Accreditation

The evolution of mock survey tracers

Briefings on Accreditation and Quality, November 1, 2007

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For facilities that had their most recent announced Joint Commission (formerly JCAHO) survey in 2005, the last year before unannounced surveys were put into effect, 2008 looms large-this is the year for their first unannounced survey. The concept of developing a tracer tool is not a new one. But creating the sort of tool that can respond and evolve with standards changes, and with the facility, is a matter of constant practice, review, and vigilance, says Margaret Martello, RN, director of risk management and regulatory affairs at Mount Auburn Hospital in Cambridge, MA.

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