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PREPARING FOR JOINT COMMISSION SURVEY

Introduction
Objectives
Unannounced Surveys
JCAHO Story Time-What Have You Been Doing Lately?

Important JCAHO Accreditation Processes
PPR (Periodic Performance Review)

Standard Changes During Last Three Years
New/Revised Standards
Standards that have been Eliminated and Why
Scoring for the New Standards

Medication Management/Radiology
Impact from Medication Management Standards on Radiology
Studies and Data Update

Patient Safety/Error Reduction
Patient Safety Goals—2006
Sentinel Events
Root Cause Analysis
Failure Mode Effects Analysis

Experiences from Other Organizations
Period of Notification
Standard with Highest Level of Non-Compliance
Average number and Type of Recommendations

Scoring/Key Words