Improving Quality and Safety In Your Endoscopy Unit: On-Demand | October 2022 OLQUALOCT22-Preparing for a Successful Endoscopy Unit Survey Accreditation

Video Transcription

Video Summary

In this video, Jim Collins discusses the importance of accreditation in healthcare facilities, particularly in the GI unit. Accreditation is a voluntary process where organizations compare their services against national standards. The video covers various aspects related to accreditation, including licensure, certification, and the expectations during a survey. Jim emphasizes the need for maintaining survey readiness and provides tips on how to do so.<br /><br />He discusses the different accreditation agencies that healthcare facilities can choose from, such as AAAHC, DNBGL Healthcare, and the Joint Commission. He explains the application process and the areas that surveyors evaluate during an on-site survey, including patient care, physical facilities, policies and procedures, personnel files, and patient feedback.<br /><br />Jim highlights the benefits of accreditation, including a competitive advantage, assurance of compliance with regulations, improved customer satisfaction, and operational efficiency. He also mentions that accreditation is required for deemed status from CMS and may be necessary for third-party payers.<br /><br />The video also covers specific areas that surveyors focus on, such as endoscope reprocessing, infection prevention, medication safety, personnel considerations, diverse populations, and environmental and life safety factors. Jim provides recommendations for maintaining survey readiness, including regular record keeping, quality improvement projects, rounding and inspections, and involving a multidisciplinary team.<br /><br />He concludes by emphasizing the ongoing nature of accreditation readiness and the importance of continuous improvement and staff involvement in the process. Overall, the video provides a comprehensive overview of the importance of accreditation and best practices for maintaining survey readiness in the GI unit.<br /><br />No credits were provided in the video transcript.

Asset Subtitle

Jim Collins. RN CNOR

Keywords

accreditation

healthcare facilities

survey readiness

patient care

regulatory compliance

deemed status

continuous improvement