April 17, 2014 | | Comments 0
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A change will do you good…but what about no change? Exact change?

I’m sure you’ve all had a chance to look over the April 2014 issue of Perspectives, in which EC and LS findings combined to take seven of the top 10 most frequently cited standards during 2013, with issues relating to the integrity of egress taking the top spot.

At this point, I don’t think there are any surprises lurking within those most frequently occurring survey vulnerabilities (if someone out there in the audience has encountered a survey finding that was surprising, I would be most interested in hearing about it). The individual positions in the Top 10 may shift around a bit, but I think that it’s pretty clear that, at the very least, the focus of the TJC survey process has remained fairly constant these past couple of years.

Generally speaking, my sense about the TJC survey cycle is that specific focus items tend to occur in groups of threes (based on the triennial survey cycle, with the assumption being that during each three year period, every hospital would be surveyed—and yes, I do know what happens when you assume…) and I think that 2013 may well represent the end of the first go-round of the intensive life safety survey process (I really believe that 2009-2010 were sort of beta-testing years). So the question I have for you good citizens of the safety world: Has anyone been surveyed yet this year? With follow-up questions of:

  • Did you feel you were better prepared to manage the survey process this time?
  • Was the survey process different this time?
  • More of the same?
  • More difficult?
  • Less difficult?

I’m hoping to get a good sense of whether the tidal wave of EC/LS findings has indeed crested, so anyone interested in sharing would have my gratitude. Please feel free to respond to the group at large by leaving a comment here or if you prefer a little more stealthy approach, please e-mail me at smacarthur@greeley.com or stevemacsafetyspace@gmail.com.

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Filed Under: Environment of careLife Safety CodeThe Joint Commission

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Steve MacArthur About the Author: Steve MacArthur is a safety consultant with The Greeley Company in Danvers, Mass. He brings more than 30 years of healthcare management and consulting experience to his work with hospitals, physician offices, and ambulatory care facilities across the country. He is the author of HCPro's Hospital Safety Director's Handbook and is contributing editor for Briefings on Hospital Safety. Contact Steve at stevemacsafetyspace@gmail.com.

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