Managers: Please review these Questions and Answers with your staff/teams this week.
Providers and Staff: Please review and be ready to answer these questions.
We are in the window for an unannounced site visit/survey by The Joint Commission. To access preparation resources, including the comprehensive Reference Guide, visit the Survey Readiness section.
If you have questions, please contact Lisa LeClair, Accreditation and Regulatory Specialist.
What is the proper way to wear your identification (ID) badge?
Your ID badge should be worn on the outermost layer of your clothing at chest level (not at the waist/pocket level or below). There should be nothing added to the front of your ID badge (no stickers or other alternations).
Do we check references and licensure of physicians that are outside of the UW Health system?
Yes. There is a process in place to check the status of physicians outside of our system.
What do you do if the Joint Commission surveyor asks you a question that you can’t directly answer?
You are not expected to memorize everything. It’s most important to know where to find the answer. For example, ask a manager, go to U-Connect, reference a guide/manual, etc.
What is antimicrobial stewardship, and how does it affect your department/work?
Antimicrobial stewardship is a coordinated set of strategies to improve the use of antimicrobial medications in order to enhance patient health outcomes, reduce resistance to antibiotics and decrease costs. The level of antimicrobial stewardship involvement depends on your department.