Project REFRESH, TJC's multiphase process improvement project, includes an approach for identifying and communicating risk levels tied to deficiencies cited during surveys. This Survey Analysis for Evaluating Risk (SAFER) approach provides facilities with more information related to risk of deficiencies to help them prioritize and focus corrective actions.
This approach allows the facility to see areas of noncompliance on an aggregate level. Facilities can see significant components of risk analysis, including the likelihood to harm a patient, staff, or visitor and the scope of a cited deficiency.
Accreditation and certification programs will begin receiving this matrix in their reports after Jan. 1, 2017. (To access a copy of the SAFER matrix, readers can go online to http://bit.ly/1OJMs8m.)