Maintaining security during a Joint Commission survey
Accreditation Insider, June 27, 2017
Want to receive articles like this one in your inbox? Subscribe to Accreditation Insider!
Facilities often have questions when surveyors come to visit. Some of the most frequently asked questions involve security and confidentiality, how to make sure surveyors see what they need to without violating hospital safety. In the July issue of Perspectives, The Joint Commission answered some of the most frequent questions.
Access to Computer Systems: Surveyors will sign security agreements with the facility in order to receive a user ID and password to access a computer system (for example, in order to review policies and medical records) if the facility requires it.
Confidentiality Agreements: If a facility wants surveyors to sign a confidentiality agreement, then that agreement has to be sent to the Joint Commission Central Office for review before the survey.
That said, asking surveyors or reviewers to sign an agreement is unnecessary, according to The Joint Commission. Accreditation and certification contracts, plus the Business Associate Agreement between The Joint Commission and the facility, already bind individual surveyors and reviewers to confidentiality.
Security Sign-In: If a facility requires visitors to sign into the building as part of the organization’s regular security process then surveyors will sign in too. In lieu of asking to copy a surveyor’s driver’s license, Joint Commission badge, or any other form of ID, facilities should refer to surveyors’ pictures and biographies on the Joint Commission Connect™ secure extranet site.
Videotaping Survey Activities: Videotaping or recording any part of a survey or review, including the exit conference is forbidden.
Want to receive articles like this one in your inbox? Subscribe to Accreditation Insider!
Related Products
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- The consequences of an incomplete medical record
- Practice the six rights of medication administration
- Nursing responsibilities for managing pain
- Q&A: Primary, principal, and secondary diagnoses
- Complications from immobility by body system
- Skills of effective case managers
- Note similarities and differences between HCPCS, CPT® codes
- Prevent dehydration with nursing interventions
- Neurological checks for head injuries
- E-mailed
-
- Correctly bill ancillary bedside procedures in addition to the room rate
- The Cincinnati Pre-Hospital Stroke Scale
- Q: Will Medicare cover homecare services to residents of assisted living facilities (ALFs)?
- Q/A: Coding infusions to correct low potassium levels
- Q&A: Utilization Review Committee Membership
- OB services: Coding inside and outside of the package
- Know the medical gas cylinder storage requirements
- Intravenous therapy guidelines
- ICD-10-CM coma, stroke codes require more specific documentation
- Eight tips to improve MRI throughput
- Searched
-
- cold weather preparedness in hospital
- 99285 and 99285 with modifier 25
- Nursing home administrator
- 72 hour supervised fasting
- 5.If the ICD10CM replaces ICD9CM Volumes 1 and
- anesthesia code for 45331
- Dynaper
- evidencebased competency management INVALIDem
- g0260
- How to prevent hospitalacquired pressure ulcersinj