Briefings on The Joint Commission.

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