You keep vigil on the front lines; we look out for the big ideas at the forefront of transformation. The Accreditation & Regulatory Committee (ARC) serves as an oversight committee focusing on hospital accreditation and regulatory compliance. 0.000000 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. CMYK 1161 0 obj <>/Filter/FlateDecode/ID[<3C09C535D17B3540B807C125E4D5E572>]/Index[1136 44]/Info 1135 0 R/Length 114/Prev 311405/Root 1137 0 R/Size 1180/Type/XRef/W[1 3 1]>>stream Adobe Illustrator CS4 R=26 G=26 B=26 R=46 G=49 B=146 0.000000 C=0 M=0 Y=0 K=10 0 Version 1.001 2006, Revised version replacing Apex Sans Sign up to get the latest information about your choice of CMS topics. C=20 M=0 Y=100 K=0 75.000000 h22U0Pw/+Q0,H/-K-0 endstream endobj 93 0 obj <>stream 90.000000 100.000000 0.000000 RGB 70.000000 RGB 9.999100 CMYK Audit coding and billing to ensure clinical documentation integrity. 0 2008-06-27T14:40:42-07:00 R=51 G=51 B=51 71 PROCESS 92 0 obj <>stream PROCESS converted 255 102 The hospital industry is encouraged, but not required, to use the worksheets as part of their . 50.000000 80.000000 saved CMYK 251 PROCESS RGB PROCESS CMYK 2017-06-29T09:42:44-04:00 PROCESS CMYK Brights RGB Adobe Illustrator CS4 40.000000 As the health care landscape continues to change and challenge organizations, remembering that preparedness is not only for the next survey, but C=0 M=0 Y=0 K=50 90 RGB PROCESS 0.000000 0.000000 0.000000 2008-06-11T14:31:27-07:00 xmp.iid:F77F117407206811BB1DBF8F242B6F84 0.000000 Patient care is your mission; helping hospitals treat patients is ours. PROCESS 212 0.000000 40.000000 C=0 M=80 Y=95 K=0 saved PROCESS 4.998800 RGB PROCESS / 0.000000 2008-05-22T13:28:01-07:00 0.000000 PROCESS 117 Be able to effect changes in work patterns, behaviors, and the environment. RGB 36 R=217 G=224 B=33 0.000000 9.999100 90.000000 Becky Jones PROCESS 176 Adobe Illustrator CC 2017 (Macintosh) 0.000000 CMYK C=0 M=0 Y=0 K=60 25.000000 CMYK 0009 Process for EP collaboration 0.000000 230 65.000000 67 0.000000 PROCESS With the input of the S&C Emergency Preparedness Stakeholder Communication Forum, CMS has compiled a list of useful national emergency preparedness resources to assist State Survey Agencies (SAs), their State, Tribal, Regional, local emergency management partners, and health care providers to develop effective and robust emergency plans. PROCESS RGB Green PROCESS 41 endstream endobj startxref CMYK PROCESS Adobe Illustrator CS4 50.000000 or Secure .gov websites use HTTPSA CMYK C=0 M=95 Y=20 K=0 PROCESS 100.000000 saved 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. 128 35.000000 5.000000 40.000000 65.000000 0.000000 PROCESS 0 CMYK xmp.iid:14185fd0-bdb5-4ecc-b16d-f4081da19180 100.000000 R=102 G=45 B=145 All rights reserved. PROCESS Title: Massachusetts General Hospital xmp.iid:0180117407206811834383CD3A8D2303 White 45 Ready-made survey documentation checklists & binders, tailored to the healthcare compliance survey requirements for JCAHO, DNV, HFAP, and AAAHC. 0.000000 0.000000 xmp.iid:0280117407206811822AAF38E5D73FC4 80.000000 R=0 G=0 B=0 xmp.iid:ba996eb8-37d4-49a2-aeb0-c5cad13af4ec Also, review the tips and suggestions for enhancing organizational readiness for ways to enhance your institution's readiness. 0.000000 169 Helping Hospitals Manage Operations | Treat Patients | Serve Communities. 0.000000 PROCESS PROCESS 70.000000 0.000000 CMYK 255 b`P~ The following pages present documentation required by the Hospital Accreditation Program Life Safety (LS), and selected Environment of Care (EC) standards. Adobe Illustrator CC 22.0 (Macintosh) PROCESS Web PROCESS 95.000000 PROCESS 0.000000 PROCESS False uuid:72d2bef2-1d8f-3b42-9fda-7e2ea81c1bcb saved 122 26 237 C=0 M=0 Y=0 K=30 uuid:5D20892493BFDB11914A8590D31508C8 2008-05-15T17:10:45-07:00 Adobe Illustrator CS4 CMYK 142 50.000000 RGB PROCESS PROCESS 0.000000 0.000000 145 115 65.000000 2008-05-16T11:30:54-07:00 5.000000 RGB PROCESS 80.000000 C=5 M=0 Y=90 K=0 In this section, youll find information about all the good work hospitals do outside their four walls. 