Upcoming surveys
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Upcoming Surveys PowerPoint PPT Presentation


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Upcoming Surveys. CMS Transplant Survey Patient Safety Licensing Survey TJC Hospital Licensing Survey All surveys in open window for a visit No announced dates File review session will be part of all surveys May 2012. Lessons Learned from Recent Surveys.

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Upcoming Surveys

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Upcoming surveys

Upcoming Surveys

  • CMS Transplant Survey

  • Patient Safety Licensing Survey

  • TJC Hospital Licensing Survey

    • All surveys in open window for a visit

    • No announced dates

    • File review session will be part of all surveys

      May 2012


Lessons learned from recent surveys

Lessons Learned from Recent Surveys

  • ALWAYS keep Health System HR in the loop.

  • Health System HR should be the first area contacted when a file is requested, BUT if any Department is called directly for a file, follow-up with HSHR ASAP.

  • All Med Ctr and DGSOM personnel files go through Health System HR for final review prior to any survey interview.

  • Be clear about reason for file request when speaking with HR personnel so both parties can work together for fast and accurate outcome.


Going forward

Going Forward…

  • Complete diligent review of personnel files.

  • Continue to track HR Competency Reports.

  • Inform staff/mgrs what requirements are coming due or overdue.

  • Be extra mindful of credential expiration dates.

  • Must have current online verification printed prior to expiration date and placed in file.

    --Staff cannot work with an expired license, not even with a cancelled check and copy of renewal paperwork


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