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Archive April 2019 XX, No. 4

Learn to Love Your Accreditation Surveyor

Embrace those dings as opportunities for improvement.

Jared Bilski


Pamela Bevelhymer, RN, BSN, CNOR
COLLABORATIVE PROCESS Accreditation agencies want facilities to view surveys as collaboration opportunities rather than dreaded events.

Yes, accreditation surveys are all but guaranteed to cause you some degree of stress. But a sense of overwhelming dread shouldn't accompany a surveyor's visit to your facility. In fact, accreditors are working hard to ensure facilities see the survey process as collaborative rather than combative. Still got doubts about surveyors' motives? We talked to 4 of your fellow facility leaders who said the accreditation process provided key insights that led directly to changes they were more than happy to make.

1. DEA controlled substances audit

When you keep meticulous real-time records of all the medications you dispense, certain things may seem redundant. That's what William Greene, Jr., MD, the medical director of Lakeshore Surgical Center in Gainesville, Ga., thought when a surveyor suggested that his ASC conduct a biannual audit of all the controlled substances on hand that day.

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