Accreditation Consultation

We will assist your Organization in preparing for its upcoming Joint Commission survey. Our assistance will take the form of an organizational assessment, and will be conducted closely following the format of the actual survey. We will include assessment of Standards compliance in all functional areas and will include interviews, unit and appropriate department visits, physician credential files as well as human resource file review, closed and open medical records review and document review of all relevant policies and procedures. Throughout the assessment we will consult, educate, and make suggestions relative to compliance issues.

We provide services that do not customarily fall within the scope of an organizational assessment:

  • We do not stop at assessing and pointing out non-compliance issues. We work with your staff to change policies, procedures and/or practices where needed, or if appropriate we will make every effort to obtain a model plan or policy and procedure for your use.
  • We provide an informal organization analysis and assess any situations or personalities that may negatively impact your survey and make suggestions as to how to successfully deal with these issues.
  • We validate for you and your staff the really good things you are doing in all areas and at all levels. We will motivate the staff to move forward in a positive manner toward that important goal of a successful accreditation survey.
  • We are available to your staff in the months between your organizational assessment and actual Joint Commission survey to answer questions via Email or fax, at no additional cost.