HITT 2343_Assignment 6

- Certification: • Grants approval for a healthcare organization to provide services to a specific group of beneficiaries. • Example: An organization must meet the federal conditions of participation to receive funding through Medicare and Medicaid programs. 2. Scenario : Your facility is expecting a Joint Commission survey in the next year. You have several new employees that have never experienced this survey process. These employees would like a better understanding of their role in the survey to ease their anxiety about it. Instructions: Create an outline of the survey process detailing the typical steps of the survey process so that your employees will know what to expect - Depending on the size and complexity of the organization the survey procedure may take 3 to 5 days. - Site visit begins with an opening preliminary planning session at which the surveyors review current documentation from the organization. - Depending on the size of the organization, they may review lists of eligible sites and the services provided at each site, PI data from the previous 12 months, infection-related data, patient and resident rosters, and data developed specifically for the organization's compliance with Joint Commission standards. - The organization's leaders are expected to provide an overview of the organization's purpose and vision, strategic goals and objectives, current experiences and outcomes, and performance monitoring and improvement activities. - An opening conference is a meeting conducted at the beginning of the accreditation site during which surveyors outline the schedule of activities and list any individuals whom they would want to interview. - Surveyors arrive with knowledge of the organization from its midpoint self-assessment action plan, any consumer complaints reported to the Joint Commission, previous accreditation data, core measure data, and other information related to the organization’s performance. - The on-site survey utilizes tracer methodology analyzes an organization’s systems, with particular attention to identified priority focus areas. - Patients are selected based on the basis of the current census of patients the organization identifies as typical of its case mix. - As the surveyor examines the cases, he or she may identify performance issues or trends in one or more steps of the process or in the interfaces between processes and patients on subsequent days may be selected on the basis of issues raised. - Surveyors visit patient care settings and conduct interviews with selected patients, department and program staff, and the organization’s leaders. - As surveyors "trace" caregiving to specific patients in patient care settings, their mission is to verify at the first-line level of employees the status of the organization as conveyed in presurvey documents and in the opening conference. - As the tracer activities progress, general themes may begin to emerge, showing that staff may not be as well prepared or as conversant as necessary. 3. Elaborate on how quality reports, such as Quality Check, are useful for consumers. - Quality checks are useful to consumers because consumers are able to see an organization's performance, improvement goals, and review the organization's accreditation history.