Prepare your entire staff to face the unknown
The unpredictable nature of The Joint Commission’s tracer process is a challenge for even the most experienced survey coordinator. Under the tracer process, surveyors will select active patients at random, retracing and reviewing every step of their care from one department to the next.
But every patient is unique. Every circumstance is unusual. Every area of care is different. How can you possibly prepare your entire facility to be ready for Joint Commission surveyors wherever and whenever they decide to launch a tracer?
Tracer Methodology, Second Edition takes the mystery out of the method.
In the completely updated and expanded second edition, Tracer Methodology takes you step-by-step through tracer prep. T
Turn to this helpful book and CD-ROM set for:
- A comprehensive explanation of tracer methodology—including
patient and system tracers.
- Practical survey preparation advice on everything from
patient interviews to staff questions.
- A step-by-step walkthrough of each survey session, including:
- Opening conference
- Environment of Care
- Leadership
- Competency Assessment
- Medical Staff, Credentialing and Privileging
- System Tracers
- Accounts of real-life surveys
- How patient and system tracers really played out
- Unexpected surprises
- A list of documents to have at-the-ready for each chapter of the
Comprehensive Accreditation Manual for Hospitals.
- Field-tested tools for conducting mock tracers, incorporating hot-button areas such as the National Patient Safety Goals, infection control, and emergency department issues.
Tracer tips, tools, and techniques for success
Adapt the tools you’ll find in Tracer Methodology, Second Edition to prepare your facility’s leaders, staff, and patients for survey day, including:
- Tracer patient selection worksheet
Identify which patients are most likely to be traced
- Mock survey planning tool
Organize your myriad mock tracer activities
- Patient tracer matrix
Keep track of every detail as you follow your practice patients
- Leadership session tool
Prepare your staff for the leadership interview
- Priority Focus Audit Form
Assess compliance with the Priority Focus Areas and other trouble spots
- Hundreds of actual surveyor questions
Find out what surveyors really asked during every session of the survey agenda
Put two accreditation authorities on your tracer team
For the second edition of Tracer Methodology, HCPro has teamed up experts Missi Halvorsen and Patricia Pejakovich to share their survey prep experience and expertise in one easy-to-read resource.
They have loaded their book with case studies, performance improvement information, and detailed examples of patient and system tracers. Turn to Tracer Methodology, Second Edition—and its companion CD-ROM—for the tried-and-true preparation processes you need to succeed on survey day.
About the authors
MISSI HALVORSEN, RN, BSN, is the senior consultant for accreditation for Baptist Health, a four-hospital healthcare system that services the needs of a five-county region in northeast Florida. Her responsibilities include Joint Commission prep for adult and pediatric inpatient, outpatient, ambulatory, behavioral health, and home care services. Ms. Halvorsen has been a nurse for nearly 20 years, with experience in critical care, home care, quality, and performance improvement, and has been actively involved in Joint Commission survey prep since 1998.
PATRICIA PEJAKOVICH, RN, BSN, MPA, CPHQ, is a consultant for The Greeley Company, specializing in quality and performance improvement, accreditation, utilization management, credentialing, clinical pathway development, and data management and design. Ms. Pejakovich has more than 30 years' experience in nursing and healthcare, and for more than 20 years has specialized in quality and performance improvement.
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