Preparing documentation for a JCAHO visit

This article describes a documentation format for Joint Commission on the Accreditation of Healthcare Organizations (JCAHO) standard 6. A system for maintaining ongoing documentation is presented. Once in place, only a few "last minute" items need preparation prior to a JCAHO visit. In the weeks preceding the visit, department members can review the materials for accuracy and completeness and ensure that the document adequately reflects the extent and quality of the department's activities. The system is easily adapted to changes in JCAHO standards.