Joint Commission Survey 2022: Day 2 Recap


The Joint Commission continued its survey of patient care activities in the medical center, clinics, and home care settings. The team of 11 surveyors visited the following areas on Tuesday:

  • In the medical center: Radiology, GI, Tower 4, 6 and 8, Radiation Oncology, Davis 7 and 8, East 6, PICU, Food and Nutrition Services (Kitchen), and multiple locations for Life Safety and Environment of Care
  • In ambulatory: Folsom, Rocklin, Roseville Clinics
  • In pharmacy: Central Pharmacy, Rocklin Pharmacy, Cancer Center Pharmacy

The surveyors shared that the kitchen within the hospital was one of the best-run kitchens in their experience, and they were impressed with the employees and the overall cleanliness.

Beginning Wednesday, we anticipate the Joint Commission’s activities will include "system tracers" of medication management, infection prevention, data management, and staff competency. In addition, the Home Infusion Therapy and Specialty Pharmacy Durable Medical Equipment surveys begin on Wednesday.  This survey is the initial accreditation survey for Home Infusion and Specialty Pharmacy is undergoing it’s second accreditation process as they are currently URAC accredited.

Please remember, if you are approached by a surveyor and asked a question, answer openly and in detail. It is your opportunity to highlight your commitment to providing excellent patient care, as well as your knowledge and skills. If you don’t know the answer to a question, it is OK to say you will ask your manager.

As a reminder, please remember:

  • The importance of medication reconciliation
  • To remove tape and tape residue from equipment
  • Equipment and patient furniture should have no cracks, tears, or holes so they can be properly disinfected
  • Extension cords should not be on the floor as it creates a tripping hazard
  • To empty full red waste bins
  • Multi-use products need to have an open date as well as an expiration date

Although the Joint Commission’s survey is an intense review, it allows us to highlight our patient-centered care. It also helps us identify areas of opportunity where we can make improvements to ensure we provide the exceptional care our patients need and deserve. Thank you for your continued efforts and for all that you do for our patients and each other.