This plan documents the patients problems and course of treatment.
What is a Multi-Disciplinary Treatment Plan?
100
This governing body develops Conditions of Participation and Conditions for Coverage that must be met in order to participate in the Medicare and Medicaid programs.
What is CMS?
100
This popular and frequently used technique/process helps people identify and answer questions of why a particular problem occurred.
What is a RCA?
100
"RUN, HIDE and FIGHT
What you do when CMS or the state show up at your facility? :-)
What you do for active shooter?
100
This is the most effective means/process of preventing hospital acquired infections.
What is Hand washing?
200
Identify patients correctly
Improve staff communication
Use medicines safely
Use alarms safely
Prevent infection
Identify patient safety risks
Prevent mistakes in surgery
What are the 2017 Hospital
National Patient Safety Goals?
200
I am an independent, not-for-profit organization that certifies nearly 21,000 health care organizations and programs in the United States.
Who is The Joint Commission?
200
In 1996, this standard for privacy was endorsed by the U.S. Congress.
What is HIPAA?
200
He coined the phrase “Quality is not an act. It is a habit.”
Who is ~Aristotle?
200
These should be posted on the units as a reminder to staff of their areas Specific performance initiatives.
What are Unit specific Performance Improvement Boards?
300
This is the new scoring methodology matrix for the Joint Commission
What is SAFER?
300
This is the accredited certification in the field of healthcare quality for the individual/professional.
What is CPHQ? Certified Professional in Healthcare Quality?
300
This non-punitive culture encourages staff to report observed risks and near misses.
What is a Just Culture?
300
He said "Quality means doing it right, when no one is looking."
Who is Henry Ford?
300
This templated agenda and a list of activities that will occur during an onsite visit are posted to your organization’s Joint Commission Connect extranet site in proximity to the time your application is received and reviewed.
What is a SAG? Survey Activity Guide?
400
This is the time frame that all cited deficiencies will need to be responded by.
What is 60 Days?
400
This Accreditation Program assesses the quality and safety of collecting, processing, testing, distributing and administering blood and blood products.
What is the AABB?
400
Traditionally, the activities of this position has been largely retrospective or reactive; the focus has been on individual events or people rather than understanding the nature of human error and health care systems.
What is the Patient Safety Officer?
400
Silent and this word use exactly the same letters.
What is Listen?
400
Falls, CAUTI, CLABSI,
What are HAC's?
500
These are the most cited standards by The Joint Commission.
What are Life Safety Standards?
500
In 1996, American Legion Hospital in Crawley, LA, became the first hospital to register with this quality management system.
What is ISO 9000 quality management system?
500
The main purpose of a medical record retention policy for risk management is to ensure compliance with
What is federal and state regulations?
500
This mammal sleeps with one eye open.
What is a CMS surveyor?
What is a Dolphin?
500
The process of comparing key Quality initiative to competitors?