An example of an Evidence of Standards Compliance (ESC) document 

Customize the answers to the practice at your institution. This tracer is intended to guide you in understanding the types of questions that may be asked by the surveyor. It cannot guarantee these will be the questions asked.

NPSG.06.01.01 requires hospitals and critical access hospitals...

CONTRACTED SERVICES: Customize the answers to the practice at your institution. This tracer is intended to guide you in understanding the types of questions that may be asked by the surveyor. It cannot guarantee these will be the questions asked.

Evidence of contractual agreements that...

Cleaning and Disinfecting of Equipment; Focus on Flash Sterilization in the Operating Room/Ambulatory Areas

This tracer should be revised to accommodate the questions/notes specific to the hospital. The questions are examples only and do not reflect exact questions asked by surveyors.

Improving medication safety, including labeling, preparation, and adminstration. 

How well do you asses patients on admission?

Customize the answers to the practice at your institution. This tracer is intended to guide you in understanding the types of questions that may be asked by the surveyor. It cannot guarantee these will be the questions asked.

Review the documentation of an elective, same-day surgery patient from preoperative to admission to the inpatient unit. 

Since 2006, hospitals accredited by The Joint Commission have been subject to the unannounced survey. Approximately 15,000 healthcare organizations in the United States are striving to achieve and maintain accreditation, and among them, The Joint Commission seems to be the primary regulator....

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