Comprehensive Report: Accreditation Survey for Healthcare Facility

This report provides a detailed analysis of healthcare accreditation surveys, focusing on the preparation process and the perspectives of surveyors and healthcare managers. It outlines the essential steps for healthcare organizations preparing for an accreditation survey, including greeting surveyors, notifying key personnel, and preparing necessary documentation. The report emphasizes the importance of self-assessment using online tools and highlights the role of the healthcare manager in ensuring a smooth survey process. It also discusses the benefits of accreditation, such as improved patient care, standardized processes, and enhanced staff and patient satisfaction. The report references key literature, including works by Hinchcliff et al. (2016) and Meyerson et al. (2015), to support its findings. The report concludes by underscoring the significance of accreditation in maintaining and improving the quality and safety of healthcare services.

Accreditation survey for a healthcare facility
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Preparation for accreditation survey by the healthcare
Introduction
Preparation is a core activity in conducting any process or procedures. It involves
a series of activities that when strictly followed will result in the success of the
stipulated process. Therefore, an accreditation survey for a healthcare requires a
well-structured procedure to be observed so that the process is done efficiently as
it is a process that occurs ones every two years in most healthcare facilities. In
preparation for the survey, the healthcare organization should uphold a sample
framework presented below in the slides below.

Preparing for survey
The health care should prepare for a plan to be followed by the staff when the
surveyors arrive. The plan should include the following. Greeting the
surveyors: This is the first step involving identification of the surveyor stuff at
the entrance. Tell the stuff about the Joint Commission while educating them
what to do when the surveyors arrive. Explain the importance of identifying
the surveyor’s ID.

Secondly, who to notify upon the arrival of the surveyor: create a list of names
and contact details of the heads and leaders to be notified when the surveyors
arrive. Prepare for a location for surveyors to wait while the contact person is
being informed of their arrival. Awaiting lobby should be a quiet place and well
organized. Another point is the validation of the survey. Make an arrangement to
assign a person/ staff responsible for validation of the survey.

Also, prepare a readiness guide and an efficient accreditation program in
specific document lists by use of a planning tool and can also be included with
your survey plan. These documents should be handed over to the surveyor
prior to the day of survey for their planning and organization as well. Identify
which stuff will act as an escort for the surveyors during the process. Also,
assign a staff who will be responsible for assisting the surveyors with review
and use of electronic records of care. In addition to the readiness, identify the
healthcare’s expectations for the onsite survey and the staff that will share
these expectations with the survey team.

Surveyor perspective of accreditation
When an organization is preparing for a survey, it must conduct an evaluation
which can be through filling an online assessment tool which the surveyor as well
uses the same tool to navigate through and set standards. With the online
reviewing, the surveyor is able to familiarize with the organization in terms of
structure, the surveyor can find ways under which they can meet the standard
requirement by the healthcare facility and determine any additional information
that could be useful to complete the assessment (Hinchcliff et al., 2016, pp.561-
565).

It is very essential for the healthcare organization to spend a lot of time
conducting self-assessment before the survey team arrives this also helps the
organization to indicate the required research documents tie up to various
standards. Ones these specifications have been fulfilled, the healthcare contacts
the survey team either through the phone calls, emails, video conferences, or any
other viable means of communication to ascertain the survey team over their
readiness. This is accompanied by a pre-visit by the survey team to familiarize
with the healthcare facilities and environmental setup.

Healthcare manager perspective of accreditation
The manager is responsible to ensure a smooth flow of events before, during
and after the survey. The hospital management has the role to alias with the
survey team to ensure the survey to be conducted is done successfully and offer
any support to ensure the team encounters no obstacles or hindrances in the
entire process. After the survey is done, the key areas of focus to look at are
improved patient’s care, a standardized care process in the healthcare
organization, an enhanced satisfaction for patients and staff, safety for patients
and staff, an improved financial arrangement, of the healthcare organization, an
improved healthcare communication and flow of information.

In addition, professional development that involves learning of the outcomes
of the accreditation programs for the healthcare staff and a coherent culture that
encourages similar norms and language of communication in healthcare
facilities. These findings can then be categorized into three based on the
relevance of the themes to the aspects of the accreditation process. The
categories are the societal impact, the methodology, in essence, the survey and
standard, and finally the impact on the healthcare organization (Meyerson et al.,

The Joint Commission for accrediting gives recommendations that foster improvement
to the healthcare management which appoints a team of experts to draft a framework to
implement the given recommendations.

In addition, professional development that involves learning of the outcomes of the
accreditation programs for the healthcare staff and a coherent culture that encourages
similar norms and language of communication in healthcare facilities. These findings can
then be categorized into three based on the relevance of the themes to the aspects of the
accreditation process. The categories are the societal impact, the methodology, in essence,
the survey and standard, and finally the impact on the healthcare organization.

Importance of accreditation
It has been observed that accreditation is the core mechanism in determining the
performance, quality of services, and safety of a healthcare facility in relation to the
service delivery to the people. It is aimed to constantly uphold the improvement of
the quality of service offered rather than maintaining the already set standards of the
healthcare facility.