article follows the four-part series on preparedness
for a Joint Commission Survey. All four
articles in the series can be accessed here.
blog series on Joint Commission Surveys gave those new to Surveys a
brief introduction to the topic. A series of blog articles, of
course, can never provide the level of detail any organization would
need to become and remain prepared for a Survey. Volumes are written
on the topic, and the number of resources available is huge.
Journey, not a Destination
Preparedness is more akin to a long journey than it is to a
destination. Realities in your institution will change – mergers,
acquisitions, new departments, new staff, new lines of service,
right-sizing – oh, and a pandemic – will all have an impact on
your readiness. Add to that the fact that accreditation standards
are not static – not carved in stone – and
you have a pretty dynamic environment.
Standards change to meet evolving challenges and push us all
In this environment, organizations need to be in the constant mode of continuing to prepare – no organization is ever “there”. Believing that your institution has “arrived” is a dangerous step, especially if it leads to a sense of complacency or a letting down of your guard.
Standards vs Aspiring to Excellence
organizations will have a department or team dedicated to zero
defects. Survey Preparedness is one goal, of course – no one likes
to receive a deficiency. But the goal for that team and any
organization must be to push beyond the thinking that “we have to
pass!”, and get to the mind frame of continuous improvement. Is
your organization giving the absolute best care to all patients at
we are honest with ourselves, the answer here is always a “no”.
We might meet Standards, but do we excel? Yes, of course, meet the
standards that apply – but don’t stop. Keep pushing.
Out, Staying Up-to-Date
mentioned above, there are resources available to assist. The
Joint Commission and Joint Commission Resources (JCR) have
If you need some
assistance, check out their advisory services4.
StaffReady remains committed to excellence, and supports those healthcare organizations seeking to provide excellent care. To that end, StaffReady is proud to sponsor a webinar on January 13, 2021, at 10 am (Pacific) / 1 pm (Eastern), entitled “Your Joint Commission Survey During the Pandemic: What Has Changed?". The webinar is complimentary. To register, navigate to https://staffready.com/ and then click on the banner at the top of the page.
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This program on January 13, 2021 will award 1.0 Continuing Education contact hour for the following: ANCC, ACCME, ACHE, ACPE, & CJCP.
Full attendance at every session and completion of a post-engagement survey are prerequisites for receiving full continuing education credits.
In support of improving patient care, this activity has been planned and implemented by StaffReady, Inc. and Joint Commission Resources. Joint Commission Resources is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
The Joint Commission is authorized to award the listed hours of pre-approved ACHE Qualified Education credit for this program toward advancement or recertification in the American College of Healthcare Executives. Participants in this program who wish to have the continuing education hours applied toward ACHE Qualified Education credit must self-report their participation. To self-report, participants should log into their MyACHE account and select ACHE Qualified Education Credit.