Suggested “Ready to Go” List
The survey process can be facilitated if the following items are readily available to the surveyor(s) at the time
of the survey:
• High-level organization chart
• Accurate list of the patients currently receiving care in the hospital, including their diagnosis, age,
unit/service, physician, and date of admission
• List of systemwide priority improvements
• List of departments and services individual measures
• Clinical practice guidelines and any associated pathways and protocols
• Proactive risk assessments, such as a failure mode and effects analysis (FMEA), hazard vulnerability
analysis (HVA), and infection control risk assessment (ICRA)
• Required organization plans (for example, facility management and safety plan)
• Required policies and procedures, written documents, or bylaws
• Committee minutes (for example, from governance meetings, infection control meetings, and other
meetings)