hospital survey readiness checklist

Noncommercial use of original content on www.aha.org is granted to AHA Institutional Members, their employees and State, Regional and Metro Hospital Associations unless otherwise indicated. uuid:65E6390686CF11DBA6E2D887CEACB407 PROCESS 0.000000 Share sensitive information only on official, secure websites. PROCESS 0 C=55 M=60 Y=65 K=40 PROCESS xmp.iid:B333668C16206811BDDDFD38D0CF24DD 1 0 RGB PROCESS R=102 G=102 B=102 0.000000 204 C=0 M=75 Y=100 K=0 saved C=50 M=0 Y=100 K=0 34 CMYK For information about the availability of auxiliary aids and services, please visit www.medicare.gov. 60.000000 0.000000 proof:pdf saved R=0 G=0 B=0 converted 4.413194 saved Official websites use .govA In positions that allow flexibility in scheduling. 0.000000 application/postscript PROCESS 0.000000 0.000000 C=0 M=0 Y=0 K=70 10.000000 Compliant with The Joint Commission's accreditation standards. 115 Your responses indicate that your institution may not be ready on one-third to one-half of the factors. 0.000000 xmp.iid:F4FCF1F0642AE1118FF4ACE6949E056D / 98 R=217 G=224 B=33 xmp.iid:B433668C16206811BDDDFD38D0CF24DD Rapid hospital readiness checklist: Interim Guidance Harmonized health service capacity assessment in the context of the COVID-19 pandemic Harmonized health service capacity assessment in the context of the COVID-19 pandemic Global Regions WHO Regional websites Africa Americas South-East Asia Europe Eastern Mediterranean Western Pacific 2008-05-16T13:27:54-07:00 C=85 M=10 Y=100 K=10 2008-06-02T13:25:25-07:00 PROCESS from application/vnd.adobe.illustrator to application/vnd.adobe.illustrator RGB This type of survey allows physicians to locate risk factors in the community around the hospital or health care centers, such as tobacco use, alcohol use, poor diet habits, and lack of physical exercise, which are common health behaviors. xmp.did:0280117407206811822AAF38E5D73FC4 saved 80.000000 0.000000 v$}zs? Black C=70 M=15 Y=0 K=0 10.000000 Note: Unless otherwise noted, the checklists were last updated in August 2020. C=40 M=45 Y=50 K=5 80.000000 CMYK Yellow In this section, youll find resources to manage a highly efficient, safe and reliable organization. 0.000000 R=102 G=45 B=145 0 Use the medical record to show PROCESS RGB In addition, the clinical surveyors will cover EOC related topics during their tracers. 0 4.079484 35.000000 39.999400 Youre dedicated to running the hospital; were dedicated to helping you. 40.000000 For information about the availability of auxiliary aids and services, please visit www.medicare.gov. 57 CMYK Magenta Version 1.001 2006, Revised version replacing Apex Sans 82 Adobe Illustrator CS4 White converted 0.000000 2017-05-16T13:31:23-04:00 In preparation for TJC Hospital Survey 2022, please refer to the files inTJC 2022 Microsoft Teams: For additional information, please contact Kelly Ingrassia ([emailprotected]), Director of Regulatory Affairs, 2023 The Regents of the University of California, EOC Survey Rounding Checklist- Inpatient, EOC Survey Rounding Checklist - Ambulatory, Focuses on regulatory compliance at UCSF Medical Center via tracer methodology (Mock Survey SAFER Matrix), Reviews upcoming and pending surveys at UCSF Medical Center, Receives updates from key stakeholders on TJC Priority Focus Areas, such as management of patients atrisk for suicide, titrations of continuous IV infusions, air pressure relationships. CMYK 100.000000 59.999100 237 75.000000 10.000000 30.000000 CMYK 169 0.000000 CMYK 147 99 Adobe PDF library 