Show:
Alphabet Soup
DNV Etiquette
ISO 9001
Me Me Me
2018 Goals
100
Survey occurs annually and we anticipate our accreditation survey occurring in June 2018.
When will the LRGHealthcare DNV survey occur?
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

 DNV accreditation

What is compliance with the centers of Medicare and Medicaid Services (CMS) Conditions of participating hospitals.I addition to compliance, demonstrates the hospitals commitment to patient safety and the highest quality of standards.
100
71.0 is our ______________.
What is SNVMC 2017 Patient Satisfaction Goal?
200
One of the Surveying Agencies for CMS

Who is the DNV?

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
Surveys are an opportunity to demonstrate excellent care we give to our patients. Be courteous, confident, polite and only answer questions that are asked.
How should I interact with the DNV surveyors??
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, above your waist, 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 that 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
A circumstance where written permission can be bypassed?

What is a medical emergency?

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?
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?