Accreditation

One year later, hospital is still busy gathering data

Briefings on Accreditation and Quality, May 1, 2007

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Editor's note: Unannounced Survey Monitor normally reviews a hospital that recently had its survey completed. This month we look at a hospital that had its survey a year ago and find out what has changed in the hospital since the survey. For anyone who thinks the accreditation process gets easy after the unannounced survey is over, think again. Since having its first unannounced survey in May 2006, Huntington Hospital in Pasadena, CA, has been as busy as ever in dealing with overturning RFIs, handling evidence of standards compliance (ESC), and collecting data and submitting reports for measures of success (MOS). That doesn't even include all of the work that's gone into finishing the hospital's PPR and keeping staff members motivated to ensure compliance without the threat of a survey.

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