Guess Who?
Timeline
Explain This
Performance Improvement
What Do You Do?
100
Who do you report to?

[Answer varies: name your Supervisor]

100

How often do you receive competency assessments?

Upon hire, annually, and prior to performing new tasks independently

100
How do you provide written information to your patients relating to confidentiality of PHI?
Written information is provided in the Patient Welcome Packet.
100

Performance Improvement (PI) Coordinator 

Rhamil Rana

100

Have you reviewed your job description? Describe your duties and accountabilities.

Yes, job description is reviewed during hiring/orientation and anytime there is a change in job functions.

Be able to state a few of your duties, including common responsibilities across all jobs (ex: reporting incidents or compliance issues, participating in PI)

200

Who is the Compliance Officer?

Sina Refua

200

If a patient calls with a clinical question and the pharmacist is not available, how quickly does the pharmacist need to respond?

Clinical calls must be responded to within 30 minutes.

200

List 4 patient rights.

Right to complain, refuse care or treatment, be informed in advance about care/service to be provided, participate in care plan development, confidentiality and privacy of PHI, choose a healthcare provider, know their financial responsibilities, and informed of one's responsibilities.

200

How are you involved in the PI program?

I receive training related to the PI activities. I understand the purpose and how I contribute to the outcome of the activities. I receive communication on PI activities including the annual PI report.

200

What infection control procedures do you follow in your day to day tasks?

Hand washing, wearing appropriate PPE, reporting infections to HR/manager, following the company's infection control policy.

300

Who must be notified within 5 days if an order cannot be filled?

The prescribing physician and/or referral source will be notified within 5 days if an order cannot be filled.

Declined referrals are logged and reviewed by the management team.

300
Patient complaints must be acknowledged within how many days? Resolved within how many days?


Calendar or business days?

Acknowledged: 5 calendar days

Resolved: 14 calendar days

300

List 4 patient responsibilities.

 1) provides accurate medical and contact information and any changes

2) notifies the treating provider of participation in the services provided by the organization

3) maintains any equipment provided

 4) notifies the organization of any concerns about the care or services provided

300

How often does the PI Committee meet?

Quarterly

300

What do you do if you are on the phone with a patient and you suspect he/she is being mistreated?

Notify your manager immediately, stay on the phone with the patient, notify a co-worker to alert the appropriate authority/call 911 if necessary.

400

Who manages all patient and product related incidents?

Compliance Officer. 

Incidents are recorded on an incident report form.

400

Incidents that result in death/hospitalization must be investigated within...

All other incidents must be investigated within...

24 hours for hospitalization/death; 72 hours for all other incidents

400

Do you receive in-services during the year? How often? What are 4 topics that are covered?

Yes, in-services are provided during orientation and annually. Topics include:

  • Patient rights and responsibilities
  • Emergency/disaster training and emergency drills
  • How to handle complaints/grievances
  • Infection control training
  • Cultural diversity
  • Communication barriers
  • Ethics training
  • Workplace (OSHA) and patient safety
  • Compliance Program
400

What are examples of PI activities or items discussed at PI meetings?

Patient complaints, satisfaction surveys, incidents, ethical issues

400

During an emergency/disaster/crisis, how does the organization meet patient needs?

The pharmacy has an Emergency Preparedness Plan. Patients receive emergency planning info and emergency contact numbers in the Patient Welcome Packet. The pharmacy will make reasonable attempts to contact each patient to assess their needs and to prioritize patients based on the urgency or need for service.