Accreditation

Questions to ask during daily briefings with surveyors

Accreditation Connection, January 9, 2006

Use the daily briefings to your advantage, say the authors of Requirements for Improvement: The Essential Guide to JCAHO Standard Citations, a new HCPro book. Listen carefully to what the surveyors discuss at the daily briefing. Ask questions like the following:

  • Would you please identify the specific standard and
    element of performance you believe applies to this area
    of concern?
  • What documentation do you believe was deficient?
    Can you provide me with the number of the specific
    record where this occurred?
  • What unit/specific area was this finding from?
  • Is there any specific documentation we could provide
    to help resolve this area of concern?
  • Would it help if you spoke to our pharmacy director to
    clarify our policy? 

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