avoiding common citations during a facility accreditation visit

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AVOIDING COMMON CITATIONS DURING A FACILITY ACCREDITATION VISIT TOM BARRON

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Webinar on commonly cited accreditation surveyor citations for facility operations, and what could be done to avoid these citations by administrators.

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Page 1: Avoiding Common Citations during a Facility Accreditation Visit

AVOIDING COMMON CITATIONS DURING A FACILITY ACCREDITATION VISIT

TOM BARRON

Page 2: Avoiding Common Citations during a Facility Accreditation Visit

DESCRIPTION:

THIS WEBINAR WILL FOCUS ON THE COMMONLY CITED ACCREDITATION SURVEYOR CITATIONS FOR FACILITY OPERATIONS, AND WHAT COULD BE DONE TO AVOID THESE CITATIONS BY FACILITY ADMINISTRATORS AND MANAGERS. LEARN HOW TO ADDRESS THESE ISSUES BEFORE THE SURVEYOR'S VISIT. THIS CAN RESULT IN A POSITIVE SURVEY OUTCOME ALONG WITH SAVING TIME AND MONEY.

Page 3: Avoiding Common Citations during a Facility Accreditation Visit

WHY SHOULD YOU ATTEND:

ACCREDITATION VISITS ARE EXPENSIVE ENOUGH WITHOUT THE ADDED COST OF HAVING TO ADDRESS SURVEYOR CITATION FINDINGS THAT SHOULD HAVE BEEN IDENTIFIED AND CORRECTED BEFORE THE SURVEYOR'S VISIT. THIS WEBINAR WILL DESCRIBE MANY OF THE COMMON SURVEYOR FACILITY-RELATED CITATIONS THAT COULD BE AVOIDED AND WHAT YOU CAN DO TO AVOID THEM. A FACILITY THAT IS FREE OF THESE COMMON DEFICIENCIES NORMALLY DEMONSTRATES TO THE SURVEY TEAM THIS IS A "WELL MANAGED" FACILITY, AND RESULTS IN BETTER SURVEY OUTCOMES. 

Page 4: Avoiding Common Citations during a Facility Accreditation Visit

OBJECTIVES OF THE PRESENTATION:• THIS WEBINAR WILL FOCUS ON SIX TO EIGHT MOST ROUTINELY CITED

ACCREDITATION SURVEYOR FINDINGS FOR FACILITY OPERATIONS AND MAINTENANCE. THESE CITATIONS INCLUDE:

• CLUTTERED CORRIDOR PASSAGE WAYS

• OPEN PENETRATIONS IN SMOKE COMPARTMENT OR FIRE BARRIERS

• LACK OF LSC EQUIPMENT TESTING AND DOCUMENTATION

• WEAKNESSES IN EMERGENCY PLANNING AND DRILLS

• MAINTAINING PROPER VENTILATION FLOWS

• ISSUES WITH FIRE AND SMOKE COMPARTMENT DOORS

• MEDICAL GAS LINE LABELING

Page 5: Avoiding Common Citations during a Facility Accreditation Visit

WHO CAN BENEFIT:

• FACILITY MANAGERS

• ACCREDITATION/REGULATORY MANAGERS AND SPECIALISTS

• FACILITY ADMINISTRATIVE OFFICERS

• FACILITY SUPERVISORS

• OTHERS INVOLVED IN THE SUPPORTING FACILITY ACCREDITATION PROCESS.