1. The on-site surveys are designed as organization-specific to support improvement efforts.
2. The survey length isn’t uniform; information on the application determines the survey length.
3. Unannounced surveys can occur between 18 months and 26 months after the previous full survey. The unannounced survey could occur within 24 months after the initial accreditation for laboratories.
4. The organizations typically receive no notice for the survey data unless it wouldn’t be logical or feasible to conduct an unannounced survey. This includes Department of Defense and Bureau of Prison facilities.
5. The on-site survey includes a survey-planning session, opening conference and orientation to the organization, leadership session and tracer methodology.
6. The survey can also include competence assessment, medial staff credentialing and privileging for hospitals, environmental care session and exit conference.
7. When the organization doesn’t receive any requirements for improvement, the accreditation decision becomes official when the organization’s summary report is available. This is typically effective the day after accreditation surveys are complete.
8. When organizations receive requirements for improvement, the accreditation decision is made after submitting acceptable evidence of standards compliance report.
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