Back in my hospital days, when the Joint Commission’s focus was very different, a large group of surveyors would come to the hospital and sit in the boardroom and request this document and that document; you had to do presentations to tell the story about what you were doing as an organization or a leader in the organization. In those days, I thought, Oh, dear Lord, I would not want to be a surveyor. It's just boring.
But when I started my first surgery center in '99, that center was accredited by the Joint Commission. And that survey was so different compared to my experiences in the hospital. I just remember the surveyors spending time with me explaining quality studies, explaining steps I could take, and really opening my eyes as an ambulatory leader or administrator of a surgery center. And I thought, Oh, golly, this is really cool stuff and someday I want to be a surveyor.
Early in my career, I was Vice President of Clinical Services, so I would do what we call “mock surveys” in centers to prepare them and make certain they are ready for a survey at all times. And I just really enjoyed digging and peeling the onion back, asking why. You want to go deeper to make certain they are following the standards and the organization's policy. So it’s the detective work that is exciting for me.