Overview:
**GENERAL SUMMARY**

**Responsibilities**:
**ESSENTIAL JOB FUNCTIONS AND REQUIREMENTS**

**_ PRINCIPAL DUTIES AND RESPONSIBILITIES: _**Field Representatives must be able to perform the following essential job duties and functions:
Joint Commission policies and procedures to ensure that its mission is achieved;Relevant, contemporary knowledge in professional field of expertise; and
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- Applicable regulations pertinent to the survey.
- Exercise independent judgment to conduct a thorough evaluation of assigned services and programs that meet accreditation and certification eligibility criteria, including without limitation the following:
Review and evaluate pre-survey/pre-review information and conduct all pre-survey/pre-review activities. This includes using organization-specific information and selecting appropriate patient records to identify diverse patient populations, diagnoses and experiences.Conduct a thorough analysis of risk to patients, staff and/or visits within care delivery systems
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Thoroughly evaluate patient care environments to assess health care organizations' operations and standards compliance.
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Interview staff and patients to determine health care organizations' level of compliance with Joint Commission standards.
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Detect and interpret environmental cues of relevance to the evaluation of health care organizations' operations and standards.
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Conduct a thorough and credible evaluation of assigned services that meet life safety requirements, environment of care and emergency management standards, as necessitated by the type survey assignment.
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- Accurately place all identified risk points in/on the SAFER matrix.

In response to patient-centered evaluation activities, analyze policies, procedures, meeting minutes, clinical standards, protocols, patient records, employee records, committee reports, to assess the level of compliance with Joint Commission standards, implementation of policies, evidence of performance improvement, and quality and safety of care.- Using Joint Commission's established survey/review process, exercise independent judgment and discretion as follows:
Participate in and conduct required on-site activities, including without limitation inspections, required conferences, tours and interviews with staff.Review and interpret all data submitted by the organization.
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Provide appropriate documentation to guide health care organization improvement activities, including a comprehensive rationale for any observations.
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Link each observation to potential system-level vulnerabilities and opportunities for organizational improvements in patient care and safety.
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- Consult with the organization during surveys or reviews concerning potential risks to patients, staff and/or visitors when identified, clarify opportunities for improvement, and remedial action required.
Provide ample opportunity for discussion and clarification of potential findings to allow organizations to provide evidence of compliance or to reach an understanding of the organizational risk.
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- As appropriate, offer examples of best practices relating to identified opportunities for improvement, recommend publications and other Joint Commission resources that clarify standards and / or demonstrate compliance with standards.
- Report survey/review findings in a complete, accurate, understandable, and timely manner.

Interpret and explain the intent of standards to each health care organization's personnel in a detailed, constructive, professional manner, and audience-centred. This often includes the ability to communicate negative information in a constructive manner.Exercise appropriate judgment to seek assistance from others, including Central Office, the Field Director on call, the program specific Field Director, the Standards Interpretation Group, or the Accreditation and Certification Operations leadership as appropriate.
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Assist the Central Office in responding to standards interpretation questions from the field, analysis of periodic performance reviews, evidence of standards compliance reports, complaints, and Medicare out-of-compliance reports.
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Collaborate in a productive manner with colleagues to ensure that the mission of the Joint Commission is achieved, including conducting interactive evaluation sessions with staff on high-profile issues in health care and offering relevant consultation where improvement is needed.
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Provide regular and timely attendance.
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Travel extensively, including travel on weekends, at all times of the day/night, and sometimes without prior notice, travel by automobile and on airplanes of all sizes, and travel in all weather conditions. Field representatives must be able travel to all types of airports and in whatever type of ground transportation is necessary to enable them to timely perform their duties.
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Follow customers' safety policies when on site, including following requested safety measures (e.g., wearing appropriate protect