15.00 PROCESS RGB 124 PROCESS CMYK PROCESS 25.000000 0.000000 CMYK CMYK 95.000000 7500 Security Boulevard, Baltimore, MD 21244, An official website of the United States government, Quality, Safety & Oversight Group - Emergency Preparedness, Health Care Provider Voluntary After Action Report/Improvement Plan Template and Instructions (ZIP), CMS Emergency Preparedness and Response Office (EPRO) Website, Office for Civil Rights, HIPAA Privacy Rule: Disclosures for Emergency Preparedness Decision Tool, Survey & Certification Public Health Emergency Frequently Asked Questions All Hazards, SA Emergency Preparedness Promising Practices. R=140 G=198 B=63 75.000000 0.000000 Critical Access Hospital Set. 75.000000 hbbd```b``v3@$Dn"5A$.dI C=0 M=80 Y=95 K=0 181 C=25 M=40 Y=65 K=0 100.000000 Web PROCESS CMYK Viewed as advocates of teamwork and models for implementing teamwork actions during day-to-day operations. 0.000000 R=199 G=178 B=153 0 PROCESS RGB C=50 M=0 Y=100 K=0 Implementing TeamSTEPPS at this time could engender significant risk that it will not succeed or produce the desired results. 0.000000 60.000000 0.000000 To ensure that the tool is relevant to health care facility professionals, it focuses specifically on A-Tag requirements. 10.000000 65 PROCESS saved 19.999700 / Number patients discharged to the hospital in the past 12 months Number of patients discharged to the nursing home in . / 0.000000 Health care organizations must be proactive around survey readiness and the reasons for doing so are much more important and profound than satisfying any given set of criteria every three years. 100.000000 0.000000 0.000000 False 0 0.000000 90.000000 212 @bH`3W(yPf+H`A gWG:@ W 0009 Process for EP collaboration 100.000000 RGB Adobe Illustrator CC (Macintosh) PROCESS PROCESS RGB / 140 19 PROCESS Adobe Illustrator CS5.1 45.000000 C=0 M=0 Y=0 K=80 M 93 100.000000 100.000000 RGB 181 40.000000 CMYK 0 63 PROCESS 100.000000 CMYK 0.000000 / 90.000000 CMYK See the TJC 2021 Survey Activity Guide for this new Document List. 100.000000 100.000000 converted PROCESS 0.000000 C=0 M=35 Y=85 K=0 PROCESS Brights CMYK RGB xmp.iid:ba996eb8-37d4-49a2-aeb0-c5cad13af4ec R=0 G=113 B=188 0.000000 39 PROCESS PROCESS PROCESS 2008-05-16T11:30:54-07:00 37.254900 C=35 M=100 Y=35 K=10 83 xmp.iid:FA7F117407206811B628E3BF27C8C41B CMYK 0.000000 77 60.000000 79.998800 230 8,1,kC4^:h$2INN=+}./qmMJGth}l5FvSk88K?[B3L>,R^e_p?k0EhuSQb\87>&gIr(lY=q-Y!~m5or=WvhW[NJdoTY_5q7:qiAo|%IKn[pKQ"y+LHvh LKFI^H9,NVv*[|. _fA3/d7RbJ(Q3>H1QL[F$*'bD0 endstream endobj 10 0 obj <>stream PROCESS 0.000000 0.000000 75.000000 0.000000 90.000000 C=50 M=70 Y=80 K=70 201 RGB 100.000000 245 100.000000 https://www.ahrq.gov/teamstepps/readiness/index.html. CMYK ( You keep vigil on the front lines; we look out for the big ideas at the forefront of transformation. CMYK Yellow 85.000000 xmp.iid:F87F1174072068119098B097FDA39BEF If you have questions about the regulations, please contact the appropriate state and/or federal agency. 0.000000 from application/vnd.adobe.illustrator to 76 xmp.iid:14185fd0-bdb5-4ecc-b16d-f4081da19180 20 CMYK 10.000000 0.000000 90.000000 0.000000 All Rights Reserved. PROCESS 50.000000 100.000000 0.000000 RGB 75.000000 saved saved 90.000000 CMYK 0.000000 0.000000 0.000000 / xmp.iid:EF7F117407206811A46CA4519D24356B CMYK An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. 