ARE WE PREPARED FOR STATE INSPECTION?

This is an important question facility Administrators, Directors of Nursing and ASC owners alike should be asking themselves.  Preparedness is the key to avoiding citations resulting from deficiencies identified during survey inspection. Our firm is highly experienced in the Standards for Licensure and, through proven methods, can support your organization in all areas of survey preparation. We also assist facilities in maintaining compliance to ensure readiness for future, unscheduled inspections.

Below is a non-exhaustive list of key areas in which we can help your staff prepare for an inspection:

• Policies and procedures

• Employee files, health files, and physician health files

• In-service training records

• Staff education, orientation, and competency documentation

• Credentialing program review

• Bylaws and meeting minutes (medical staff, corporate, and credentialing)

• Privileging and appointment documentation

• Required contracts and agreements

• Sterile processing practices, storage, and instrument handling

• Manufacturer Instructions for Use (IFUs) compliance review

• Quality Improvement (QI) and Performance Improvement (PI) plans

• Environment of Care compliance review