0.000000 R=122 G=201 B=67 70.000000 List of patient or resident discharges within the past 30 days List of patients or residents readmitted to the hospital within the past 90 days For Nursing Care Centers that elect the Memory Care Certification option The following additional documents will need to be available for the surveyor: / PROCESS CMYK CMYK This reduces the likelihood that the program will be successful. 0.000000 70.000000 2008-05-16T13:46:13-07:00 100.000000 0.000000 90.000000 134 242 In this section, youll find resources devoted to providing safe, reliable, patient-centered care. 35.000000 Title: Massachusetts General Hospital 50.000000 Adobe Illustrator CS4 0 PROCESS 0.000000 1 242 30.000000 RGB CMYK (*Y8UrK8\trwx[/*81BP%*D+ {XPLq("k1A Aq; 35.000000 50.000000 100.000000 RGB 50.000000 0.000000 0.000000 40.000000 147 PROCESS CMYK 2017-06-29T09:42:45-04:00 PROCESS 1 85.000000 xmp.iid:F97F117407206811BDDDFD38D0CF24DD Background: This tool can be used to monitor your progress on completing the organizational readiness activities. 0.000000 xmp.did:e74a2cd3-8568-4f4f-97f4-68b0dd1d1965 hTmo0+&N4i&hicXNNt1Uql?].d!X'>Oo_gu-uW5wp%;/Ne?%x*+ [\}ob? 51 0 R=0 G=146 B=69 lock 50.000000 / As you begin the implementation process, make sure you continue to monitor whether the answers to these questions change and keep a close eye on any items to which you answered "no. 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CMYK 0 MHA has developed self-assessment checklists for critical access 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. 237 25.000000 29 / 0.000000 PROCESS saved PROCESS PROCESS RGB 70.000000 CMYK 102 21.0.0 PROCESS 100.000000 0.000000 55.000000 R=102 G=45 B=145 helping hospitals treat patients is ours. R=0 G=169 B=157 Share sensitive information only on official, secure websites. 36 C=50 M=50 Y=60 K=25 255 saved PROCESS 0 25.000000 PROCESS R=140 G=98 B=57 5.000000 C=85 M=10 Y=100 K=10 0.000000 saved PROCESS Compliant with The Joint Commission's accreditation standards. 66 In this section, youll stay apprised of legislative, legal and regulatory work occurring at the local, state and federal level. 0.000000 CMYK 63 To sign up for updates or to access your subscriberpreferences, please enter your email address below. 0.000000 PROCESS from application/pdf to 45 An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. 80.000000 9.999100 PROCESS 0 95.000000 77 CMYK 301 ACHC Blue Brights saved 0.000000 C=40 M=65 Y=90 K=35 These checklists are being distributed solely for informational purposes and are not intended to serve as an interpretation to the regulations. 0.000000 0.000000 This checklist may help hospital facility professionals prepare for survey evaluations regarding Appendix A requirements from the Centers for Medicare & Medicaid Services (CMS). Apex New CMYK 146 10.000000 Rockville, MD 20857 0.000000 C=50 M=0 Y=100 K=0 2.352900 CMYK Default Swatch Group 0.000000 R=0 G=113 B=188 4.998800 In this section, youll find information on developing issues as they impact health care. 179 100.000000 2008-04-17T14:19:15+05:30 PROCESS b`P~ 255 100.000000 0.000000 85.000000 204 RGB C=0 M=0 Y=0 K=100 Web 10.000000 1. 4.998800 from application/pdf to CMYK RGB Version 1.001 2006, Revised version replacing Apex Sans C=70 M=15 Y=0 K=0 Subject: 2021 Readiness Checklist for Medicare Advantage Organizations, Prescription Drug Plans, Medicare -Medicaid Plans, and Cost Plans . PROCESS CMYK 10.000000 2018-01-02T11:16:23-05:00 PROCESS 49 0.000000 PROCESS C=85 M=10 Y=100 K=0 0.000000 71 / PROCESS R=83 G=71 B=65 0.000000 CMYK C=75 M=0 Y=75 K=0 15.000000 0.000000 36 Adobe Illustrator CS4 0.000000 100.000000 0.000000 2023 by the American Hospital Association. 51 90.000000 100.000000 CMYK Daily checklist completed for temperatures Correct temp observed: Food & drink, 36-45( F Correct temp observed: Medications, 36-46( F Correct temp observed: Specimens, 36-46( F Correct temp observed: Blood, 34-43( F Correct temp observed: Freezers, (32( F Only medications in medication refrigerator Only food in food refrigerator Only specimens . Adobe Illustrator CS4 Surveyors may request other EC and LS documents, as needed, throughout the survey. 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. Reference: Developed by Falls Toolkit Research Team. 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. / 80.000000 PROCESS 50.000000 PROCESS %%EOF 19.999700 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. 