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Thursday 10:42 CST, April 19, 2018


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May 04, 2016

SAFER™: New scoring methodology helps organizations prioritize, focus corrective actions

MatrixProject REFRESH, The Joint Commission’s multiphase process improvement project, includes a transformative approach for identifying and communicating risk levels associated with deficiencies cited during surveys. This Survey Analysis for Evaluating Risk (SAFER™) approach provides organizations with additional information related to risk of deficiencies to help prioritize and focus corrective actions. See the SAFER matrix™ to the right.

This approach allows the organization to see areas of noncompliance at an aggregate level — one that shows significant components of risk analysis, including the likelihood to harm a patient, staff or visitor and the scope of a cited deficiency.  

Beginning June 6, psychiatric hospitals that use Joint Commission accreditation to meet the Centers for Medicare & Medicaid (CMS) deemed status requirements will be provided with a SAFER matrix™ within their Accreditation of Survey Findings Report. All other accreditation and certification programs will begin receiving this matrix in their reports after Jan. 1, 2017.

See the table below for the changes related to the implementation of the SAFER matrix™. Questions may be directed to your organization’s assigned account executive, or email


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