Accreditation Overview
Information Management
Program Specific
Agency Specific
Safety
100
What does J.Co stand for, who are they and why are they important to Edgewood?
100
How is important client, program, and agency information communicated?
Important information is communicated to staff through emails/memos, meetings, trainings, and manuals.
100
What is your role in the program and what do you do?
100
What is Edgewood's Mission Statement? And how does this connect with the work you do?
Edgewood Center for Children and Families promotes the behavioral health of children, youth, and families, and supports a positive transition to adulthood.
100
Which is an example of the MITIGATION phase of Emergency Management?
A: Securing a bookcase to the wall
B:Responding to an ENS message
C:Storing food and potable water
D: Hiding under a desk during an earthquake
A: Securing a bookcase to the wall
Mitigation activities generally occur before an emergency and are designed to reduce the risk of and potential damage from an emergency so mounting bookcases and shelves and checking the smoke alarms are mitigation activities.
200
How do surveyors assess if Edgewood is upholding TJC standards?
Surveyors will utilize the "tracer" method to track a client through the program(s) in the sequence they receive care. During this process, they review client records, talk with staff members, review personnel records and conduct walk throughs of the office site.
200
How do we protect client privacy when it comes to documentation storage and information sharing? (Name 5)
We are aware of our surroundings when discussing client information
We only view PHI necessary to do out job
We pick up our printed documents promptly from the printer and have a secured print option.
We store PHI in a locked cabinet, room and building "rule of three".
We have shredding bins
We have passwords to enter our systems
We encrypt emails
We don't store PHI personal devices
When we are in the field, we carry a lock box with us and ensure the documents in our possession the entire time.
200
What are some ways you assess risk for the clients in your program?
200
What rating scale do we use to assess the risk for suicide?
COLUMBIA-SUICIDE SEVERITY RATING SCALE (C-SSRS)
200
How often does Edgewood do environmental tours to evaluate building compliance with fire safety requirements i.e. hallways and exits are free of obstruction, emergency supplies stocked, etc?
Monthly.
300
What are some things that you do in your work to help meet TJC standards? (Name 3)
Follow agency protocol and procedures
Ask a supervisor if you are unsure of policy or procedure
Be vigilant about maintaining client records and documentation
Practice good hygiene (such as frequent hand washing)
300
What goes into a client's chart? *Hint - There are three main things that are required to go into the chart*
Court documents and referrals
Admission screen assessment/CANS/PSC 35/treatment plans
Discharge summaries from hospitals
300
What kinds of things do we assess for in our program?
Risk, Pain, Nutrition, Physical Health, Exploitation, Trauma, and Suicide.
300
Who else is involved in client's treatment planning and how do we involve them?
1.Family members/natural supports: They are involved through family conferences, and by the team offering to connect and provide education to families about the services we provide and ways we can include them in treatment.
2. External Providers: They are involved by participating in family conferences, warm hand off meetings
300
Who is responsible for the immediate care and reunification of youth that are onsite with or without their families?
Program staff is responsible for the reunification and care of youth that are onsite with their families or responsible for the care of youth in the absence of families.
400
What dates is the J.Co trace scheduled for this year?
The TJC Survey has been scheduled for Monday 8/9 through Wednesday, 8/11.
400
Where can you find the client’s treatment goals and diagnosis?
COAST and Treatment Plan
400
What does good discharge planning consist of when a client is graduating or transitioning out of the TAY FSP program?
Transition and graduation is discussed with the client from the very beginning of treatment.
Adjunct members gradually taper off client's case.
Referrals/resources i.e. suicide prevention and community resource information is given to the client
Discharge instructions i.e. medication and treatment recommendations are given to the client.
Information re. client treatment/service provided is exchanged with next provider (with release).
Warm hand off meetings are typically scheduled.
400
What is trauma informed care and how do we incorporate this into treatment?
Trauma-informed care shifts the focus from “What’s wrong with you?” to “What happened to you?” A trauma-informed approach to care acknowledges that health care organizations and care teams need to have a complete picture of a patient’s life situation — past and present — in order to provide effective health care services with a healing orientation
We incorporate this by doing the following:
-Staff are trained in trauma informed practices and interventions, as well as the impact of trauma on clients, and staff susceptibility to vicarious trauma.
-Clinicians document clearly document the course of trauma treatment
-Staff engaged in debriefing protocols post crisis situations
-Staff participate and receive ongoing supervision to mitigate vicarious trauma and aid in informing clients of treatment
400
What is the most important Infection Control (IC) activity?
Handwashing. Also, side note - Edgewood recommends everyone gets a flu shot.
500
What day and time is the TAY chart audit?
Tuesday 8/10 @ 2 pm.
500
Do you discuss privacy rights with clients? How is this documented?
Yes, and the discussion must be documented in a progress note.
500
How do we determine a client's treatment?
Assessments, Plan of Care, Treatment Goals
500
Where can you find employees obtain information and resources?
Polices and Procedures!
Employee Handbook
EDGE manual
TAY FSP Policy and Procedure
Shared Drive/Q: drive
500
If you are injured at work, who should you immediately notify (Click all that apply)?
Right! If you are injured at work, notify your manager immediately and together call Medcor and follow their recommendations. Your manager is responsible for contacting HR of the incident. HR will contact you for additional information, if needed.