Alphabet Soup
DNV Etiquette
ISO 9001
Me Me Me
2016 Goals
100
Sentara's OLD Accrediting Body
Who is the Joint Commission?
100
You must obtain the patient's __________ prior to allowing a surveyor to enter their room.
What is Permission?
100
Greek translation for "equal"
What is ISO?
100
Mission of SOH
What is "We improve health everyday"?
100
77. is our ______________.
What is SOH 2016 Patient Satisfaction Goal?
200
The State's Surveying Agency for CMS
Who is the Virginia Department of Health?
200
The DNV surveys hospitals on an ___________ basis.
What is ANNUAL?
200
Examples include: Temperature Logs, Eyewash Station Weekly Checks, Code Cart Checks
What is a Record?
200
Always work together as a team to provide you quality healthcare.
What is a Sentara Commitment?
200
Ensuring patients see a physician within 7 days post discharge greatly reduces the chance of _____________ .
What is Readmissions?
300
This Department of Labor Act prohibits discrimination against people with disabilities in employment, transportation, public accommodation, communications, and governmental activities.
What is the ADA (American with Disabilities Act)?
300
We don't know when the survey will happen because the DNV is required to make them ______________.
What is unannounced?
300
The refrigerator is above the temperature range. You adjust it, re-check later and see all is ok. This is an example of a ______________ Action.
What is Corrective?
300
Hospital Badge
What is the form of identification you are required to wear at all times while in the hospital?
300
Washing your hands with only soap and water will help reduce the rate of ______________.
What is hospital acquired C. Diff?
400
The federal agency controls a hospital's licensure and has granted "deemed status" to the DNV to conduct accreditation surveys.
Who is CMS?
400
The most important participant in the Annual DNV Survey
Who is all of us?
400
Compliance 360
Where can we find system policies, procedures and job aids?
400
Emergency and Disaster Preparedness, Fire Safety, Hazardous Material and Waste, Abuse and Neglect, Advance Care Plans, Illness or Impairment of Licensed Independent Practitioners, Basic Restraints and Seclusion, & Infection Prevention
What is Sentara’s Annual Mandatory and Regulatory training?
400
Work Environment Index (WEI)is another name for _________.
What is Employee Satisfaction or Members of the Team (MOT)?
500
DNV GL HEALTTHCARE
Who is Sentara's accrediting body?
500
The system used by the surveyors to follow individual patients through their hospitalization, evaluating multiple care units, departments, and services rendered to the patient.
What is the Tracer Methodology?
500
Expired medications, a hole in a sterile package, a broken piece of equipment, a tear in a bed or gurney mattress, and a faulty IV tubing are all examples of a ____-_______ products. (Think ISO)
What is Non-Conforming?
500
If I share patient information with someone who does not need to know, I have violated _______________.
What is a HIPAA (Health Insurance Portability and Accountability Act) ?
500
Name an activity you can do to help SOH achieve our 2016 Financial Performance.
What is reduce Overtime or increase Productivity?
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