As your organization works through the process of choosing a survey partner, or better yet as your organization works through the process to change survey partners, what should you be looking for? After all, this is your opportunity to ask “What will your accrediting organization do to help support us in meeting the Conditions of Participation for Acute Care Hospitals as well as our own internal regulations?”
What types of surveys are conducted?
Is there a requirement for an annual self-assessment?
Other than a triennial survey, how often are other required surveys conducted?
Are additional fees attached to “complaint” or “follow-up” surveys to clear condition level findings?
Is the Accreditation Outcome simple or complex? Do you get a Pass/ Fail or are there complex rules?
What’s their time frame for submitting a “Plan of Correction” following a survey? If the data has been collected and the survey is complete, you don’t want to wait for a plan, you want to get the plan and strike while the iron’s hot!
Does the Accrediting Organization charge extra for these important components:
On-line access to standards?
Audio conferences to educate staff and leadership?
Resource and reference libraries with tools to aid compliance?
Choosing a partner as your Accrediting Organization can be a challenging task. Colleagues within your healthcare organization may have heard of this one or that one and may simply be comfortable partnering on name alone. Your responsibility in choosing a partner to meet internal and CMS standards is to vet appropriately, thoroughly, ask hard questions and ensure the partner you choose is there to support you and not just provide a shiny plaque to hang on the wall.