New & Improved: Redesigned Post-Survey Process Form | Joint Commission
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New & Improved: Redesigned Post-Survey Process Form

May 31, 2017 | 2431 Views

Caroline HeskettBy Caroline Heskett
Project Manager
Business Transformation
The Joint Commission

As part of The Joint Commission’s Project REFRESH multiphase process improvement project, we’re excited to present customers a redesigned Evidence of Standards Compliance (ESC) form this July. As with all Project REFRESH initiatives, our goals for the ESC revamp include streamlining, improving, and increasing the relevancy of the post-survey process for our accredited ambulatory care organizations.

ESC Redesign Implementation Timing

  • Implementation began with the Ambulatory Care Accreditation Program for surveys beginning on/after April 10, 2017.
  • If a survey includes the Ambulatory Care Accreditation Program, all other programs surveyed at that time will also utilize the new ESC form
  • Roll out to all other accreditation and certification programs is expected mid-year

The 411 on the Redesigned ESC Form
The redesigned ESC form focuses organizations on communicating critical aspects of corrective actions that resolve Requirements for Improvement (RFIs), as well as ensuring sustainability for those fixes. The new format clearly and concisely lays out expectations that align with proven performance improvement methodologies. Read more.

The previous ESC format has been simplified with sections for completion that provide guidance on key elements of effective corrective actions and sustainment.

  • Detailed instructions for completion of the form have been updated. Both the ESC form and instructions are still available in the current location, on The Joint Commission Connect™ extranet site within the “Survey Process” tab, “Post-Survey” column, and “Evidence of Standards Compliance” link.
  • An example of an acceptable ESC response aligned with the new form is included as guidance.

Additional resources are now available to outline the criteria for a successful ESC.

For additional information regarding the redesigned ESC form, please contact your organization’s assigned account executive at 630.792.3007.

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