Improving Quality and Safety in the Endoscopy Unit (On-Demand) | August 2023-Preparing for a Successful Endoscopy Unit Survey Accreditation

Video Transcription

Video Summary

In this video, the speaker discusses various mechanisms necessary for achieving accreditation in healthcare facilities. They explain the differences between licensure, certification, and accreditation, and emphasize the importance of maintaining survey readiness and meeting expectations during surveys. The speaker highlights the role of caregivers in promoting health and safety, and the need for teamwork in accreditation readiness. They also mention the recent changes made by CMS that restrict prior notification of surveys, blackout dates for survey visits, and virtual investigation of complaints. The speaker discusses survey compliance in endoscopy units and the process of maintaining survey readiness. They provide tips on rounding activities, involving various departments, creating checklists, and addressing areas of deficiency. The speaker also covers guidelines and standards to be followed, including infection control practices, expiration dates of medical goods, and proper use of personal protective equipment. They mention the importance of QI and PI projects, and the review of contracts with outside services. The speaker concludes by discussing survey readiness in medical records, personnel considerations, and the needs of diverse populations. They explain what to expect during a survey and offer advice on preparing for it, including environmental and documentation preparations, as well as interacting with surveyors during the visit.

Asset Subtitle

Jim Collins, BS RN CNOR

Keywords

accreditation

survey readiness

caregivers

CMS changes

survey compliance

infection control practices

diverse populations