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SCKMC Completes Federal Surveys

March 4, 2016

In the past few weeks, the medical center has received both Federal Fire Marshal and Federal recertification surveys as a requirement to participate in the Medicare program. It is common for hospital’s to receive Federal surveys back-to-back by cooperating agencies, although the last Federal survey for SCKMC took place shortly after the new facility was opened in 2011.

In the past few weeks, the medical center has received both Federal Fire Marshal and Federal recertification surveys as a requirement to participate in the Medicare program. It is common for hospital’s to receive Federal surveys back-to-back by cooperating agencies, although the last Federal survey for SCKMC took place shortly after the new facility was opened in 2011.

     “Hospitals can slip a lot during that time where they are not being monitored closely by someone, but we did not. We did not let it slip,” said Jane Campbell, SCKMC’s Director of Quality Performance and Risk Management.

     SCKMC has not received the official report from the recertification, but expect it any day. After the report arrives staff will have ten days to submit a corrective action plan addressing any deficiencies.

     “She touched every department in the hospital, talked with our staff, talked with our patients, reviewed our policies and looked at our procedures just to make sure we are still performing up to Medicare standards. We know there will be some things that we will need to tweak, but they will be easily correctable,” Campbell said.

     The Fire Marshal report found deficiencies related to fire system documentation, door closures, and penetrations in the smoke wall related to original construction. All deficiencies have since been corrected by the hospital maintenance department.

     Hospital Administrators observed as the multi-day surveys took place and received a daily exit interview from the recertification surveyor.

     “The surveyor said this was the kind of survey where she is really only supposed to talk about the bad things but what she said at the final exit conference was that there were so many good things she just had to mention some of those as well. She specifically spoke to me about the amazing processes we have in place here and things we have to offer that other small hospitals don’t have,” Campbell said.

     Recertification surveys do not just involve staff, but also take patient experiences into account. Five patients were interviewed during the medical center’s survey.

     “She received uniformly rave reviews about the care they were receiving here. With one patient the surveyor visited with the spouse who said when they came out (to the hospital) she was dead set against any more sales taxes or anything to support the hospital, but after leaving she would become one of our strongest supporters,” Campbell said.