In this folder, you will find questions and tools that focus on the top hospital standards that continue to receive Requirements for Improvement (RFIs) at the time of surveys. These tools will have the summary "...

This folder contains  questions and other tools to help accreditation professionals coach staff and provide education on new and revised standards/Elements of Performance (EP) for continuous survey readiness. The questions and tools are based on the standards found in The Joint Commission’s ...

The following tips can be used as a guide to respond to the organization’s survey report. Beginning in 2017, hospitals’ survey report will be placed on the SAFER matrix. If the hospital believes they were compliant with a standard at the time of the survey, a request for clarification can be...

This tool can be used by the accreditation coordinator to identify areas and by the chief nurse executive, the hospital administrator, or other senior leaders to quiz directors and managers on their knowledge of Joint Commission basics. Directors and managers can use the tool to quiz staff....

Target audience: Organizational leaders, to include senior leaders, the Board of Directors, the medical staff, and department directors/managers.

Directions: The questions can be distributed to leadership with the answers to serve as a survey prep tool.

Pages