Accreditation

PPR options 2 and 3 becoming a 'real' survey

Briefings on Accreditation and Quality, July 1, 2005

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Disclosure concerns may lead some to option 3

Learning objectives: After reading this article, you will be able to

1. describe the periodic performance review (PPR) options

The length of time surveyors are spending with some hospitals that choose PPR options 2 and 3 is approaching "real" survey lengths of time for some hospitals, according to one consultant.

Karen Fernandes , president of AYR Consulting Group in Dallas and a former JCAHO surveyor, says she's been a spectator for several hospitals that chose PPR options 2 and 3. At one hospital with fewer than 200 beds, the JCAHO sent two surveyors to spend three days there.

"It felt exactly like a survey," Fernandes says, adding that surveyors conducted patient and system tracers, such as data and medication management.

The PPR is a midsurvey-cycle assessment of all standards--annually beginning January 1. The JCAHO requires organizations to submit PPR data to the JCAHO or choose an alternative means of reporting, such as options 2 and 3.

Surveyors visiting longer

Although only about 9% of organizations chose option 2 and 1% chose option 3 in 2004, some consultants leaned toward advising them, and some hospitals were seriously considering them.

The JCAHO has described the options as one surveyor for one-third of the normal survey time. So the popular thought was: How much could one surveyor do in such a short time?

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