0 R=128 G=128 B=128 / 128 CMYK CMYK hb``` eaa0sr' TZ#zGGcEG8$L .z! Compliant with The Joint Commission's accreditation standards. RGB 28 75.000000 xmp.iid:D27F11740720681191099C3B601C4548 0.000000 PROCESS The Checklist can be used periodically (at minimum intervals of 3 to 6 months) to monitor the progress of a hospital's readiness for the COVID-19 pandemic. 100.000000 Youre the reason were in business; these are the advantages of doing business with us. 50.000000 https:// C=90 M=30 Y=95 K=30 R=255 G=147 B=30 In addition, these tools will help staff proactively identify and correct regulatory issues to improve compliance and as well as decrease the number and length of surveys and cited deficiencies. #~t Fy5{GGntg7m;mbnhJ#FSAK3I 3XdOa0LOXH& 3ud|d[gBWC5dXX].VXC39X=L\t61m;k`u8k r$}*(=B`_9.!FE!>$P^LbR!0ygn. Or use it directly in your survey by selecting any template of your choice and send them out to your patients or respondents. Have an interpersonal style conducive to coaching (e.g., demonstrate a supportive attitude and ability to build confidence in others). PROCESS RGB Official websites use .govA Adobe Illustrator CS5.1 The Life Safety surveyor will begin review of these documents soon after arrival for the onsite survey. 242 / PROCESS Print 83 100.000000 0.000000 35.000000 These checklists are being distributed solely for informational purposes and are not intended to serve as an interpretation to the regulations. 147 C=10 M=100 Y=50 K=0 0.000000 PROCESS 0.000000 65.000000 10.000000 Apex New 189 Organizational Readiness Assessment Checklist Record your responses to the questions below: Organizational Readiness Score If the number of Yes responses you've selected is: 9-12 out of 12: This is likely to be a good time to implement TeamSTEPPS within your institution. R=63 G=169 B=245 0.000000 DOWNLOAD NOW, This downloadable Word document is a sample pressure relationship policy you can customize to fit the needs of your facility. from application/pdf to / 230 C=85 M=10 Y=100 K=10 2015-05-08T09:28:16-04:00 PROCESS 10.000000 Vice President of Clinical and Regulatory Affairs. C=55 M=60 Y=65 K=40 RGB 51 226 CMYK R=242 G=242 B=242 0.000000 247 Rockville, MD 20857 0.000000 95.000000 100 False PROCESS 10.000000 PROCESS 100.000000 50.000000 100.000000 55.000000 0 PROCESS CMYK C=100 M=95 Y=5 K=0 CMYK Yellow Be effective at developing the teamwork skills of others. 55.000000 100.000000 %%EOF %PDF-1.7 % 15.000000 0.000000 100.000000 0.000000 R=193 G=39 B=45 60.000000 R=140 G=198 B=63 For questions or concerns email "Joint Commission Readiness" | 7 UESTION ANSWER Survey READINESS PROVISION OF CARE, TREATMENT AND SERVICES Page 1 of 3 1. 60.000000 0.000000 C=0 M=0 Y=0 K=70 ACHC 2 line Logo xmp.did:14185fd0-bdb5-4ecc-b16d-f4081da19180 CMYK C=0 M=80 Y=95 K=0 PROCESS PROCESS PROCESS 90.000000 PROCESS 0.000000 0.000000 C=0 M=100 Y=100 K=0 saved PROCESS Missouri Hospital Association 2023. 34 saved 35.000000 C=50 M=100 Y=0 K=0 C=0 M=35 Y=85 K=0 PROCESS from application/postscript to application/vnd.adobe.illustrator 0.000000 saved 0.000000 PROCESS CMYK uuid:5D20892493BFDB11914A8590D31508C8 saved 100.000000 Be highly respected with sufficient informal or formal power. 0.003100 Number patients discharged to the hospital in the past 12 months Number of patients discharged to the nursing home in . C=15 M=100 Y=90 K=10 0.000000 0.000000 30 35.000000 PROCESS Describe history, goals and discharge plans, and interventions and progress to date. from application/vnd.adobe.illustrator to application/vnd.adobe.illustrator 57 95.000000 169 90.000000 121 0.000000 PROCESS 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). HH HSP PD_WH The worksheets are used by State and Federal surveyors on all survey activity in hospitals when assessing compliance with any of these three CoPs. Based on your responses, significant work is likely needed to raise the readiness level of your institution. 43.137300 33

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