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HOW PREPARED ARE YOU FOR YOUR NEXT HEALTH CARE FACILITY SURVEY?

Thursday, May 31, 2018


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Whether you’re new to health care facility surveys or an experienced veteran, you know that preparing for your next survey from the Joint Commission, DNV, HFAP, or other accrediting organization can feel overwhelming. How will you get started this time? What new regulations need to be taken into account to ensure continuous compliance with physical environment standards? How will you engage your team and the frontline staff to prepare for the visit?

With so many changes in regulations and new methodologies for health care facility surveys, you might be seeking some guidance for yourself and your team. ASHE-s newly released education program, the Physical Environment Survey Readiness Program, offers guidance for your next health care facility survey.

“We know the survey process affects health care facility teams heavily,” said Dave Dagenais, HSP, CHFM, FASHE, director of plant operations/safety officer at Wentworth/Douglass Hospital and 2015 ASHE president. “Nationally, the environment of care and life safety have the most findings and observations. ASHE created this program because we want to give health care facility leaders the confidence they need before a survey takes place at their hospital or residential care facility.”

ASHE’s Physical Environment Survey Readiness Program covers the entire survey process including current standards and requirements, how a surveyor will survey, and ideas for meeting requirements. It also offers preparation tips for hot survey issues and common citations. In addition, the program reviews NFPA 2012 codes and CMS Conditions of Participation that need to be considered during the survey process, such as K-tags.

“This program is intended to help health care facility professionals ‘get in the minds’ of a surveyor,” said Dagenais. “With this perspective, facility leaders can gain insight into the methodology used by survey teams and deepen their understanding of the rules and regulations.”

The Physical Environment Survey Readiness Program is compiled of three one-day modules: Environment of Care, Life Safety, and Emergency Management. Hospitals, ASHE-affiliated chapters, and other organizations can host this program on-site at their facilities and tailor the learning to their participantsí needs. Hosts can choose one, two, or all three of the modules, in any combination.

Image: conference attendee attening a sessionHealth care facility professionals are invited to participate in a special one-day preconference program at the 2018 ASHE Annual Conference in Seattle on Sunday, July 15. This program will provide a high-level overview, focusing in on the hot topics within each of the three modules. Register for this preconference program here and review ASHE’s full conference schedule here.

Other ASHE Annual Conference sessions that will help you prepare for your next health care facility survey:

  • Joint Commission Update, which will cover changes that the Joint Commission will make within the next year and strategies for maintaining compliance.
  • DNV-GL Healthcare Update, which will provide an update on issues facing facility management staff in DNV-GL client hospitals in addition to the effect of the new ISO 9001:2015 standard.
  • HFAP Accreditation and the Physical Environment, which will explore changes to standard language for its Life Safety, Emergency Management, and Physical Environment chapters and how to prepare for an HFAP or CMS survey.

Attendees can also speak one-on-one with representatives from the Joint Commission, DNV-GL, HFAP, NFPA, and CMS at the Codes & Standards Counters onsite! Stay tuned for hours and more information.



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