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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > December, 2003 Vol. IV, No. 12

Ask Caryl

Fast Facts About Random, Unannounced Surveys

Caryl A. Serbin, RN, BSN, LHRM

Caryl A. Serbin, RN, BSN, LHRM Q What can you tell me about random, unannounced Joint Commission on-site surveys?

A By 2006, all JCAHO regular surveys will be unannounced. It's important to emphasize, though, that initial surveys, even after 2006, will be on an announced basis. Some other facts about random, unannounced surveys:

  • For 2004 and 2005, while JCAHO pilot-tests unannounced surveys in volunteer organizations, you'll receive no advanced notice of a random re-survey.
  • Re-surveys can be conducted from nine to 30 months after your triennial survey. Starting in 2006, unannounced surveys will occur within the calendar year that your re-survey is scheduled. The JCAHO Board may expand this window.
  • JCAHO will randomly select 5 percent of organizations accredited through the end of 2003 for unannounced one-day, one-surveyor re-surveys. Starting in 2006, 100 percent of re-surveys will be unannounced.
  • Surveyors who are specially trained in the use of the random, unannounced survey protocols will conduct the unannounced surveys.
  • Per current policy, re-survey results may lead to new Type I recommendations and may even cause a change in the organization's accreditation status.
  • Per current policy and continuing for 2004 and 2005, there will be no cost for an unannounced re-survey.
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