Leadership
A written plan that describes how Kennedy Krieger considers the diversity of person served, personnel, and other stakeholders. Includes culture, age, gender, sexual orientation, spiritual beliefs, cognitive or physical ability, language, race, ethnicity, and socio-economic status.
What is the cultural competency and diversity plan?
Documented objectives and performance indicators to measure experience of services and other feedback from stakeholders
(Any of the following answers apply)
What is stakeholder input?
What is patient satisfaction process?
What is the CQIC?
Resources: QPSPA and Keys To Care
Fun Fact: CQIC has two arms: Quality Assurance arm and the Innovation arm.
Calm yourself
Listen
Empathize
Act supportively
Respond collaboratively
Let someone know
Your next steps
(Any of the following answers apply)
What is CLEARLY? or
What are the steps to deescalate behaviors that undermine a culture of safety?
Resource: Security Manager, Director of Safety & Environment of Care, and Workplace Violence Taskforce
Fun Fact: This helpful acronym and breakdown may be found in your Kennedy Krieger Keys to Care as well as on its own card! Visit Administrative Policies & Procedures: Addressing Behaviors that Undermine a Culture of Safety - Code Green.
1. Listen
2. Take steps to address and resolve
3. Escalate via chain of command:
supervisor, manager, or director
4. If applicable, contact Patient Relations Specialist for assistance
What are the steps to take when handling a complaint from a patient, family, or visitor?
Resource: Patient Relations Specialist (NEW POSITION)
Fun fact: A patient advocate can be requested by contacting the Patient Experience and Community Engagement office.
An external sender banner and monthly simulating phishing campaigns are just a few strategies Kennedy Krieger uses to help identify this type of technology attack.
What is a cyber security attack?
Resource: Information Systems
Fun Fact: It only takes one email to get through our defenses and compromise the information of the persons served, personnel, and other stakeholders.
Accommodations such as interpreters, cyracom phones, kosher or halal diet.
What are examples of patient and family-centered care?
Resource: Patient and Family Experience
Fun Fact: Requests can be made to the Patient and Family Experience Program for patient and family accommodations.
(Know examples that your program has provided over the last 3 years. Remember to always document in the patient medical record.)
Written procedure regarding communications that address media relations and social media to reduce risk to Institute reputation, liability, patient confidentiality, etc.:
What is the Media Contact Policy and What is the Social & Professional Networking Policy?
Resource: Administrative Policy and Procedures
Fun Fact: Marketing and Public Relations oversee and update the Media Contact Policy. Human Resources oversee and update the Social and Professional Networking Policy.
Age Specific
Fire Safety
Abuse and Neglect
Human Trafficking
Medical Emergency
What are Human Resource Competencies that focus on the ability to demonstrate adequate skills, knowledge, and capacity to perform a specific set of job functions?
Resource: Employee Competence Center
Fun Fact: Done on an annual basis.
- Discuss health information privately and only with those who need to know
- Abide by confidentiality standards
- Access and or/disclose the minimum necessary information to get the job done
- Don’t leave information in public view
- Keep passwords confidential
- Lock or log off computers when leaving work areas
What is ways to comply with the Health Insurance Portability and Accountability Act (HIPAA)?
Resource: Privacy Officer at HIPAA@KennedyKrieger.org
Fun fact: Privacy and confidentiality are key components in our Patient Bills of Rights and Responsibilities. If you notice or suspect a violation has occurred, report it to your supervisor.
Institute staff cooperates with government and/or law enforcement agencies who come to serve these types of legal actions.
What are subpoenas, warrants, audits, and investigations?
Resources: Administrative Policies and Procedures Human Resources Standard Operating Procedure
Fun Fact: Personnel from the office of QPSPA respond and accompany the agency member(s) during their time at the Institute.
Placing information into the HealthCare SafetyZone portal
(Informs the Supervisor, Patient Safety Officer/Director of QPSPA and/or Compliance officer, as appropriate)
What is the process for reporting safety events/occurrences?
