Effective March 15: Joint Commission returning to unannounced onsite surveys
Over the last nine months, traditional onsite survey activity has been delayed or interrupted due to the restrictions and strain on the health care system caused by COVID-19. During the past few months, The Joint Commission’s account executives have reached out to organizations to determine their readiness for survey. This return to unannounced surveys does not apply to freestanding Behavioral Health Care and Human Services facilities or Disease-Specific Care and Health Care Staffing Certification programs.
As COVID-19 incidence and caseloads across the country are decreasing, beginning March 15, 2021, The Joint Commission will return to its usual procedures prior to the pandemic. Organizations will no longer be receiving a phone call or email from their account executive when it has been determined the area is low risk for The Joint Commission’s accreditation survey team to visit. All available resources will be utilized to conduct onsite, unannounced accreditation surveys.
Organizations should continue to monitor the Notification of Scheduled Events section of their Joint Commission Connect® extranet page for notification on the first day of the unannounced survey. Additionally, the organization’s primary accreditation contact and chief executive officer will continue to receive email notification of the scheduled event on the first day of the unannounced survey.
As a reminder, Joint Commission surveyors are considered essential workers and are following the most up-to-date guidelines from the Centers for Disease Control and Prevention. While the survey team will be onsite, they will continue to:
- Practicing safe physical distancing by limiting the number of individuals in group sessions, minimizing the number of staff who accompany a surveyor or reviewer during tracer activities, and driving in separate vehicles (or, for surveyors and reviewers, their own vehicles) to offsite locations or home visits.
- Wearing personal protective equipment by requiring Joint Commission surveyors and reviewers to wear masks and asking that health care organizations provide masks and/or other personal protective equipment to surveyors and reviewers.
- Utilizing enhanced technology to support physical distancing, such as: using screen sharing or projection to review electronic medical records and interview care recipients or staff; and incorporating audio/video conference calls to safely expand the number of meeting attendees.
The Joint Commission will continue to work with the Centers for Medicare and Medicaid Services (CMS) as an accrediting organization with deeming authority to conduct Medicare surveys by prioritizing organizations with accreditation due dates that are past due. An organization’s existing accreditation remains in effect until a new survey takes place and a new accreditation decision has been rendered.
If an onsite survey is not possible in an organization’s area, an account executive will contact the organization to determine whether the survey event can be performed offsite/virtually, with an onsite evaluation taking place for those that meet the follow-up requirement. If there are extenuating circumstances that pose a significant challenge to the organization’s ability to participate in a survey, organizations are asked to contact their account executive.