For-Profit Acute Care Hospital
Through LSS’ relationship with a large healthcare system’s corporate office, LSS was contacted by a large acute care hospital, on recommendation of their corporate leadership, to help the facility to prepare for their upcoming Joint Commission Survey, and to perform a “Mock Survey”. LSS deployed our life safety consulting team to the site to perform a detailed 3 day Mock Survey.
How LSS Helped the Client:
- By performing detailed mock survey and noting numerous deficiencies prior to the arrival of the actual Joint Commission Surveyor it allows the facility engineer, and the hospital’s corporate office to plan accordingly, and budget accordingly to have these items addressed and avoid citations.
- By having close-out meetings and review with the facility engineer LSS also is providing the client with an educational session on areas of concern so the facility has the opportunity to learn where they have fallen short and can avoid these areas in the future.
- Ultimately LSS helped this facility to be in compliance with The Joint Commission’s Environment of Care and Elements of Performance as it relates to life safety.
Industries We Serve
- Day 1 of Mock Survey – Review of Life Safety Drawings to ensure data is complete and accurate, smoke compartments are suites are identified and size(s) are in compliance, safety equipment is properly identified, hazardous areas are depicted, alarm system and extinguishers are illustrated, means of egress are clearly shown, construction areas (if applicable) are identified, medical gas outlets are noted, and egress distances are marked.
- Day 2 of Mock Survey – Conduct building tour for life safety compliance. Items included are; review from roof-to-floor of means of egress and security and exit entrance(s), review of firestop assemblies, review of above ceiling compliance, review of exit signage and egress paths, inspect doors for hardware, egress, and fire rating compliance, inspect sprinklers for cleanliness and eschusion plates, inspect smoke sensors for cleanliness and location of HVAC discharge and return grilles, inspect eye wash stations, and inspection of safety showers.
- Day 3 of Mock Survey – Review findings from Days 1 and 2 with facility engineer and perform detailed review of the facility’s required testing documentation required to have on file for The Joint Commission. This requires inspection of over seventy (70) testing documents. Day concludes with close out meeting with facility engineer with findings of the survey.
- Mock Joint Commission Survey