Setting up a tracer training program
Accreditation Insider, November 10, 2015
Want to receive articles like this one in your inbox? Subscribe to Accreditation Insider!
Editor's note: The following is an excerpt from the HCPro book Staff Training and Survey Readiness: Preparing Your Organization for Accreditation and CMS Compliance. Visit here for more information.
Here we will focus specifically on tracer training and implementation: the "who," "what," and "when" of this key component of a continuous survey readiness plan.
There is no magic structure, and one size does not fit all, but there are some general guidelines that can be helpful in structuring a tracer training program, implementing tracers, and reporting tracer findings. Much depends on how big the organization is, or is not, and the number of resources that are available.
Tracer teams can be organized by chapters in the accreditation manual, by functional teams, or by priority focused areas, or a combination of all of these. However, there is a need for an oversight team, usually led by the accreditation director, to:
• Facilitate completion of the focused standards assessment (FSA)
• Facilitate action plans and correction of noncompliant findings from the FSA
• Train the tracer teams
• Develop the tracer schedules and tools
• Compile and present reports from tracer findings
• Provide education on an ongoing basis
It should be noted, again, that structure and duties will depend on the size of the organization, and the oversight team might be the quality committee or senior management.
This is an excerpt from an article in the monthly training resource Briefings on Accreditation and Quality. Click here to log in or subscribe.
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
- Note similarities and differences between HCPCS, CPT® codes
- Complications from immobility by body system
- Differentiate between types of wound debridement
- OB services: Coding inside and outside of the package
- Q&A: Primary, principal, and secondary diagnoses
- Nursing responsibilities for managing pain
- The consequences of an incomplete medical record
- Practice the six rights of medication administration
- CDC alert: Screen for international travel as Ebola cases increase
- E-mailed
-
- CDC alert: Screen for international travel as Ebola cases increase
- Differentiate between types of wound debridement
- Q&A: Utilization Review Committee Membership
- Q&A: Bill blood administration the same way for inpatient and outpatient accounts
- Q&A: A second look at encephalopathy as integral to seizures/CVA
- Performing a SWOT analysis
- Leadership training for charge nurses
- Helping Charge Nurses understand their leadership role (Part 2 of 3)
- Developing a Fall-Prevention Program
- Coding, billing, and documentation tips for teaching physicians, interns, residents, and students
- Searched