I have an idea the OP did not express his question as clearly as he intended and thus led some readers to jump to conclusions which may or not be warranted.
Since I, personally, am a world-class competitor in leaping to conclusions, I've been considering a fair response which will be helpful to the OP and illuminating to other readers.
I'm a long-time member of the Institute for Healthcare Improvement (
http://www.ihi.org/ihi) and I can attest the arrogance of administrators and health care professionals in medical centers, hospitals, nursing homes, clinics, even small practices of individual doctors, can be frustrating to outsiders who come in to audit, regardless if it is to a Standard or even just a financial audit.
Thus my primary suggestion is to establish at the outset to all and sundry that the auditor is NOT there to play "gotcha," but merely to obtain a true picture of whether
- the written plans for operations are up to a pre-determined (by the auditee) standard of conformance
- the personnel actually follow the organization's own plans when observed by the auditor.
and finally, to discuss his findings with the folks in charge so they may agree or challenge and make plans for changing those things they agree need changing
Frankly, some folks don't have the personality to establish the necessary rapport. It is a truism that neophytes and others unprepared to perform a thorough and professional audit will encounter lots of resistance from the auditee's personnel.
I hope this begins to answer the real intent of the OP's query.