Do you use internal or external benchmarks?.Is the board involved in setting expectations or improving the safety culture?.Do you include cultural improvement goals for the leaders or middle management?.But, it is better to use the stand-alone AHRQ survey to assess the culture. An engagement survey can integrate the culture of safety. How do you assess the culture of safety and what tool do you use?ĭiscussing employee engagement and the percent response rate is the most frequent mistake we hear to this question.Here are the type of issues surveyors may ask leaders about and things to consider: The ideal responses to these questions are, “yes we do,”, “yes we have” and “yes, here is what we did.” They will direct these questions to leaders and staff. The Joint Commission identified questions about the culture of safety. They will explore three specific leadership standards and six specific elements of performance. The Joint Commission will evaluate your processes and results relative to the culture of safety survey. They want to show the Joint Commission’s video entitled: “Leading the Way to Zero.” Never the less, if audiovisual isn’t available, surveyors will show it on their tablets. In addition, surveyors may ask for audiovisual arrangements.
So, prepare to have that information available immediately upon their arrival. In fact, surveyors may want to review this document before the opening conference. New Joint Commission RequirementsĮffective immediately, TJC requires that you include your most recent safety culture survey results with your day one documents. And for CAS consulting clients who use our 2018 Leadership System Tracer tool, you should be well versed in this new content.
And, we predicted this change was on the horizon. But, for those of you who read our March 2017 newsletter, we discussed the future implications. That’s not a lot of notice for hospitals. A recent Perspectives discusses important changes in the leadership session effective June 2018. Recent updates to Sentinel Event 57 and the survey process for the leadership session merit your attention.
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