Knowing ahead of time what to expect during a typical survey day can provide
helpful guidelines for your company’s accreditation preparations. Here’s
how your company can get ready for the arrival of the surveyor.
Preparing in Advance for Survey Day
CMS has now mandated that all surveys must be unannounced. This means that a
company does not know on which day their survey will take place.
Accreditation agencies vary in how they perform their unannounced surveys,
but most will give a company some window of time in which to expect their
survey to take place, once they have indicated to the accrediting agency
that they are prepared and ready for survey.
The staff should be alerted about the expected time frame for survey, and
they should be instructed to keep their respective areas clean and organized
This includes keeping vehicles in compliance with the appropriate standards
Preparing for the survey day is an important part of the survey. The
facility should be clean and orderly. Log books and other documents that
the surveyor may request to see should be readily available and in an order
that is easy for the surveyor to review.
What to Expect When the Surveyor Arrives
Most surveyors are previous business owners or managers who have been in the
same industry that they survey, so you can expect them to be familiar with
how your type of company functions. Though they are present to perform an
official task, they may also be valuable resources for ideas and assistance
with improving a company’s operations; be alert to opportunities to benefit
from their expertise.
On the day of survey, the surveyor will typically arrive at the start of the
business day. They will present their credentials and ask for the owner or
manager. Once greeted, the surveyor will expect to be shown an area where
they can review company documents and client charts. They will explain the
survey process, and should inform the staff of all the materials they plan
to review.
The surveyor will expect to be given access to all areas of the business,
and will also expect to be able to inspect vehicles. In addition, they may
request to ride with company personnel during a visit to a patient.
In order to fully determine if the company being surveyed is meeting the
accreditation standards and CMS guidelines, the surveyor will want to review
client charts from all areas of the business. They will also want to review
personnel files, and they will ask the owner or leader to explain how the
finances of the business are managed.
The surveyor will have a scoring tool and a list of criteria that they
review to determine compliance. The surveyor’s role is to determine if
standards are being met. It is not to pass personal judgment on how the
business operates, nor is it to assess the profitability of the company.
Most surveys are completed in one day, unless the company has multiple
offices, or is extremely large and offers multiple services.
At the Conclusion of Your Survey
At the end of the survey, the surveyor will review the process and should
share a list of any deficiencies that were found. Most surveyors will not be
able to tell a company at that time whether or not they have passed their
survey, but they should be able to indicate any areas of concern that they
have.
Being prepared in advance for the survey day will help a company feel more
at ease when the surveyor arrives, and will help to make the survey process
a trouble-free experience.
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