To quote this year’s Compliance Calendar, “Success doesn’t come from what you do occasionally but what you do consistently.” For some, it’s just human nature to wait until the last minute. But, when it comes to your facility’s annual compliance, it’s best to start early to ensure these tasks don’t pile up and give you stress at resurvey time! Not only are the following standards required for accreditation, but they can also drastically improve your onsite survey results and reduce your chances of needing to submit a corrective action plan (CAP).
You may already be addressing and reviewing many of these standards as part of your regular staff meetings and that’s great! Just make sure you document any changes you’ve made to your policies and procedures, inform your staff of those changes and ensure that the required documentation is in a central location available to staff. Complete documentation is the step facilities miss most. But remember, if it’s not documented, we can’t confirm that it actually happened.
The following standards are required every year – that means that when you are up for renewal, you will need three years’ worth of documentation for your surveyor.
Still having trouble remembering to review these standards? Try these tips to help keep you on track.