The documents on the list should include:
- Organization’s expectations for the survey
- Performance and quality improvement data from past 12 months
- Infection control data from past 12 months
- Infection control plan
- Environment of care data, including statement of conditions, if applicable
- Environment of care management plans and annual evaluations
- Meeting minutes pertaining to environment of care topics from past 12 months, if applicable
- Organization chart
- Map of organization, if available
- List of sites eligible for survey
- List of locations where services are provided, including anesthetizing locations
- Patient appointment schedules or surgery schedules for each day of survey
- List of all contracted services
- Name and extension of key contacts who can help surveyors plan tracer selection
For optimum survey readiness, the post recommends the person in charge of accreditation schedule a regular document review to check that all is up to date, store the documents in a central location and let staff know where the documents are stored.
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