Preparing You For The Big Survey

How We Help You Meet Survey Standards

Our survey preparation approach is thorough and extensive, so we can ensure our clients get the most accurate results. To achieve this, our consultants use various methods ranging from mock surveys, detailed reports of facility results, and areas of improvement to personalized strategies to eliminate problems, progress check-ins down the line, and post-survey education.

Work With ICR

Conduct Mock Surveys

Our team improves the facility’s survey preparation in the following ways:

• Track Methodology: Follow significant infection control processes throughout the facility.
• Real-time Mock Surveys: Mock surveys utilize the agendas and evaluation tools actual surveyors use.
• Using All CMS and accreditation agency infection control standards: All infection control standards are applied where applicable.
• Quality Assurance Performance Improvement (QA/PI) Measures: We will work with your facility to meet QA/PI requirements
• Fine-tuning Strategies: Your current strategies are optimized to help current surveyors cope when survey time comes.
• In-Person Activities: Our team works hand-in-hand with your staff to educate them about survey activities.
• Measures and Procedures: Assess compliance and check for potential deficiencies in your system.
• Infection Control Measures: Full evaluation of compliance with applicable standards, federal and state laws

Detailed Reporting

ICR can gather a comprehensive overview of your facility’s compliance with an accreditation organization’s requirements through detailed reporting. It includes a summary of the facility’s compliance status to include the number of deficiencies found and their severity. A list of recommendations to correct any problematic areas is also provided.

Personalized Strategy

Every pain point, potential shortcoming, and area of improvement is reviewed by ICR to create a personalized plan to help your facility meet its goals and pass the upcoming survey. Our strategy will be developed after a thorough analysis of your facility’s current state and needs. A few of the ways to achieve this is by:

• Implementing corrective actions to address the issues identified in the facility’s survey.
• Evaluating the effectiveness of the disciplinary actions taken.
• Creating an implementation timeline for the corrective action.
• Providing ongoing support throughout the process.

Follow Up

We work hand-in-hand by regularly monitoring staff progress, and preparing for the survey closer to the deadline. As part of our follow-up strategy, we conduct periodic actual or virtual visits to check progress, if desired. This approach aims to ensure that your facility has implemented the recommended changes, and that those changes have been effective in improving patient outcomes.

We also offer a post-survey education program to help bolster compliance. To identify areas for inservice education, we consider the following:

• The facility’s past survey reports
• Knowledge and training gaps
• Identified areas of improvement

Accreditation Survey Plays on Facilities

Accreditation is not just about meeting the minimum requirements set forth by a recognized organization. There are many different roles that accreditation plays for facilities with deemed status. These include:

1. Demonstrating Compliance: Indicates that the facility complies with federal laws, rules, and regulations which are incorporated into the accrediting organization’s standards.
2. Improving Patient Safety: Reducing risk factors like infection control deficiencies, errors, and medical device failures improves patient safety.
3. Reducing Risk for Patients: Risks associated with patients exposed to poor health care practices are decreased.
4. Promoting Quality Care: Standards promote best practices in healthcare.
5. Deeming Authority: Reduces the likelihood of a second survey specific to CMS requirements.

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