Resource: Icon on desktop
Fun Fact: Trends and data are reported to patient safety committee, safety committee, and leadership
This department is responsible for the Quality & Patient Safety, Clinical Risk Management, Infection Control & Employee Health Programs; Medical Staff Affairs, and supporting PMMI and CQIC committees.
Who are the Quality, Patient Safety & Professional Affairs (QPSPA) Department?
Resource: QPSPA
Fun Fact: The QPSPA keeps records of contracted services and completes annual reviews!
Emergency or Disaster
Fire
Cardiac Respiratory
Active Assailant
Hazardous Material spill
Infant or child abduction
Combative person
Elopement
What are emergency response procedures/codes?
Resource: Administrative Policies & Procedures on the Beacon and Director of Safety & Environment of Care
Fun Fact: All employees have a colored card on their employee ID badges and steps to respond on their Keys To Care.
This needs to be obtained from the patient or their healthcare proxy prior to treatment/evaluation, participation in research, prior to releasing protected health information, and for audio/visual materials.
What is consent?
Resource: HIM: Consent to Treat, Marketing & PR: Authorization for Audio/Visual
Fun fact: Treatment-related documentation of consent is kept in the patient’s medical record and updated annually. The Beacon houses an audio/visual consent matrix that cross references the various types of consent forms used at the Institute and explains how and why they are used, when they’re needed, and how they’re stored.
This is the practice of making information, activities, communication, and/or environments perceivable, operable, usable, and robust for as many people as possible.
What is accessibility?
Resource: Accessibility Commission
Fun Fact: Accessibility (generalized considerations) aredifferent from Accommodations (individual needs) andare the responsibility of all staff!
Kennedy Krieger Institute is dedicated to the principle of organization ethics and a commitment to act with integrity. Clinical care and business practices are conducted in an honest, decent and ethical manner. Patients, students and their families, trainees, volunteers, researchers and staff are treated in a culturally-responsive manner with civility, dignity, and respect.
What is Kennedy Krieger Institute’s Code of Ethics?
Resource: Human Resources
Fun Fact: If you need assistance with an ethical decision, Kennedy Krieger has an Ethic’s Committee! The committee may be reached at 443-923-7686 or ethics@kennedykrieger.org to request consultations and/or learn more.
Continually monitors, measures, and improves the quality of clinical services.
Assesses and improves processes, systems, structures, and outcomes.
Ensures that healthcare is high quality, efficient, and cost effective.
Supports the mission, vision, and values of the Institute, as well as, culture of excellence in quality and patient safety.
Facilitates a culture of accountability and data-driven action.
Allows Leadership to identify trends, patterns, and/or variations in data to establish priorities for improvement activities.
What is Performance Measurement, Management and Improvement (PMMI)?
Resource: QPSPA
Fun Fact: There is a QPSPA SharePoint site as well as
bi-monthly meetings that you can join!
(Be prepared to share a PMMI project in your department or at the institute. Examples include the Safety Auditor Program, WeeFIMs, and Discharge/Transition Environment)
Toy Cleaning
Infectious Disease Screening
Patient refrigerator and freezer monitoring
Patient dishwasher and sanitizer use
What are Infection control policies and practices?
Resources: Infection Control Sharepoint Site on the Beacon, Infection Control Team
Fun Fact: The Assistant Vice President of Facilities/Environmental Services can answer your questions about environmental cleaning and disinfecting!
Varying preferences and abilities to process written, verbal, visual, hands-on demonstration, and multi-modal content and information.
What are learning styles?
Resource: Administrative Policy & Procedure
Fun fact: Knowing and accommodating a person’s learning needs, strengths, and preferences ensures that they understand and retain information effectively, promotes a stronger relationship with Institute personnel, and improves satisfaction.
These reports include a summary of management’s discussion and analysis, consolidated balance sheets, changes in Net Assets, Operating Results from each segment/service, and additional areas of interest such as Tuition revenue, grant/contract comparisons, and profit and loss assessments.
What are the Monthly FinancialStatements?
Resource: Finance page on the Intranet under Reports
Fun Fact: These reports can help staff see how smallsegments create the big picture for the department andhow each area connects the Institute as a whole.