0.000000 Adobe Illustrator CS4 Black In this section, youll find resources devoted to providing safe, reliable, patient-centered care. 0.000000 100.000000 C=85 M=50 Y=0 K=0 80.000000 75.000000 85.000000 Describe history, goals and discharge plans, and interventions and progress to date. CMYK 100.000000 PROCESS means youve safely connected to the .gov website. PROCESS PROCESS Hospice Medicare COPs Pre-Survey Checklist Items Needed for On-Site Survey (Home Health) Items . PROCESS 0.000000 HR[BA,`XXB,`d. You are sometimes told to skip over some questions in this survey. CMYK RGB CMYK saved 0 As the health care landscape continues to change and challenge organizations, remembering that preparedness is not only for the next survey, but 35.000000 saved 2012-10-30T16:27:44-04:00 2008-05-28T16:45:26-07:00 PROCESS PROCESS C=0 M=80 Y=95 K=0 These often include safety issues they identify during their unit tours - such as ligature risks or blocked egress corridors. xmp.did:e74a2cd3-8568-4f4f-97f4-68b0dd1d1965 0.000000 PROCESS CMYK saved RGB RGB C=75 M=0 Y=100 K=0 Rapid hospital readiness checklist for COVID-19 assesses hospitals' governance, structures, plans and protocols to help countries rapidly determine their current capacities and gaps in services necessary to respond to the COVID - 19 pandemic, to help them identify major areas that require investment and action, and to develop plans to improve . 157 RGB Adobe Illustrator CS4 PROCESS 2008-05-15T23:07:07-07:00 0.000000 RGB PROCESS CMYK Cyan 2018-01-02T11:16:23-05:00 CMYK CMYK / 100.000000 RGB False Grays Adobe Illustrator CS4 35.000000 / This reduces the likelihood that the program will be successful. 40.000000 95.000000 100.000000 / Adobe PDF library 15.00 0.000000 C=0 M=0 Y=0 K=60 R=0 G=146 B=69 C=0 M=0 Y=0 K=100 77 25.000000 R=0 G=169 B=157 RGB PROCESS Adobe Illustrator CS4 Adobe Illustrator CS4 An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. CMYK xmp.did:0280117407206811822AAF38E5D73FC4 PROCESS The following pages present documentation required by the Hospital Accreditation Program Life Safety (LS), and selected Environment of Care (EC) standards. proof:pdf Adobe Illustrator CC 22.0 (Macintosh) C=85 M=10 Y=100 K=10 25.000000 0.000000 30.000000 255 0.003100 Web Color Group 95.000000 0.000000 C=0 M=0 Y=0 K=5 / CMYK saved 80.000000 71 35.000000 0.000000 Youre the reason were in business; these are the advantages of doing business with us. 82 2008-05-16T15:52:22-07:00 60.000000 0.000000 2/19 PCS Quality & Safety . 49 2008-05-22T16:23:53-07:00 proof:pdf 0.000000 75.000000 The manual covers the different types of surveys and possible outcomes, and: Details the survey process from start to finish 0.000000 saved C=50 M=100 Y=0 K=0 0 CMYK 0.000000 Helping Hospitals Manage Operations | Treat Patients | Serve Communities. Surveyors may request other EC and LS documents, as needed, throughout the survey. %PDF-1.7 % 85.000000 Below are some tips and suggestions for actions you can take to help assess and enhance the readiness of your institution to implement TeamSTEPPS. Adobe Illustrator CS4 0.000000 / 30 C=85 M=10 Y=100 K=10 For specific questions please contact SCGEmergencyPrep@cms.hhs.gov. saved 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 100.000000 You keep vigil on the front lines; we look out for the big ideas at the forefront of transformation. 2017-05-16T13:31:23-04:00 0.000000 70.000000 50.000000 PROCESS xmp.iid:F97F117407206811ACAFB8DA80854E76 0.000000 0.000000 tips for survey readiness Even during a public health emergency (PHE), Home Health . Implementing TeamSTEPPS at this time could engender significant risk that it will not succeed or produce the desired results. Youre the reason were in business; these are the advantages of doing business with us. 0.000000 50.000000 C=20 M=0 Y=100 K=0 140 100.000000 Adobe PDF library 9.00 from application/pdf to 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. 