• Pre-op time outs. Surveyors will observe the time out to make
sure the surgical team discusses what your facility's policy states
should be covered during the safety check. They also confirm that
staff take time outs seriously, that they're engaged in the process
and that there are no outside distractions.
• Policies, procedures and paperwork. Bri Merriman, RMA,
administrator at Crater Lake Surgery Center in Medford, Ore., says 2
surveyors spent 2 days at her facility. One surveyor inspected the
facility's infrastructure and maintenance contracts, while the other
read over every sentence of the facility's policies and procedures,
making sure staff in-services were appropriate and current, and that
employees had access to up-to-date competencies that met required
standards. The surveyor also reviewed contracts with insurers and
outside vendors (IT services, for example), the employee handbook,
credentialing packets, benchmarking figures, quality improvement
studies, and instructions for safe injection practices and proper ster-
ilization techniques.
HFAP is:
• A trusted, recognized accreditor since 1945. • A solutions-oriented partner.
• A responsive, accessible resource. • A cost-effective one-stop option.
LEARN MORE: WWW.HFAP.ORG CONTACT US: 312.920.7383 | INFO@HFAP.ORG
ARE YOU READY FOR
A BETTER HEALTHCARE
SURVEY EXPERIENCE?
