AAMI News July 2018

Biomeds Provide Tips for Preparing for a Joint Commission Survey

Preparing for a Joint Commission Survey
Understanding TJC standards and their intent is key to a successful survey, according to Ilir Kullolli (left) and Jin Matsumoto (right).

Healthcare technology management departments need to be “continuously ready for a Joint Commission survey,” according to Jin Matsumoto, technical career field biomedical engineer for the VA Greater Los Angeles Healthcare System.

Matsumoto was part of a team of presenters that provided advice on preparing for a survey by The Joint Commission (TJC) during an education session at the AAMI 2018 Conference & Expo in Long Beach, CA.

To not get caught off guard by a TJC survey, Ilir Kullolli, director of clinical technology at Stanford Children’s Health in Palo Alto, CA, underscored the importance of gaining familiarity with your medical equipment management plan and related policies, keeping track of your medical equipment inventory and servicing of equipment, and performing weekly rounds.

After areas for improvement have been identified, a comprehensive improvement plan should be developed and implemented, said Kullolli. To this end, he recommended performing a mock survey, preferably with a Life Safety Inspector, to identify and resolve pain points in advance of the actual survey.

Kullolli said the following questions were asked by the TJC surveyor during his facility’s most recent survey:

  • What is the biggest risk to your hospital—both related to medical equipment and the environment of care (EOC) overall?
  • Do you have an alternative equipment maintenance (AEM) program? If so, be prepared to show the data that were used when developing the program.
  • What process do you use to ensure that home care equipment is safe for use? Also, what process is used to inspect home care equipment that enters the hospital’s AEM?

Kullolli added that facilities should be ready to field questions related to equipment moving between hospitals, EOC dashboards, hot topics in the industry, and specific pain points for the organization.