What the Survey Journey Tells Us: Learning from Actual Survey Experiences, What RFIs Scored and How to Address Them
In the March webinar focusing on the survey experience, Jill Ryan presented findings that surfaced for seven anonymous organizations that provide insight into recent survey activity. Some of the trends include:
- The top 20 scoring items predominantly pertain to the Environment of Care & Infection Control
- Surveyors are looking for significant leadership engagement on a daily basis
- There is increasing attention being paid to what the previous findings were for the organization
- Post survey clarifications are more challenging. While TJC allows a process for refuting, it’s becoming increasingly more difficult to do so successfully
- It is not surprising to see up to 30 RFIs in an average survey. This is not an indication that organizations are providing poorer care, rather that TJC is taking a deeper look into processes
Looking at examples, Ms. Ryan shared some findings from the cross section of surveys including environment of care where exit signs and oxygen tank storage are significant issues. Infection control particularly pertaining to GI labs, interventional radiology, medical devices and supplies remains a priority. Also, not surprisingly, issues related to the provision of care and medication management also top the list.
Ms. Ryan emphasized that you have to know the standards and constantly trace each area in the organization to identify strengths and potential vulnerabilities. Application of best practices allows organizations to provide safer levels of care leading to high reliability and while the intense scrutiny of a survey can seem daunting, think of the experience as a learning opportunity.
Pre-recorded Webinar to be Released April 20, 2015
Tracing is the foundational process that regulatory and accreditation agencies will use to understand the systems, processes and practices that are taken in your organization. This session is the first of two sessions that investigates how tracer activity informs our understanding of the strengths and opportunities we face in providing care for our patients. Nutrition services, patient rights and more will be covered. At the end of this session you will be able to identify three key areas of focus during a tracer on each area covered. Free sample tracer tools will be provided.