Step 5: The On-site Inspection
Before your inspection date arrives, be sure to complete all your preparations:
- Have a room booked for the inspectors to work from, and make catering arrangements (coffee breaks, lunches)
- Notify all key staff of inspection dates
- Gather relevant documentation (including paper copies of your pre-inspection documentation) and records in one location
- Prepare your patient notes for the onsite inspection. Identify the data points in advance for easy reference during the inspection.
The Inspection Checklist you submitted is used by the Inspection Team to assess your centre's level of compliance with the standards. The Inspector will verify your answers using the documents submitted before the inspection and during the on-site visit, then indicate his/her assessment of the centre's level of compliance.
Usually the inspection lasts for 1.5 days, however this depends on the size of the center. It can be 1 or 2 days. It is a thorough examination of all aspects of the programme in accordance with the Accreditation Checklist, as well as a verification of the applicant's self-check. It will follow the Inspection Plan you were sent by JACIE to the greatest extent possible.
ALL members of staff can be interviewed by the inspectors.
Step 6: Clarifications, Corrections & the Inspection Report
Once the inspection is complete, you will need to fill out the Inspection Evaluation Survey and begin to respond to any deficiencies identified by the Inspection Team. Items noted as Partially Compliant on the Inspection Checklist will not in most cases require the Applicant to submit documentary evidence of corrections, although the Applicant must indicate what steps will be taken to achieve full compliance.
Where corrections are necessary, the applicant enters the appropriate information about changes and corrections into the same checklist, which again is assessed by the Inspectors. Meanwhile, the Inspectors will prepare the Summary Report of their findings during the inspection and submit it to the Accreditation Committee.
Applicants will have to respond to any requests for clarification from JACIE, as well as submit corrections to the items noted to be non-compliant in the Inspectors' report. The Accreditation Committee can decide to request evidence of corrections at its discretion.
Step 7: Receive Accreditation
When all corrections and items have been deemed compliant by the inspectors, Accreditation will be awarded for a period of 4 years. Applicants will receive a letter of confirmation and a Certificate of Accreditation.