5.000000 70.999998 RGB MHA staff hopes these checklists will assist your hospital in achieving and maintaining continuous survey readiness and compliance with the state hospital licensure regulations and the Medicare CoPs. / PROCESS 0.000000 0.000000 0.000000 Grays RGB RGB C=0 M=0 Y=0 K=100 25.000000 25.000000 xmp.iid:b206250d-6cc5-4baa-8f1b-21cdaff10d3e 0.000000 RGB 69.999700 SDAHO | South Dakota Association of Healthcare Organizations 100.000000 100.000000 You may find it helpful to have a colleague review your responses or to answer the questions with a larger group (e.g., senior leaders). 0 100.000000 100.000000 35.000000 50.000000 5.000000 85.000000 2008-05-16T11:29:01-07:00 2008-05-15T22:53:33-07:00 saved Adobe Illustrator CS4 Adobe Illustrator CS4 0.000000 2015-05-08T09:28:16-04:00 Inches RGB 0 RGB CMYK 1 xmp.iid:0180117407206811834383CD3A8D2303 65.000000 85.000000 xmp.iid:F97F1174072068118D4ED246B3ADB1C6 PROCESS 0.000000 153 0.000000 95.000000 Heres how you know. Adobe Illustrator CS4 from application/postscript to application/vnd.adobe.illustrator 100.000000 C=100 M=90 Y=0 K=0 saved ApexNew-Book 50.000000 PROCESS CMYK saved C=0 M=100 Y=100 K=0 PROCESS 100.000000 PROCESS 0.000000 C=20 M=0 Y=100 K=0 uuid:5D20892493BFDB11914A8590D31508C8 0.368056 Answer all the questions by checking the box to the left of your answer. 1 xmp.iid:FC7F117407206811BDDDFD38D0CF24DD PROCESS 100.000000 Below are some tips and suggestions for actions you can take to help assess and enhance the readiness of your institution to implement TeamSTEPPS. 100.000000 0.000000 PROCESS - 0.000000 0.000000 Print saved 85.000000 0.000000 60.000000 MHA has developed self-assessment checklists for acute care hospitals that will aid them with their internal assessments of their compliance with state hospital licensure regulations, Medicare Conditions of Participation (CoPs) for hospitals and the interpretative guidelines to the CoPs. saved C=85 M=10 Y=100 K=0 tips for survey readiness Even during a public health emergency (PHE), Home Health . PROCESS C=0 M=0 Y=0 K=50 Inches 1 0 from application/pdf to 60.000000 Youre the reason were in business; these are the advantages of doing business with us. PROCESS Background: This tool can be used to monitor your progress on completing the organizational readiness activities. R=0 G=104 B=55 1 CMYK This checklist may help hospital facility professionals prepare for survey evaluations regarding Appendix A requirements from the Centers for Medicare & Medicaid Services (CMS). 0.000000 255 100.000000 89.999400 0.000000 26 39.999400 Adobe Illustrator CS4 2008-05-15T16:23:06-07:00 50.000000 2017-06-29T09:42:45-04:00 / RGB Telephone: (301) 427-1364. PROCESS PROCESS 30 100.000000 25.000000 0.000000 Be highly respected with sufficient informal or formal power. RGB CMYK 247 C=90 M=30 Y=95 K=30 saved 0.000000 0.000000 1179 0 obj <>stream R=241 G=90 B=36 40.000000 95.000000 2018-01-02T11:10:49-05:00 RGB CMYK 55 CMYK saved uuid:5D20892493BFDB11914A8590D31508C8 PROCESS CMYK saved 0.000000 PROCESS 57 CMYK PROCESS 5.000000 PROCESS 0.000000 33 RGB 0.000000 PROCESS CMYK 0.000000 Adobe Illustrator CS6 (Macintosh) 2018-01-02T11:16:23-05:00 PROCESS 217 Magenta 0.000000 CMYK In this section, youll find information about all the good work hospitals do outside their four walls. Patient care is your mission; helping hospitals treat patients is ours. 56 / How to use this tool: Complete the checklist. PROCESS 2.352900 Adobe Illustrator CS4 100.000000 0.000000 C=0 M=90 Y=85 K=0 R=242 G=242 B=242 The Centers for Medicare & Medicaid Services (CMS) reminds organizations of critical Medicare Part C and D readiness items prior to the 2020 Annual Election Period (AEP) and coverage beginning January 1, 2021. 