65 15.000000 Becky Jones 109 Adobe Illustrator CS4 C=0 M=0 Y=0 K=90 PROCESS 89.999400 RGB Ready-made survey documentation checklists & binders, tailored to the healthcare compliance survey requirements for JCAHO, DNV, HFAP, and AAAHC. R=57 G=181 B=74 Default Swatch Group 35.000000 100.000000 CMYK 20 169 xmp.iid:01801174072068118083EB546DC1E694 converted RGB C=75 M=0 Y=75 K=0 R=242 G=242 B=242 CMYK Blue / 0.000000 CMYK Vice President of Clinical and Regulatory Affairs. Agency for Healthcare Research and Quality, Rockville, MD. / Adobe Illustrator CS4 0.000000 85.000000 0.000000 55 C=25 M=40 Y=65 K=0 xmp.iid:07C3BD25102DDD1181B594070CEB88D9 March 2022 1 HCAHPS Survey SURVEY INSTRUCTIONS You should only fill out this survey if you were the patient during the hospital stay named in the cover letter. saved 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. CMYK AHA does not claim ownership of any content, including content incorporated by permission into AHA produced materials, created by any third party and cannot grant permission to use, distribute or otherwise reproduce such third party content. 0.000000 0.000000 204 uuid:5D20892493BFDB11914A8590D31508C8 100.000000 10.000000 0.000000 xmp.iid:d465533e-0c20-44f0-a6f9-765cad678ba3 36 95.000000 Patient care is your mission; helping hospitals treat patients is ours. 0.000000 This Checklist should be adapted to national and local contexts by taking into account a country's policies, guidance, local risks, requirements, standards and practices. 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. xmp.iid:F77F117407206811BDDDFD38D0CF24DD 21.0.0 0 xmp.iid:B433668C16206811BDDDFD38D0CF24DD from application/pdf to PROCESS 100.000000 0.000000 Cyan CMYK 0.000000 CMYK CMYK 100.000000 This checklist may help hospital facility professionals prepare for survey evaluations regarding emergency preparedness requirements from the . R=217 G=224 B=33 0.000000 PROCESS RGB CMYK Consider postponing the implementation process for a few months, and then answer the questions again to determine if any of the factors have changed. 153 0.003100 51 90 25.000000 100.000000 xmp.iid:FC7F117407206811BDDDFD38D0CF24DD 90.000000 from application/pdf to PROCESS You keep vigil on the front lines; we look out for the big ideas at the forefront of transformation. CMYK PROCESS PANTONE DS 189-8 C 74 CMYK 0.000000 CMYK from application/vnd.adobe.illustrator to RGB 2008-05-16T11:29:20-07:00 CMYK 242 85.000000 0.000000 ( Adobe Illustrator CS5.1 50.000000 hbbd```b``.dd"I^0Y"A$K"X>LZ!MWHB- !De! 0.000000 R=247 G=147 B=30 0.000000 245 R=198 G=156 B=109 CMYK 100.000000 Provide staff compliance and competency education, addressing any quality measure deficiencies. 0 Inches 100.000000 C=40 M=70 Y=100 K=50 C=70 M=15 Y=0 K=0 10.000000 Based on your responses, significant work is likely needed to raise the readiness level of your institution. 212 SDAHO | South Dakota Association of Healthcare Organizations saved The Centers for Medicare & Medicaid Services (CMS) is responsible for the implementation of this survey and uses it for both public reporting as well as value-based purchasing. R=27 G=20 B=100 92 0 obj <>stream All Rights Reserved. 50.000000 proof:pdf Do not fill out this survey if you were not the patient. C=0 M=90 Y=85 K=0 5.000000 1179 0 obj <>stream The California Hospital Survey Manual can help hospitals prepare for the survey process, explains how surveyors conduct their surveys, and offers tips for achieving a successful survey. xmp.iid:B333668C16206811BDDDFD38D0CF24DD 0.000000 Adobe Illustrator CS4 26 / ?f{O endstream endobj 94 0 obj <>stream CMYK 0 85.000000 0.000000 C=50 M=100 Y=0 K=0 Patient care is your mission; helping hospitals treat patients is ours. RGB 100.000000 PROCESS Vice President of Clinical and Regulatory Affairs. Inches 75.000000 Adobe PDF library 15.00 PROCESS RGB Cyan 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 . C=100 M=100 Y=25 K=25 CMYK 0.000000 R=128 G=128 B=128 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. PROCESS C=50 M=0 Y=100 K=0 Assess your quality measure ratings, looking at benchmarks and trends. 75.000000 False 100.000000 xmp.iid:FA7F117407206811B628E3BF27C8C41B C=60 M=90 Y=0 K=0 50.000000 237 PROCESS / converted All rights reserved. 