MAINTAINING JCAHO READINESS FOR UNANNOUNCED SURVEYS

What is JCAHO Readiness?
Definition
Measurements
Communication

Use of the Periodic Performance Review
Baseline Information
Schedule of Regular Update

Incorporation of the Tracer Methodology
Inclusion in Patient Hand-off Communications
Inclusion in Patient Assignment Processes
Revision of Committee Structures
Inclusion into Marketing Activities
Impact on Orientation and On-Going in-Service
Impact on Job Descriptions

Consolidation of Standard Compliance Functions
JCAHO Coordination
Performance Improvement Committee
Clinical Risk Management
Other

Employee Performance Evaluations

Mock Surveys
Value
Process
Communication