Joint Commission
National Patient Safety Goals
Tracer Questions 1
Tracer Questions 2
Tracer Questions 3
100

The meaning of JC

What is Joint Commission 

100

The acronym for National Patient Safety Goals 

NPSG

100

Why was this client______ referred to your program? 

What is: Client was referred due to _________________________

100

How often do you meet with client? 

1x per week individual| collateral as needed| family therapy 1x per month or as needed|

Case Management 1x per month or as needed|

100

How long has client been in your care? 

Client has been in my care for about_______ months/years.

200

A governing body that is considered 

What is gold medal standard in behavioral health

200
Identifying individuals correctly

What is name and DOB

200

How do you go about obtaining informed consent?

At intake; annual updates. 

200

Does your organization conduct a physical health screening for every client, and if so, can you 

show me where it is in the record of care? 

Yes, you can find it in client's chart under Physical Health Screening by latest date

200

How do you know when you need to make a referral for further physical health assessment?

Well, if the client’s last physical exam is more than one year old or if the client is reporting an untreated physical issue or pain that is interfering with daily life, I would make a referral to physical health practitioner. I can also contact our Medical Services Department if I ever have any questions. They are super helpful!

300

SENECA has been accredited with JC since 

2010

300

Prevent Infection

What is hand cleaning guidelines for 20 sec (Happy BDay 2x)

300

Do you perform a risk assessment for all clients, and if so, can you show me where it is in the record of care?

One aspect of my accountability it to conduct a risk screening within the first 48 hours of service to ensure that any concerns are identified. This is documented in the Risk Screening in client's chart. 


300

How do you re-assess for suicide risks? 

We re-assess throughout treatment in session with client using our brief suicide risk screening (ASQ)

________________________________________________.  

300

How do you determine when a client is ready for discharge for this program?

Discharge is mentioned at the start and throughout treatment for this client discharge may be 

attained when _________________________. 

400

The two categories JC standards are 

What is client related and Organization Related

400

Identify Individual served safety risks

What is reduce the risk for suicide (risk assessment-ASQ)

400

I see that this client is also receiving services in other SFA programs and/or other programs in the community. How do you coordinate care with those providers?

Here at SFA we are all about communication... We hold team meetings and/or phone calls with all the providers working on the case to make sure that we aren’t duplicating efforts and are all working towards the same goals – the client’s wellness and improvements in the client’s life! 

400

Describe the goals/objectives on the treatment/service plan.

Yes, the overarching goal for this client is _____________ and the objectives to meet such goal is

_____________________. 

400

When something unexpected and very negative happens with one of your clients, how do you alert the right people? How do you report these kinds of incidents?

Well, the first thing that I do, is notify my supervisor and then, as soon as possible (w/in 24 hrs.) or before I leave for home, I complete an Incident Report on the system. This report is then distributed to everyone involved in the case.

500

Accreditation is maintained for how long

What is triennial 

500
Improve health care equity

What is quality and patient safety priority

500

How long with Tracer last

What is about 2-3 hours

500

Describe the client’s progress and the current focus of treatment/service and can you give 

me a recent intervention you have used with this client. 

Yes, currently client is working on ________________________________ and a recent 

strategy we have implemented is________________________________. 

500

How are clients and families involved in treatment planning?

We involve our clients (and families when appropriate) in the treatment planning process. As the treatment plan really is a contract with the client, we want to send the message that the client is at the center of its development and all the goals must reflect what the client wants to work on!

M
e
n
u