Tips from TSE: Involve staff when preparing for unannounced surveys

Staff Development Weekly: Insight on Evidence-Based Practice in Education, August 21, 2009

Hospitals and healthcare systems are adjusting to the demand that organizations be prepared for Joint Commission surveys on an ongoing basis, which requires a state of constant compliance. The first step is to make sure the results of prior Joint Commission (formerly JCAHO) surveys are shared with staff members. They need to know what went right and what went wrong and how survey findings reflect on job performance and patient care. All employees, not just patient care providers, need to comprehend how their roles and responsibilities affect organizational performance.

Make Joint Commission progress reports part of staff meetings with an emphasis on how individual employee behaviors contribute to the success (or lack of success) of a healthcare organization.

Next, empower employees at the staff level. Most organizations have one or two people at the management or administrative level who carry the overall responsibility for assessing and maintaining compliance. These individuals often form a committee to help with this enormous responsibility.

Editor's note: This excerpt was adapted from the August issue of The Staff Educator.Discover all the benefits of subscribing to The Staff Educator!

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