Your survey for ACHC Palliative Care Accreditation is a collaborative effort between the Surveyor and your organization. Each is responsible for performing certain duties to collectively ensure a successful survey experience.

On the day of the survey, your Surveyor will review numerous documents and other items that support compliance with ACHC Standards and applicable state regulations.

Your organization is responsible for supporting the Surveyor to ensure the process goes smoothly. To assist your Surveyor, your organization should do the following:

• Check the Surveyor’s photo ID badge upon arrival.
• Designate a workspace for the Surveyor.
• Appoint a survey liaison.
• Provide the Surveyor with the required reports at the opening conference: current census, schedule of visits, discharge/transfer patients, and personnel list.
• Provide a brief tour of your facility, emphasizing the following:
  • Medical record storage/safeguarding.
  • Confidentiality maintenance of Protected Health Information (PHI).
  • Medical supply stock.
  • Biohazard waste storage/handling.
  • Appropriate organization and employer postings/signage.
  • Fire safety equipment.
• Ensure your policies and procedures are available for review and/or reference.
• Provide copies of your emergency preparedness plan, QAPI plan, and any requested administrative documents.
• Provide the medical charts and personnel files selected by the Surveyor. A computer must be supplied to the Surveyor to access any electronic records in a “read-only” format.
• Arrange and conduct the patient observation visit selected by the Surveyor.
• Provide all service contracts and agreements.

If you have questions about items requested or deficiencies found, ACHC encourages you to seek clarification from your Surveyor while they are still on site.

During the survey closing conference, your Surveyor will review the preliminary summary of findings. The Surveyor does not make an accreditation determination. After your survey, the Surveyor will submit information collected for processing.

Here to Help

ACHC is more than an accreditor. We are your partner. For more information, contact your Account Advisor, email [email protected], or call (855) 937-2242, ext. 457.