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Because of my experience, I know exactly how an ASC works and what to look for during a survey. ASCs are very different from hospitals. Knowing that I have worked in an ambulatory surgery setting puts the staff members of the organization at ease. They feel that I am one of them and they can confide in me. I am like a trusted comrade to them.

Every survey that I have conducted always has a moment that stands out, whether it is something that I have pointed out or something that the staff has done or said. While each survey is unique in its own right, there was one that I will never forget.

A physician in a relatively poor community told me that he was open to any and all advice I could offer. He had a good heart and wanted desperately to help his community. We worked hard together; the process was very collaborative. I pointed out things he was doing that were not necessarily compliant, but we fixed them and got it all straightened away.

At the end of the survey, he cried; he had worked so hard. It was a sweet moment and I assured him that he would be fine. He is doing a great job serving his community, and I was happy to be a part of that.

I like talking to people from various areas around the country. I enjoy seeing different things and sharing best practices. The learning that I do on the job is fantastic and being able to take what I learn in one location and teach it to people in another is wonderful.

Yes, several of the facilities in which I worked were Joint Commission accredited. I was also present during some surveys performed by other agencies.

We really care about working collaboratively with our organizations; we really care about the team effort. And we really care about the patient on the table. We do what’s best for the patient by working to create a plan with the organization that emphasizes best practices.

While some may think that Joint Commission surveyors are nit-picky, we’re really not; we are only being thorough. We go to great lengths to explain where we’re coming from and exactly why we’re citing the organization. When you explain the “why” to the organization, the lightbulb turns on and they truly get it — the “aha moment”!

When I cite something, I always open up a discussion about the issue. I answer questions, and even ask a Joint Commission resource to verify that I am not being “over the top.” I want to be thorough without being nit-picky. I try to give the organization the benefit of the doubt. You need common sense to be a good surveyor.

Before the survey begins, be sure to check out your extranet site and use all available resources; get your paperwork together before the survey; conduct some in-house preparatory surveys; and perform a building tour. During the survey, do not be afraid to ask questions. There are no silly or stupid questions. Believe me, we’ve seen and heard it all!

We won’t bite; we’re here to help you. Believe me when I say that we’re always on your team! Our purpose is to improve the safety and quality of health care for your patients — that’s the bottom line. We want to help make your facility the shining star of your community.