Our Administration grilled and drilled us on what we needed to know--even gave us a booklet w/ all the necessary ??'s and answers. The hospital spent the last year prepping us for it.
Mopsi's right about the place never looking better, and great staffing. We had extra nurses on our unit updating Policies and Proceedures, making fix-it lists (Hospital even had an official "fix-it" team), got rid of old ratty-looking furniture and got some new stuff. It was kinda fun getting stuff fixed or replaced we'd been asking for since last JACHO 3 years ago.
In CA, Dept of Health Services comes at the same time, so had their stuff to pay attention to also.
All the prep paid off--we got 95 from JCAHO, and no "type I's" from DHS. They even complimented us on how well the facility has been maintained even though it's an old county hospital taken over by a University. That rating is the best in the city--another hosp got 96, but they had a type I.
My contribution was "competencies" for the volunteer "cuddlers" who come in to hold babies for us, and to NOT be scheduled for work when they were supposed to be here!!!
It's over for now, we can relax for a couple of years till it's time to do it again--and that one should be the LAST before retirement!!