Language adds twist to unannounced survey

Accreditation Connection, August 29, 2008

Hospitals can prepare for their Joint Commission (formerly JCAHO) surveys through several methods. However, one thing they cannot predict and prepare for is the survey team itself and the personalities of the surveyors. In May, a Spanish-speaking anesthesiologist was part of the team that visited Presbyterian Hospitals of Greenville (TX) and Commerce, part of the Hunt Memorial Hospital District.

Representatives of this 201-bed hospital said they had a successful and smooth survey—but it was the team itself that caught them off guard.

“Besides being a Spanish speaker, the anesthesiologist had a very specific focus,” says Bambi Pish, RN, MSN. “He was very black-and-white about interpretations and regulations. His specific focus led to a more concentrated review in the anesthesia department.”

Access the full story in the August issue of Briefings on The Joint Commission. Access is free for BOJ subscribers; nonsubscribers can purchase a copy of the story for $10 by clicking here.




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