HIROC & Legislative Requirements
Document Management
Process for Developing Policies
Signing Authority and Best Practice
Potpourri
100

HIROC acronym means this

A: What is "Healthcare Insurance Reciprocal of Canada"  

100

There is this many stages in policy document management?

A: what is 5; Creation, Review, Approval, Distribution, and Retention or Destruction

100

What is MAHC’s expectation for handling of outdated policies?

What is they are archived in DMS

100

On what MAHC system can one find additional DMS education

A: What is LMS?

100

What is the estimated amount of active policies on DMS

A: what is over 2500

200

What tool does HIROC use to assess and mitigate potential risks in a hospital setting?

Answer: What is the Risk Matrix?

200

Which component ensures that documents no longer needed are securely handled to prevent unauthorized access?

What is destruction?

200

What is the standard maximum time between last and next review of a  policy at MAHC

What is - 3 years

200

When creating or editing a policy, what is the name of the document used to guide signing authority?

A: What is "Policy and Procedure Template"

200

Who is the best person(s) to ask for DMS Help?

A: All Executive Assistants can help or direct to the right person

300

What is the primary goal of HIROC's risk management process in healthcare?

Answer: What is to minimize risk and enhance patient safety?

300

What step in the document management process involves ensuring documents are regularly assessed for relevance and accuracy?

Answer: What is the review process?

300

What local organization last updated its ‘ Inclusive Language Guide’ April 2, 2024

What is: The District Municipality of Muskoka

300

If a policy is called “Diagnostic Imaging: CT Tech Call in Guidelines” who has the final Signing Authority?

Who is the “Manager of DI”

300

DMS automatically numbers MAHC policies - yes or no?

A: No

400

Which part of the risk management process involves reviewing and learning from incidents or near-misses?

Answer: What is conducting a root cause analysis (RCA)?

400

What is the first step in the document management process that ensures documents are consistent and standardized?

Answer: What is creation using standardized templates and guidelines?

400

Which statement is True?

1. All Medical Directives receive final approval at MAC - following review by appropriate departments/committees

2. Medical Directives containing medication orders receive final approval at approved at Pharmacy & Therapeutics committee.

Answer: What is answer 2

400

After the approval of a policy (new or amended), what is the next step in the process as a manager, director or Senior Leader?

A: What is to educate MAHC staff of new policy

400

In the event that I need to find a policy that existed before the current one, is this function available on DMS?

A: Yes; this is found in Content List; hover over policy, click Version history