Florida hospital system weathers survey surprises

Accreditation Connection, February 6, 2009

One survey. Five hospitals. More than 40 ambulatory and outpatient locations. When Joint Commission surveyors arrived at Lee Memorial Health Systems in Fort Myers, FL, in November 2008, the result was a weeklong survey on an epic scale. But the health system was ready, having mirrored its survey readiness plan on an unusual but appropriate model: an emergency management plan. Each surveyor was assigned a chaperone and a scribe.

“Everyone was educated in their roles for survey,” says Chris Crawford, RN, MHA, LHRM, system director of standards and quality at Lee Memorial. “We had a command center set up, and if the surveyor had a need, the scribe could call the command center to ensure that whatever documentation the surveyor was looking for was made available to them.”

The scribe also kept the command center aware of the surveyor’s location, next destination, and his or her findings and concerns. At the end of each day, the health system held a debriefing session and discussed possible requirements for improvement officials believed were imminent.

Access the full story in the February 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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