1. The scoring gauges performance expectations as 0 (insufficient compliance); 1 (partial compliance); 2 (satisfactory compliance).
2. There is an organization exit conference where the survey team presents the preliminary findings report. The report doesn’t signify accreditation decision or any scores, and the final decision is made subsequently.
3. An orgnaization can receive preliminary accreditation for demonstrating compliance with select standards under the early survey policy. Accreditation is awarded to organizations in compliance with all applicable standards at the time of the survey.
4. Organizations can address any requirements for improvements within 45 or 60 days following the accreditation survey findings report and still receive accreditation if the evidence of standards compliance submission is passed.
5. The organizations can receive accreditation with follow-up survey if there isn’t compliance within specific standards at the time of the survey. The follow-up is required within 30 days to six months and the organization must address identified problem areas successfully in an ESC submission.
6. The Joint Commission can recommend preliminary denial of accreditation if there is an immediate threat to health or safety to patients or the public; falsified document submissions or misrepresented information; lack of required license or similar noncompliance issues with the Joint Commission standards.
