Everything is Awe-SOM
I Will Survive
"I" was in "J"eopardy, Baby
POD cast
Leader of the Band
100

This chapter of the SOM describes the certification process

What is Chapter 2?

100

The task when the surveyors first meet with facility representatives and explain the purpose of the survey

What is Entrance Conference?

100

This is where the guidance for an Immediate Jeopardy is found

What is Appendix Q?

100

Since the 2567 (SOD) is a public document, use titles or identifiers, but do not include this

What is names?

100

This supervisor's first car was a 1972 Chevy Nova

Who is Rhonda Rogers?

200

This chapter of the SOM describes complaint procedures

What is Chapter 5?

200

This type of survey is announced

What is Initial Licensure?

200

Use this form to notify a facility that the surveyor has identified an IJ situation

What is the IJ Template?

200

Write deficiencies using this type of language

What is plain language?

200

This supervisor's favorite song is "I Can Only Imagine"

Who is Kathy Zeigler?

300

This chapter of the SOM describes program administration and fiscal management

What is Chapter 4?

300

This is the method of gathering information which verifies and validates information obtained through observation and document review

What is Interview

300

The facility must submit this to the surveyor/office to document the actions taken by the facility to remove the IJ

What is the Allegations of Compliance (AOC) or removal plan?

300

List entries within each tag in this order

What is chronological?

300

This supervisor's favorite subject in school was recess

Who is Sherry Wehner?

400

This chapter of the SOM describes the responsibilities for the Medicare and Medicaid programs

What is Chapter 1?

400

This form is given to a hospital to complete, especially on all EMTALA investigations

What is the Hospital/CAH Database Worksheet (or Exhibit 286)?

400

Use this advice from ET to determine what the surveyor should do this once an IJ situation is suspected or identified

What is phone home?

400

Write statements in the tag using this voice

What is active?

400

This supervisor's dream vacation is 10 days in Hawaii

Who is Amy McKenzie?

500

This chapter of the SOM includes items such as adverse actions and prospective payment system

What is Chapter 3?

500

This is the time period the facility has to submit a plan of correction once they receive the 2567 (SOD)

What is 10 calendar days?

500

Use this concept/approach to determine if psychosocial harm has or would occur for a patient who has altered mental status

What is reasonable person?

500

Write from this "person's" point of view when writing but not directly quoting

What is third person?

500

This supervisor's favorite food is pork fried rice

Who is Don Milam?

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