When tracking your performance improvement activities, don’t be afraid to have indicators that struggle to reach benchmarks.

 

Joint Commission (formerly JCAHO) surveyors won’t find your evaluations deficient simply because you don’t reach ambitious goals.

 

In fact, surveyors may quickly notice—and scrutinize—performance improvement indicators that consistently meet or exceed benchmarks. Surveyors could view your program as not looking at the right things, or view your assessment as not being honest. Either situation is best to avoid.