As you might well imagine, based on the number of findings floating around, as well as CMS’ continuing scrutiny of the various and sundry accreditation organizations (the latest report card is out and it doesn’t look too lovely—more on that next week after I’ve had a chance to digest some of the details), there are a fair number of organizations facing survey jeopardy for perhaps the first time in their history. And a lot of that jeopardy is based on findings in the physical environment (ligature risks and procedural environment management being the primary drivers), which has resulted in no little chagrin on the part of safety and facility professionals (I don’t think anyone really thinks that it would or could in their facility, but that’s not the type of philosophy that will keep the survey wolves at bay). The fact of the matter is (I know I’ve said this before, though it’s possible that I’ve not yet bent your collective ears on this point) that there are no perfect buildings, particularly in the healthcare world. They are never more perfect than the moment before you put people in them—after that, it is a constant battle.
Unlike any other time in recorded history, the current survey epoch is all about generating findings and the imperfect nature of humans and their interactions with their environment create a “perfect storm” of opportunities to grow those numbers. And when you think about it, there is always something to find, so those days of minimal to no findings were really more aberrant than it probably seemed at the time.
The other piece of this is the dreaded adverse accreditation decision: preliminary denial of this, termination of that and on, and on. The important thing to remember when those things happen is that you will be given (well, hopefully it’s you and not your organization sailing off into the sunset without you) an opportunity to identify corrective action plans for all those pesky little findings. I can’t tell you it doesn’t suck to be in the thick of an adverse accreditation decision because it truly, truly does suck, but just keep in mind that it is a process with an end point. There may be some choppy seas in the harbor, but you have the craft (both figuratively and literally) to successfully make landfall, so don’t give up the ship.