242 CMYK 0.000000 0.000000 CMYK 1136 0 obj <> endobj False 75.000000 The Missouri Department of Health and Senior Services Division of Regulation and Licensure is responsible for interpreting and enforcing these regulations. PROCESS PROCESS 0.000000 xmp.iid:905790d9-702d-4ec8-99e2-645df958522f Magenta PROCESS uuid:72d2bef2-1d8f-3b42-9fda-7e2ea81c1bcb 255 15.000000 147 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. C=85 M=10 Y=100 K=0 PROCESS 153 50.000000 2008-05-15T16:23:06-07:00 / 0 C=0 M=0 Y=0 K=100 PROCESS 0.000000 Adobe Illustrator CS4 CMYK 1. 100.000000 C=0 M=0 Y=0 K=40 ApexNew-Book.otf PROCESS Adobe Illustrator CC 2017 (Macintosh) CMYK R=153 G=153 B=153 Answering these questions can help your institution understand its level of readiness to initiate the TeamSTEPPS program. CMYK 45 0.000000 website belongs to an official government organization in the United States. The Missouri Department of Health and Senior Services Division of Regulation and Licensure is responsible for interpreting and enforcing these regulations. saved 0.000000 PROCESS 2017-06-29T09:42:45-04:00 0.000000 Grays / 25.000000 saved 10.000000 255 R=0 G=104 B=55 saved xmp.iid:B233668C16206811BDDDFD38D0CF24DD 201 R=66 G=33 B=11 2012-10-30T16:28:20-04:00 99 PROCESS RGB 0.000000 %PDF-1.5 % 20.000000 For information about the availability of auxiliary aids and services, please visit www.medicare.gov. Highly visible, accessible, and available for teamwork coaching throughout the change effort. 10.000000 25.000000 179 In positions that allow flexibility in scheduling. 100.000000 CMYK Yellow RGB 0.000000 PROCESS 4.998800 19.999700 Adobe Illustrator CS4 134 199 0.000000 0.000000 RGB CMYK 100.000000 198 55.000000 converted 100.000000 Also, review the tips and suggestions for enhancing organizational readiness for ways to enhance your institution's readiness. R=204 G=204 B=204 0.000000 RGB Adobe Illustrator CS4 PROCESS Black 43.000001 100.000000 PROCESS 15.000000 C=0 M=0 Y=0 K=80 C=0 M=0 Y=0 K=30 C=90 M=30 Y=95 K=30 2020 HCPro, a Simplify Compliance brand The Survey Coordinators Handboo, 21st Editionvii About the Author Jodi L. Eisenberg, MHA, CPHQ, CPMSM Jodi L. Eisenberg, MHA, CPHQ, CPMSM, is the senior director of leader connections at VizientTM, an alliance of hospitals and healthcare organizations including academic medical centers, community RGB PROCESS xmp.iid:ba996eb8-37d4-49a2-aeb0-c5cad13af4ec 35.000000 xmp.iid:D27F11740720681191099C3B601C4548 Your responses indicate that your institution may not be ready on one-third to one-half of the factors. 583 0 obj <>stream 40.000000 In this section, youll find information about all the good work hospitals do outside their four walls. 0.000000 95.000000 PROCESS 158 uuid:65E6390686CF11DBA6E2D887CEACB407 70.000000 PROCESS ACHC 2 line Logo CMYK See the TJC 2021 Survey Activity Guide for this new Document List. Web CMYK CMYK In this section, youll discover all the benefits an MHA membership has to offer. 100.000000 In this section, youll learn how to participate in the collaborations and partnerships that drive our success. In this section, youll stay apprised of legislative, legal and regulatory work occurring at the local, state and federal level. R=83 G=71 B=65 0 PROCESS 100.000000 xmp.iid:ba996eb8-37d4-49a2-aeb0-c5cad13af4ec 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. HH HSP PD_WH PROCESS 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. 255 saved PROCESS 100 80.000000 0 Inches h22U0Pw/+Q0,H/-K-0 endstream endobj 93 0 obj <>stream CMYK 204 34 2.101852 In this section, youll learn how to participate in the collaborations and partnerships that drive our success. 2008-06-09T14:58:36-07:00 PROCESS PROCESS 181 PROCESS PROCESS saved 4.079484 1 0.000000 PROCESS Subject: 2021 Readiness Checklist for Medicare Advantage Organizations, Prescription Drug Plans, Medicare -Medicaid Plans, and Cost Plans . PROCESS CMYK PROCESS 0.000000 100.000000 uuid:5D20892493BFDB11914A8590D31508C8 / CMYK tips for survey readiness Even during a public health emergency (PHE), Home Health . 0.000000 40.000000 19 226 saved saved R=255 G=123 B=172 Some critical steps in survey readiness include: Recognize common deficiencies cited in your type of care setting.