Certified Hospital Surveyor (CHS) 

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The CHS course is designed for individuals who take an interest in their hospital' s accreditation process or who are involved in maintaining compliance for their healthcare facility. This course will take you through the survey process for The Joint Commission, The Joint Commission International and several other survey processes such as state licensure surveys, state and federal complaint surveys, Federal Medicare certification surveys, post-survey revisit surveys, and Life safety code surveys. This course also aims to guide you through the preparation of your facility for an unannounced survey. By the end of the course, you will understand how to assess your facility's survey readiness, how to perform a hospital survey, as well as how to effectively respond to survey findings. 

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Topics Include: 

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•    Overview of Accreditation and Surveying

•    Pre-survey and application process

•    Preparing for Accreditation

•    Identifying standards and domains

•    Standards validity and reliability

•    Scoring guidelines and tabulation

•    Documentation and clinical records audit

•    Tracer Methodology

•    Credentialing and re-credentialing of clinical staff

•    Mock surveys

•    Recommendations and reporting

•    Team building and conflict resolution

•    Performance improvement projects and the FOCUS-PDCA cycle

•    Practica! days (Tracers and facility tours)

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Duration: 35 hours