After the Survey

At the end of the on-site survey, you’ll receive a report that identifies any Requirements for Improvement (RFIs).

If your organization receives RFIs, you’ll have a set amount of time to submit evidence showing that you’re in full compliance with those standards.

The Joint Commission has developed the Survey Analysis for Evaluating Risk™ (SAFER™) Matrix to help organizations prioritize their efforts when developing corrective action plans.

SAFER Matrix

The SAFER™ Matrix identifies and communicates risk levels associated with deficiencies cited during surveys. This tool makes the survey report more dynamic, by allowing you to filter your results on the Joint Commission Connect extranet site and better prioritize deficiencies within the report.

Receiving Your Final Accreditation Decision

If your organization receives RFIs, you’ll have 60 days to submit evidence showing that you’re in full compliance with those standards. Once your RFIs have been reviewed and accepted, your accreditation decision will be granted, effective the last day of your survey and is valid for approximately three years. For organizations undergoing its initial survey, the effective date would be the date of submission of the acceptable evidence of standards compliance (ESC) report.

If your organization doesn’t receive any RFIs, the accreditation decision becomes effective the last day of your survey and is valid for approximately three years.

How to Submit Your RFIs

If your organization receives RFIs, before you can get an accreditation decision, you’ll need to submit an acceptable evidence of standards compliance (ESC) report. You will work directly with your account executive to submit your ESC report.