Establish a timeline to implement any changes needed to comply with all the standards by the time of your on-site accreditation survey.
Access Resources and Prepare for Your On-Site Survey
Access your organization’s extranet site to view the Survey Activity Guide which provides all the details of the surveyor(s) onsite agenda. You can also access multiple free resources available to you, including:
Patient safety portals, newsletters, blogs.
Visit Joint Commission Resources® for additional educational resources available to help you prepare for accreditation.
Meet your Joint Commission surveyor(s) and undergo the comprehensive on-site review. A preliminary, written accreditation report will be made available to you at the end of the survey.
Complete Any Post-Survey Follow Up
If further changes are requested:
Resolve the issues.
Report back to your Account Executive within the requested time period, usually about 60 days.
Celebrate/Publicize Your Accomplishment
When you’ve attained The Gold Seal of Approval® – let the world know! Explore our publicity kit for tips and artwork to use. Your organization will be listed on our Quality Check® website as accredited by The Joint Commission.
Don’t forget to report your new status to your liability insurer to see if you qualify for reduced rates.
Take advantage of our many resources to maintain your compliance with Joint Commission requirements.
Use the Focused Standards Assessment process to continuously improve your organization’s performance in the years between surveys.
Notify your Account Executive of any major changes in your organization.
Check your extranet site periodically for any updates to Joint Commission standards or processes.
Understand Your Survey
The Joint Commission’s accreditation survey helps organizations improve the safety and quality of care and services. The process begins with an on-site survey that assesses compliance with Joint Commission standards.
Joint Commission surveyors are specially trained professionals with experience in the nursing care industry who understand the day-to-day issues that confront providers and have the hands-on expertise to help organizations resolve them.
On-site surveys involve:
Tracing the patient’s experience, which involves observing services provided by various caregivers and programs within the organization, as well as hand-offs between them.
On-site observations and interviews.
Assessment of the physical facility.
Review of documents provided by the organization.
For more information on what to expect for your on-site survey, review the resources below.