104 69.999700 CMYK Green PROCESS Adobe Illustrator CS4 90.000000 0 Number patients discharged to the hospital in the past 12 months Number of patients discharged to the nursing home in . PROCESS from application/postscript to application/vnd.adobe.illustrator 0.000000 CMYK The Accreditation & Regulatory Committee (ARC) serves as an oversight committee focusing on hospital accreditation and regulatory compliance. 0.000000 60.000000 R=0 G=0 B=0 / saved Adobe PDF library 15.00 90.000000 PROCESS xmp.iid:B333668C16206811BDDDFD38D0CF24DD C=15 M=100 Y=90 K=10 converted C=0 M=0 Y=0 K=50 77 70.000000 xmp.iid:FC7F117407206811BDDDFD38D0CF24DD 0.000000 35.000000 CMYK xmp.iid:FD7F117407206811BDDDFD38D0CF24DD PROCESS 90.000000 0 100.000000 80.000000 RGB Adobe Illustrator CS4 C=5 M=0 Y=90 K=0 Below are some tips and suggestions for actions you can take to help assess and enhance the readiness of your institution to implement TeamSTEPPS. 0.000000 0.000000 C=90 M=30 Y=95 K=30 25.000000 30.000000 65.000000 Adobe Illustrator CS4 0.000000 100.000000 All storage 18 inches from sprinkler heads (storage against wall is exempt) Rev. 140 193 0.000000 CMYK 40.000000 0.000000 R=128 G=128 B=128 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 CC 22.0 (Macintosh) In this section, youll find resources to manage a highly efficient, safe and reliable organization. 181 This document provides a checklist for hospitals to document the inspection, testing, and maintenance of fire safety equipment and fire safety building systems. xmp.iid:FA7F117407206811BDDDFD38D0CF24DD 46 Adobe Illustrator CS4 100.000000 EED Regulatory Readiness Checklist (Inpatient Units) Environment of Care (EOC) No supplies on the floor No storage of cardboard shipping boxes No loose items under supply carts . 255 26 0.000000 93 25.000000 PROCESS In positions that allow flexibility in scheduling. from application/postscript to application/vnd.adobe.illustrator 0.000000 from application/postscript to application/vnd.adobe.illustrator / 36 2008-05-16T11:29:20-07:00 PROCESS 75.000000 2018-01-02T11:16:23-05:00 CMYK PROCESS 2.101852 PROCESS PROCESS https:// RGB / from application/vnd.adobe.illustrator to application/vnd.adobe.illustrator 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. 10.000000 C=80 M=10 Y=45 K=0 0.000000 CMYK 35.000000 CMYK All Rights Reserved. C=40 M=65 Y=90 K=35 RGB 0.000000 R=66 G=33 B=11 False PROCESS 0.000000 50.000000 Adobe Illustrator CC (Macintosh) C=0 M=0 Y=0 K=80 CMYK C=0 M=0 Y=0 K=80 xmp.iid:01801174072068118083EB546DC1E694 R=117 G=76 B=36 CMYK xmp.iid:F77F117407206811BB1DBF8F242B6F84 Print PROCESS 100.000000 65.000000 proof:pdf PROCESS RGB Cyan 21.0.0 26 PROCESS PROCESS 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=255 G=29 B=37 100.000000 R=140 G=198 B=63 SDAHO | South Dakota Association of Healthcare Organizations R=252 G=238 B=33 Also, review the tips and suggestions for enhancing organizational readiness for ways to enhance your institution's readiness. PROCESS PROCESS PROCESS 0.003100 PROCESS PROCESS 169 Health policy shapes the operating environment for hospitals; we influence those policies with one unified voice. 0.000000 2015-05-08T09:28:16-04:00 saved 0.000000 STARTING AT. PROCESS 100.000000 242 Adobe Illustrator CC 22.0 (Macintosh) PROCESS or 33 xmp.iid:e74a2cd3-8568-4f4f-97f4-68b0dd1d1965 204 C=0 M=10 Y=95 K=0 CMYK C=10 M=100 Y=50 K=0 30.000000 95.000000 uuid:5D20892493BFDB11914A8590D31508C8 xmp.iid:B233668C16206811BDDDFD38D0CF24DD 153 saved CMYK Blue 7uv;7el6 {GFqq\& 4,: EnXRrkSL-s'FWz,-u3 V7-Z5:F52)4G!$2%$Z"4 0C0.G.],BsH/RL#7nrR3r{BM)>P+*ONaD RGB C=0 M=95 Y=20 K=0 0.000000 C=0 M=10 Y=95 K=0 PROCESS 0.000000 238 115 Hospice Medicare COPs Pre-Survey Checklist Items Needed for On-Site Survey (Home Health) Items . 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 ApexNew-Book.otf PROCESS 0.000000 43.137300 This checklist may help hospital facility professionals prepare for survey evaluations regarding emergency preparedness requirements from the . saved uuid:5D20892493BFDB11914A8590D31508C8 xmp.iid:F87F1174072068119098B097FDA39BEF 100.000000 0.000000 Adobe Illustrator CS4 RGB PROCESS RGB You keep vigil on the front lines; we look out for the big ideas at the forefront of transformation. PROCESS / 0 RGB PROCESS 65.000000 RGB CMYK 0.000000 Adobe Illustrator CS4 C=0 M=0 Y=0 K=10 Patient care is your mission; helping hospitals treat patients is ours. 179 0.000000 PROCESS 0.000000 https://www.ahrq.gov/teamstepps/readiness/index.html. 0.000000 255 Provide staff compliance and competency education, addressing any quality measure deficiencies.