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.

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