Accreditation Tip: 'Ready to Go' List

Before meeting with a surveyor, ASCs should ensure they have a "ready to go" list — a document that outlines paperwork that must be at the ready for an accreditation survey to proceed, according to a post on The Joint Commission blog, Ambulatory Buzz.

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.

More Articles on Accreditation:
Top 12 Reasons for Infection Control Non-Compliance
ASCA Foundation Elects Ann Geier Liaison to AAAHC
2 AmSurg Centers Achieve Accreditation

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