Show:
Regulatory Requirements
Risk Management Program
Education Requirements
Reporting Timeframes
Definitions
100
The Agency for Health Care Administration (AHCA)
What agency requires surgery centers to have a risk management program?
100
At least 2 people are required to remain on site until all patients are discharged safely. One person must be a nurse and the other can be any other type of employee.
What is the requirement related to recovery?
100
Within 30 days of employment
What is the training requirement in risk management for new employees at orientation?
100
24 hours or before the close of the business day
What is the maximum time allowed for reporting an incident to the risk manager designee?
100
The Governing Body/Board
What is the name of group of professionals responsible for oversight of the risk management program?
200
10
Chapter 59A-___ details the Internal Risk Management Program requirements for surgery centers.
200
Any person involved must be removed from immediate danger. A call to 9-1-1 should occur. Administration must be notified immediately. The licensed risk manager is to be notified as soon as possible.
What is the requirement related to sexual misconduct and risk management?
200
Within 30 days of employment and annually for all staff that handle patients clinically. Those employees that do not handle patient in a clinical role are required to attend risk management training at initial orientation.
What is continuous timeframe frequency for employee risk management training?
200
No more than 3 days
What is the maximum number of days to report any incident to the licensed risk manager for the facility?
200
This stands for root cause analysis and this is a way to understand the who, what, when ,where, and how of significant or adverse events.
What is an RCA?
300
True
The State of Florida requires that each facility has a Licensed Risk Manager and a Risk Manager designee, true or false.
300
Incident reporting, Code 15 and annual reporting, patient safety, medical records, sexual misconduct, what is reportable, recovery requirement, definition of an adverse event, governing body involvement, risk management trending, grievances and investigating circumstances, and employee injuries
What is included in the required training for individuals at orientation and annually?
300
A sign in sheet and evidence of attendance such as a risk management test completed by the employee
What is required for documentation of attendance for orientation and annual education?
300
15 days
What is the number of days the licensed risk manager has to report a significant event such as an adverse event, that requires investigation, to the State of Florida?
300
An adverse event
What is defined as an event where a healthcare worker could have exercised control, injury or harm to a patient, requires something to be fixed and anything that does not go as planned?
400
Code 15
An event that causes harm to a patient is considered an adverse event and is reportable to the State of Florida as a _____________. This report requires a full investigation and submission to the state within a 15 day timeframe.
400
An incident report is generated in RL Solutions. The risk manager designee is notified and the designee notifies the licensed risk manager.
What is the internal requirement related to reporting of a Code 15 or adverse event?
400
The training includes at least 140 hours of coursework that includes online training and research.
What is the training of the Licensed Risk Manager?
400
Annually, by April 1st of the following year
What is the last date of submission to the State of Florida of the annual report of all events that occurred in the year?
400
This is the federal report that is required to be completed and posted every year from February 1 - April 30 of each year. This report identifies injuries that occur in the organization from January to December of the prior year, names removed to comply with HIPPA requirements.
What is the OSHA 300a?
500
Death, brain or spinal damage; wrong surgical procedure; wrong site surgical procedure; surgical procedure on wrong patient; performance of a surgical procedure medically unnecessary or otherwise unrelated to patient's condition or diagnosis; surgical repair of damage from surgical procedure not disclosed; retained foreign objects
What events are considered to be reported as Code 15 events?
500
This is a formal investigation tool for understanding the who, what, when, where and why of an event occurring. This tool helps understand the root of the problem and encourages review of details leading up to the event in order to make necessary changes to avoid similar future events.
What is a Root Cause Analysis? In the case of SCA organizations, a Rapid Response?
500
False
The Licensed Risk Manager holds a certification in the State of Florida? True or False
500
True
A quarterly summary of incident reports that occur and are written by the organization is required to be completed by the risk manager or designee? True or False
500
This is someone with a professional credential. An RN is required to be a circulator in the State of Florida. This position cannot be substituted by a technician, an LPN or any other.
What is a registered professional nurse?