Accreditation and Regulatory Compliance

The Joint Commission survey process is data-driven, is patient care centered and focuses on actual patient care processes.

**True False

The process to achieve the above involves a site visit by a survey team to determine compliance with published standards of acceptable care relevant to the type of health service organization involved.

**True False

How much advance notice would your health care organization receive before it is about to have an onsite Joint Commission accreditation survey or CMS survey?

90 day notice 120 day notice **No advance notice You request the date.

As an alternative to direct review by a federal agency such as the Centers for Medicare and Medicaid Services, organizations accredited through the Joint Commission are considered in compliance with the Medicare Conditions of Participation through a provision called:

Dual accreditation Reciprocity **Deemed status Certification

List 3 types of organizations that The Joint Commission accredits:

Hospitals, hospice services, rehabilitation centers

The process of______ is the process in which certification of competency, authority, or credibility is examined against published standards and compliance is validated through a survey process (there is a hint for you in the next question).

accreditation