The Joint Commission is Coming!
Well, it's that time again. Our hospital system is up for reaccreditation from the Joint Commission. This will be the fourth accreditation I have gone through now (we've had two for when we became a certified stroke center and one general accreditation prior).
As usual, everyone is on edge and hospital administrators and management are constantly reminding staff to pretty much do their jobs the way we always have. In the past we've never been marked down for anything major; in fact, we've been recognized on a number of occasions for having "best practice" models already in place.
This time around, our hospital system has decided to set up some "dry runs" to help ease everyone into when the actual surveyors might come. Essentially, managers from every department are assigned a different department that they have to "survey."
For PT, this means someone from nursing or the lab might follow a therapist around for an hour or so and observe that person treating patients or maybe just ask him questions. I can't decide if it's a good thing that we're practicing so we can be all prepared when the actual surveyors arrive, or if it's just a colossal waste of time.
I had a manager from the nursing department sit down with me for 10 minutes and run through her list of questions. Pretty much I told her, "Yes, I wash my hands before and after every patient." And, "Yes, I ask the patients to verify their name and birthday." And, "Of course, I wear my name badge every day." It all seemed a little trivial to me.
What do your clinics do to prepare for the Joint Commission surveyors? Do you practice what they might ask you? Do you just wing it?