A JCAHO unannounced survey took place at UHS Hospitals from 3/12 - 3/16 with 6 surveyors participating. The results were very good with only 7 recommendations found, and many compliments regarding readiness and quality of work. Many thanks to all Medical Staff who participated in the survey.
One area that needs immediate improvement is authentication, timing, and dating of orders. We have 30 days to begin showing 100% compliance. A change is being made to the Rules and Regulations to allow covering practitioners to sign verbal orders which should make authentication easier. These orders don't need to be signed by the ordering physician if they have been signed by the covering one.