JCAHO 2005

摘要

As a former director of multifacility nutrition departments and now as a clinical dietitian, I've found preparation for surveys is somewhat different depending on your role. Working in a long-term care facility for the past several years, my survey readiness has been toward compliance with Centers for Medicare & Medicaid Services (CMS) guidelines. As a manager in the acute care facility, the focus was compliance with Joint Commission on Accreditation of Healthcare Organization (JCAHO) standards. During that time, I always wondered why the clinical staff continued work as usual through the survey, while I worked long, stressful hours usually a year prior to and during the actual visit. As a clinician, I now realize there is little that can be done prior to the survey to prepare because it's continuous process, and if quality care has not been provided, this will show up quickly in the medical record documentation. I continue to see management working toward continuous quality improvement in the food service department, hut still see die "survey scurry" of deep cleaning, dining room service arrangements, timely service expectations, and infection control on the units as the surveyors walk through the door. I must say, I don't miss the scurry.