The Joint Commission Survey Readiness Game

Joint Commission Basics

100

The front office, therapist, doctors, case managers (YOU!)

Who will the surveyors primarily talk to?

200

1) Follow the experience of care for individuals through the entire health care process. 2) Evaluate the integration of related processes and the coordination and communication among disciplines and departments in those processes.

What are individual and system "tracers"?

300

Health Insurance Portability and Accountability Act states that Protected Health Information (PHI) may only be used for purposes of treatment, payment, healthcare operations.

What is HIPPA?

Patient Safety

100

Patient Identification, Suicide Prevention, Health Equity, and Hand Washing 

What are the 2025 National Patient Safety Goals?

200

Handwashing.

Name one way you reduce the risk of health-care associated infections in your department. Wash with soap and water before and after each patient contact: Even if you used gloves wash vigorously for 15 seconds. Alcohol-based hand rubs may be used if there is no visible soiling and C. Diff is not suspected. Use of artificial or long fingernails is prohibited. LATHER UP!

300

2 patient identifiers

What are the Name and Consumer #?

Fire Safety

100

RACE

What do you do in case of a fire? Rescue Alarm Confine Extinguish/Evacuate

200

PASS

How do you use a fire extinguisher? P- Pull the pin A-Aim the nozzle at the base of the fire, S-Squeeze the handle, S-Sweep the nozzle form side to side at base of fire

300

No

Can you store supplies up to the top of the ceiling?

Joint Commission Etiquette

100

Simply answer the question.

How to answer surveyors? do not over-speak (if you are not asked) or mis-speak (if you do not know the answer).

200

Smile and introduce yourself.

What should you do if a surveyor approaches you? Remember, this is an open book test. YOU know your job the best.

300

Ask for help from colleagues or clarification of question from surveyor.

What do I do if I have trouble answering a question or navigating the medical record? They want to see how we work together. If you get flustered, take a deep breathe, smile and relax. If you see someone struggling, jump in to help! Have each others back.