Preparing for a TJC Survey
Overview: Compose a paper identifying what the TJC will focus on during its visit.
Outline of the paper:
Introduction: What is TJC. Why is the hospital pursuing certification/recognition.
Quality & Safety: Why important (IHI â€œto ERR is humanâ€)
Tools to achieve this (TQM/Lean/SS)
Areas of focus: Clinical/non-clinical
*Clinical – patient risks (infection:CAUTI, MRSA, etc, injury:patient falls; NEVER events:neonatal loss, elopement, wrong surgery, death)
Standards of care compliance
*Non-clinical departments (patient identification, disaster planning)
Environment of care (tracer methodology)