146 RGB 153 saved CMYK from application/pdf to CMYK 19.999700 0.000000 50.000000 Hospitals typically have one or more individuals whose job includes responsibility for accreditation and a committee with representatives from nursing, environment of care and other departments who. R=158 G=0 B=93 The Missouri Department of Health and Senior Services Division of Regulation and Licensure is responsible for interpreting and enforcing these regulations. 2018-01-02T11:16:23-05:00 PROCESS C=40 M=70 Y=100 K=50 application/postscript endstream endobj startxref Default Swatch Group The worksheets are used by State and Federal surveyors on all survey activity in hospitals when assessing compliance with any of these three CoPs. 70.000000 0.000000 85.000000 The evolving health care landscape requires continuous learning; we keep you informed through relevant education and insight. R=122 G=201 B=67 615.250.9145; . 70.000000 0.000000 35.000000 In this section, youll find information about all the good work hospitals do outside their four walls. 77 CMYK CMYK 301 ACHC Blue White Also, review the tips and suggestions for enhancing organizational readiness for ways to enhance your institution's readiness. 75.000000 CMYK This page is intended for resources and general information. CMYK RGB 2008-05-16T10:35:43-07:00 xmp.iid:0280117407206811822AAF38E5D73FC4 C=100 M=90 Y=0 K=0 The Accreditation & Regulatory Committee (ARC) serves as an oversight committee focusing on hospital accreditation and regulatory compliance. Sign up to get the latest information about your choice of CMS topics. 0.000000 Margaret Jennette PROCESS saved PROCESS 0.000000 Adobe Illustrator CS4 90.000000 CMYK helping hospitals treat patients is ours. 0.000000 49 RGB R=26 G=26 B=26 Health policy shapes the operating environment for hospitals; we influence those policies with one unified voice. The Checklist can be used periodically (at minimum intervals of 3 to 6 months) to monitor the progress of a hospital's readiness for the COVID-19 pandemic. 0.000000 Adobe Illustrator CS5.1 xmp.iid:14185fd0-bdb5-4ecc-b16d-f4081da19180 C=10 M=100 Y=50 K=0 26 CMYK In this section, youll find educational opportunities to accommodate a variety of professions, schedules and topics. %%EOF R=147 G=39 B=143 endstream endobj startxref Strong communities need strong hospitals; were committed to supporting your strength. 0.000000 CMYK PROCESS 43.137300 C=100 M=95 Y=5 K=0 Adobe Illustrator CS4 255 C=50 M=50 Y=60 K=25 /)l CMYK 80.000000 R=179 G=179 B=179 CMYK 0 Similar to the K-Tags CMS uses for life safety, the series of A-Tags developed by CMS provide interpretive . This assessment is best suited for hospital supervisors, managers, and administrators. PROCESS 0.000000 / Based on your responses, significant work is likely needed to raise the readiness level of your institution. Some critical steps in survey readiness include: Recognize common deficiencies cited in your type of care setting. To request permission to reproduce AHA content, please, Focus on Compliance: Special ventilation rooms monthly log, Focus on Compliance: Sample pressure relationships policy and procedure, Focus on Compliance: Hospital checklist for fire safety inspection, testing, and maintenance, Hospital Appendix A Survey Readiness Checklist and Crosswalk, Preparing for the CHC Exam: A Resource List, American Society for Health Care Engineering, 155 N. Wacker Dr., Ste.400, Chicago, IL 60606.

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