Medical
Joint Commission Survey Readiness Checklist 2021
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Joint Commission Survey Readiness Checklist 2021

1
Complete a self-assessment of your healthcare organization per Joint Commission standards
2
Organize a leadership planning meeting for survey preparation
3
Review and update all hospital policies and procedures
4
Perform a risk assessment on high-risk areas
5
Ensure all employee certifications are current
6
Verification: Emergency risk management plan
7
Approval: Manager on emergency risk management plan verified
8
Train staff on Joint Commission standards and survey process
9
Inspect physical environment for compliance, including fire safety and medical equipment
10
Ensure accurate and updated documents of medical and personnel records
11
Verify infection control practices and protocols are in place
12
Perform a mock Joint Commission survey
13
Approval: Senior Leadership on the results of the mock survey
14
Correct any deficiencies noted in the mock survey
15
Monitor ongoing compliance to catch issues early
16
Provide ongoing education and updates about Joint Commission standards for all staffs
17
Schedule the official Joint Commission survey
18
Approval: Director, readiness for the official survey
19
Prepare all necessary documentation for the official survey
20
Finalize all logistics related to the official survey