Unannounced surveys don't require QI changes.
Don't "react" to surveyors; be ready when they come to your door. Consider holding regular 'JCAHO Summits' to update staff on latest standards. No radical changes needed, but staff should be made aware of their resources.
D000068:Accreditation / Q000379:methods*; D004502:Education, Medical, Continuing; D017408:Guidelines as Topic; D006739:Hospital Administration / Q000592:standards*; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D017064:Process Assessment, Health Care; D017751:Safety Management; D014481:United States