DNV
DNV visits the facility how often?
What is annually.
Who regulates CMS?
Department of Health and Human Services.
The Surgery Center and The Endoscopy Center each have their own separate what?
What is separate PA DOH License.
#1 most important thing to prevent health care associated infections.
What is proper handwashing.
DNV can replace what regulatory body?
DNV can replace the DOH licensure survey.
The name of the "standards" for CMS.
What are Conditions of Participation.
The two areas surveyed by DOH.
What is DAAC and Life Safety.
What is the Safe Haven Act?
PA state law that allows parents to legally relinquish their parental rights without repercussions
What are the CDC adopted fingernail guidelines for direct patient care?
What is fingernails 1/4 inch or less, no artificial nails, no chipping nail polish.
What does QMS stand for ?
Quality Management System
The two insurance groups maintained under CMS?
What is Medicare and Medicaid.
What three things does PA ACT 13 or MCARE Act require?
1. Mandated system to report safety event to PA PSRS 2. Patient Safety Officer at each acute care facility 3. Patient Safety Committee with 2 community members
What does EMTALA stand for?
Emergency Medical Treatment and Active Labor Act.
What is the appropriate way to store an oxygen tank.
What is individually in a rack or cart.
A generalist, clinical specialist, and life safety specialist are what?
What are the types of DNV surveyors.
What are CMS Value Based Programs?
What is incentive payments for the quality of care provided to people with Medicare.
What other two main functions does DOH serve?
Investigating Patient Complaints and Occupancies
These are two approaches to Performance Improvement
What is lean and six sigma.
How many inches from a sprinkler head can you storage items?
What is 18 inches.
What is NC1-C?
NC1c- Nonconformity level 1 conditional- This is the most severe level of finding and requires a revisit in 45 days to ensure the finding is corrected.
What is CMS Stars?
A rating given to hospitals and displayed publicly on Care Compare.
What happens when the DOH issues a Statement of Deficiency?
Facility must develop a Plan of Correction which typically involves auditing.
What is the computer reporting system used at PHD?
What is Verge.
What is the biggest complaint patient have?
Lack of communication.