Accreditation

Focusing on contract services

Briefings on Accreditation and Quality, February 14, 2017

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Editor's note: This is an excerpt from the HCPro book The Survey Coordinator's Handbook, 18th Edition, by Jodi L. Eisenberg, MHA, CPHQ, CPMSM, CSHA. Visit http://hcmarketplace.com/survey-coordinators-handbook-18th-edition for more information.

     The leadership standards truly are the cornerstone of the standards manual, just as leadership is the cornerstone of any successful organization. These standards focus on three primary themes: organization and accountability, communication and culture, and operations and performance improvement. They ask key questions, such as who are the leaders in your organization? What is the structure of your management organization? How do they communicate up, down, and across the organization?

    Leaders are responsible and accountable for performance improvement and patient safety. Therefore, if issues identified in other chapters represent patterns or trends that potentially show lack of leadership, lack of resources, etc., the buck stops with leadership. That’s why RFIs in leadership usually come in tandem with observations and findings in other chapters. That said, there are still leadership-specific issues that continue to be high risk or problem prone.

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