Surveyors continue to focus on the monitoring of contracted services. This article and accompanying checklists shows you how to get on top of it.

Use forms such as these to develop a list of the clinical contracts that Joint Commission surveyors might ask to review, along with the non-clinical contracts the CMS has shown an interest in.

A checklist to see if staff are using the checklists you give them

An article on high reliability and The Joint Commission’s ORO 2.0 assessment tools and resource library.

When visiting a hospital, surveyors use this worksheet to confirm an organization’s compliance with the QAPI CoPs. Use it to test your facility before surveyors arrive.

When visiting a hospital, surveyors use this worksheet to confirm an organization’s compliance with the Discharge Planning CoPs. Use it to test your facility before surveyors arrive.

A template for initial and ongoing competency assessment for employees.

Examples of who should be in a chapter team, goals, and tasks.

Getting leadership involved in the accreditation process is crucial for your success. With this tracer, try to get hospital leaders involved in the process at least once a week. The title says Friday, but any day can work.

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