Survey Success: A Hospital Guide to Mock Surveys

Jean S. Clark, RHIA

Survey Success: A Hospital Guide to Mock Surveys gets your entire team ready for the moment surveyors walk through your front door. This premier survey prep guide breaks down the latest CMS standards in a mock survey checklist format and guides you through practice tracers throughout your organization. The included tools help train chapter leaders and committee members to easily delegate the right forms to the right people on their committees.

This guide also features: 

• The modified scoring for the NPSGs and new implementation benchmarks 
• Easily distributable PDF checklists that can be given to appropriate department managers
• A Policies and Procedures section that enables hospitals to track required P&Ps 
• The latest changes to CMS standards and National Patient Safety Goals, including the adoption of the 2012 Life Safety Code® 

More updates for 2018:

• CMS ligature guidance 
• Joint Commission suicide prevention expectations 
• Joint Commission hand hygiene standards 
• CMS and Joint Commission emergency preparedness updates 
• Joint Commission maintenance standards for high- and low-risk devices 
• Life Safety Code clarifications on fire doors, fire drills, and emergency departments 
• Joint Commission pain management guidelines 
• Sentinel Event Alert on bad patient handoffs 
• Sentinel Event Alert on workplace violence

About the Author

Jean S. Clark, RHIA, has been a leader in the field of accreditation and regulatory compliance and health information management for more than 30 years. She graduated with honors from the Medical University of South Carolina School of Health Related Sciences. She served as the president of the American Health Information Management Association (AHIMA), the International Health Information Management Association, and the Southeastern Medical Record Association, as well as serving two terms for the South Carolina Health Information Management Association (SCHIMA). She also received AHIMA’s Distinguished Member, Literary, and Volunteer awards and the Southeastern Medical Record Association and SCHIMA Distinguished Member award. She is a well-known author and speaker on accreditation and regulatory compliance. Clark lives in Charleston, South Carolina.

Published: August 2018

Page count: 328
Dimensions: 8.5x11, perfect bound
ISBN: 978-1-68308-830-1

Table of Contents

Preface 
Chapter 1: Understanding CMS Standards and Managing the Mock Survey Process 
Chapter 2: Scoring Guidelines and Tracer Planning 
Chapter 3: Pulling It All Together: Mock Surveys 
Chapter 4: Patient Tracers 
Chapter 5: System Tracers 
Chapter 6: Tracer Tactics 

Checklists 
Presurvey Checklist: Accreditation Participation Requirements 
Checklist 1: National Patient Safety Goals 
Checklist 2: Emergency Management (EM) 
Checklist 3: Environment of Care (EC) 
Checklist 4: Human Resources (HR) 
Checklist 5: Performance Improvement (PI) 
Checklist 6: Infection Control (IC) 
Checklist 7: Leadership (LD) 
Checklist 8: Life Safety Code 
Checklist 9: Information Management (IM) 
Checklist 10: Medical Staff (MS) 
Checklist 11: Medication Management (MM) 
Checklist 12: Nursing (NR) 

Online Checklists 
Checklist 13: Provision of Care, Treatment, and Services (PC) 
Checklist 14: Record of Care, Treatment, and Services (RC) 
Checklist 15: Rights and Responsibilities of the Individual (RI) 
Checklist 16: Transplant Safety (TS) 
Checklist 17: Waived Testing (WT) 
Checklist 18: Medical Staff Leaders’ Responsibilities 
Checklist 19: Patient Unit Interdisciplinary Teams’ Responsibilities 
Checklist 20: Ambulatory Sites Including Physicians’ Offices 
Checklist 21: Introduction to the Patient Safety Systems Chapter