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Strategic Planning
Risk Management
Quality
Client Safety
Other
100
"Building Community Capacity Together"
What is CHATS' 2010 - 2013 Strategic Plan Title. CHATS' underwent a refresh in the spring of 2013 and plans to undergo a full process in the fall of 2013 to build a 2014- 2017 Strategic Plan.
100
Management Team
Who is responsible for overseeing the agency's risk management program and processes.
100
CHATS has integrated in planning, the use of PDSA cycles as a method to support continuous quality improvement
What is Plan, Do, Study, Act
100
Coordinator/Supervisor/Manager; Safety and Risk Assessment; Client Priority Risk Code ; Inter RAI CHA/Preliminary Screener; Disaster & Emergency Plan; Orientation and Continuous Professional Development(CPD).
What are mechanisms in place to support client, staff, service provider, and volunteer safety
100
Prospective Review; Falls Prevention Strategy; Client Safety & Risk Assessment; Hand Hygiene Strategy and hand hygiene audits; Quarterly Board Safety Report; Safety Culture.
What is Accreditation Canada's ROPS
200
Customers- What are customers expect; Learning and Growth- How we must develop as an organization; Value-Added Process- The process at which we must excel; Financial- What we must deliver to our stakeholders.
What is CHATS four performance dimensions which support CHATS quarterly Balanced Score Card. CHATS leadership team complete the performance measure template quarterly and review the results at Quarterly off site meetings
200
A systematic process that involves all the activities of the organization and all personnel connected to the organization.
What is Risk Management The goal of Risk Management is to define acceptable levels of risk as not all risks can be eliminated
200
Malatest Survey 2011
What is CHATS Client Satisfaction Survey by Malatest in 2011 with follow-up action items
200
Medication management programs at the Supportive Housing and Adult Day Programs
What is the comprehensive medication management program which requires all clients to use a medical compliance system, a pharmacy review, and trained PSWs to assist with medication management CHATS medication rooms meet the AC standards and regulations
200
Protecting the worker from harm; Protecting yourself from harm; Ensuring your workplace is hazard free.
What is the definition of safety ( OHSA)
300
Conducting a comprehensive literature review; An environmental scan and SWOT analysis; External and internal focus groups; Visionary and brainstorming sessions involving staff, service providers,volunteers and Board members; Communication to internal and external groups.
What is the strategic planning process This process often takes place over nine months to a year. Often what is missed is to communicate results to external stakeholders and most importantly CHATS staff, service providers and volunteers. The Plan must remain alive!
300
Risk Identification; Risk Assessment; Risk Management strategies; Risk Evaluation.
What is CHATS' Risk Management Process
300
Prospective Review; FMEA; Root Cause Analysis and other Human Factor design tools; Incident & Adverse event monitoring.
What is proactively identifying risk activities within the organization and post incidents by analyzing incidents which occur with human factor design tools to prevent future occurrence
300
Culture of Client Safety Plan 2013 - 2016
What is the three year plan which guides the organization and Quality and Risk Management Committees in annual activities. This Plan is a revision to the 2010 - 2013 Plan
300
Right to know; Right to refuse; Right to participate.
What is the three basic rights the Occupational Health & Safety Act & Regulations enforce.
400
"A person receiving community support service has the right to be dealt with by CHATS in a manner that respects the person's dignity and privacy and promotes the person's autonomy".
What is CHATS' Client Bill of Rights statement. There are nine statements in total which are imbedded in the Mission, Vision, Values and Strategic Plan
400
Risk to clients; Risk to staff and volunteers; Risk to community partners; Risk to the agency.
What is CHATS' Risk Management primary areas of focus in the Risk Management process
400
Inter RAI Preliminary Screener; Inter RAI CHA; Integrated Assessment Record.
What is community assessment instruments and assessment repository to support: - risks of missing potential client needs and risks - opportunities to promote client health and prevent disease - improved continuity of care as communication improved - less duplication and fragmentation of services
400
Infection Prevention & Control Nurse Specialist; Certified Falls Prevention Specialists; Personal Protective Equipment; Preventative Maintenance Policies and Procedures; Staff, client, caregiver and volunteer screening; N95 FIT testing.
What is CHATS' client safety supports and resources
400
Orientation and training of staff on funder requirements; Development of appropriate documentation to validate compliance; Continued review of implementation of funder obligations; Facilitate an annual audit ( financial and insurance); Attend quarterly Board Committee meetings.
What is the role and responsibilities of the Director of Finance and Administration
500
CEO
Who is responsible to lead the Strategic Planning process
500
Quality of Care & Client Safety Committee; Joint Health & Safety Committee; Management Team; Management Team & Board of Directors, Quality, Compliance & Accountability Committee.
What is CHATS' Lead Committees' role and responsibility for monitoring trends and risk management issues Note: Quality & Risk Management must be a standing agenda item on all Committee agendas.
500
Policies & Procedures; MSSA agreement; MOUs; Quality, Compliance and Accountability Committee.
What is monitoring compliance and documentation for all funding contractual obligations
500
Hand Hygiene and hand care program
What is the most effective way to prevent the transmission of infectious disease
500
Reduce or prevent the risk of injuries resulting in client falls; Educate staff, volunteers, clients and caregivers about fall prevention and healthy aging; Evaluate the strategy to make improvements.
What is the goals of the Falls Prevention Committee