/ PROCESS Default Swatch Group 0.000000 10.000000 CMYK PROCESS 0.003100 0.000000 10.000000 PROCESS 181 PROCESS from application/vnd.adobe.illustrator to application/vnd.adobe.illustrator 2018-01-02T11:16:23-05:00 CMYK White C=100 M=90 Y=0 K=0 0.000000 C=0 M=0 Y=0 K=30 40.000000 CMYK Print CMYK This page is intended for resources and general information. 29.998800 2018-01-02T11:16:23-05:00 25.000000 / 0.000000 CMYK PROCESS 2011-12-19T12:14:42-05:00 saved 0.000000 30.000000 %%EOF 100.000000 For questions or concerns email "Joint Commission Readiness" | 7 UESTION ANSWER Survey READINESS PROVISION OF CARE, TREATMENT AND SERVICES Page 1 of 3 1. 75.000000 xmp.iid:F4FCF1F0642AE1118FF4ACE6949E056D RGB 35.000000 Review the tips and suggestions to enhance readiness and determine if any are appropriate within your institution. / 0.000000 If you have questions about the regulations, please contact the appropriate state and/or federal agency. PROCESS In this section, youll stay apprised of legislative, legal and regulatory work occurring at the local, state and federal level. / CMYK Brights 0.000000 25.000000 For information about the availability of auxiliary aids and services, please visit www.medicare.gov. 77 90.000000 0.000000 converted 0.000000 R=252 G=238 B=33 These tools may help hospitals improve staff knowledge of the regulations, decentralize the responsibility for regulatory compliance from the administrative offices to all department managers. 30.000000 100.000000 / 90.000000 PROCESS PROCESS / RGB Green In addition, these tools will help staff proactively identify and correct regulatory issues to improve compliance and as well as decrease the number and length of surveys and cited deficiencies. PROCESS 30.000000 0.000000 0.000000 .gov xmp.iid:F87F1174072068119098B097FDA39BEF 0.000000 CMYK C=90 M=30 Y=95 K=30 lock 100.000000 0009 Process for EP collaboration R=0 G=0 B=0 0.000000 100.000000 In this section, youll discover all the benefits an MHA membership has to offer. 100.000000 RGB 85.000000 PROCESS endstream endobj 15 0 obj <> endobj 16 0 obj <> endobj 17 0 obj <> endobj 18 0 obj <> endobj 19 0 obj <> endobj 20 0 obj <> endobj 21 0 obj <> endobj 22 0 obj <> endobj 23 0 obj [/Indexed/DeviceRGB 255 24 0 R] endobj 24 0 obj <>stream This type of survey allows physicians to locate risk factors in the community around the hospital or health care centers, such as tobacco use, alcohol use, poor diet habits, and lack of physical exercise, which are common health behaviors. / 241 Black CMYK 90.000000 100.000000 C=85 M=10 Y=100 K=10 CMYK 80.000000 4.079484 PROCESS C=0 M=90 Y=85 K=0 0 Adobe Illustrator CS4 C=80 M=10 Y=45 K=0 PROCESS 45.000000 Final Worksheets Made Public: Via this memorandum we are making the worksheets publicly available. 75.000000 PROCESS 65 RGB PROCESS / RGB In preparation for TJC Hospital Survey 2022, please refer to the files inTJC 2022 Microsoft Teams: For additional information, please contact Kelly Ingrassia ([emailprotected]), Director of Regulatory Affairs, 2023 The Regents of the University of California, EOC Survey Rounding Checklist- Inpatient, EOC Survey Rounding Checklist - Ambulatory, Focuses on regulatory compliance at UCSF Medical Center via tracer methodology (Mock Survey SAFER Matrix), Reviews upcoming and pending surveys at UCSF Medical Center, Receives updates from key stakeholders on TJC Priority Focus Areas, such as management of patients atrisk for suicide, titrations of continuous IV infusions, air pressure relationships. PROCESS R=189 G=204 B=212 0 0.000000 172 100.000000 Inches xmp.iid:02801174072068118083EB546DC1E694 0.000000 saved This assessment is best suited for hospital supervisors, managers, and administrators. PROCESS R=166 G=124 B=82 An official website of the United States government CMYK endstream endobj 13 0 obj <> endobj 14 0 obj <>stream 46 158 0.000000 Examples include the AHRQ Patient Safety Culture Survey, surveys of patient and staff satisfaction, unit- or site-specific . 171 30 CMYK xmp.iid:F77F117407206811BDDDFD38D0CF24DD R=199 G=178 B=153 CMYK For specific questions please contact SCGEmergencyPrep@cms.hhs.gov. 0.000000 100.000000 10.000000 PROCESS 100.000000 RGB 100.000000 C=25 M=25 Y=40 K=0 R=153 G=153 B=153 51 Patient care is your mission; helping hospitals treat patients is ours. C=40 M=65 Y=90 K=35 39 57 / Sign up to get the latest information about your choice of CMS topics. CMYK Blue Adobe Illustrator CS4 0.301521 1 xmp.iid:b206250d-6cc5-4baa-8f1b-21cdaff10d3e 40.000000 CMYK MHA has developed self-assessment checklists for critical access hospitals that will aid them with their internal assessments of their compliance with state hospital licensure regulations, Medicare Conditions of Participation (CoPs) for hospitals and the interpretative guidelines to the CoPs. 255 100.000000 188 xmp.did:d465533e-0c20-44f0-a6f9-765cad678ba3 PROCESS 179 0.000000 30.000000 25.000000 0.000000 Web Color Group The worksheets are used by State and Federal surveyors on all survey activity in hospitals when assessing compliance with any of these three CoPs. 0.000000 / converted 0.000000 63 R=27 G=20 B=100 237 Youre dedicated to running the hospital; were dedicated to helping you. 2008-05-22T16:23:53-07:00 39.999400 100.000000 converted 21.0.0 All Rights Reserved. False 0.000000 March 2022 1 HCAHPS Survey SURVEY INSTRUCTIONS You should only fill out this survey if you were the patient during the hospital stay named in the cover letter. CAH Recertification Checklist: In order to routinely re-evaluate the compliance of currently certified CAHs with the status and location requirements at 42 CFR 485.610, the Centers for Medicare & Medicaid Services (CMS) has revised the attached CAH Recertification Checklist: Rural and Distance or Necessary Provider Verification for use by the CMS PROCESS 242 2008-05-15T22:53:33-07:00 CMYK CMYK CMYK hjC1_EO %C:\6C)$%CM[Xtd,@2 H (^CP;xe[JWZgbyZmZikV^SZo$Zr8RZF)m_TqpB9WG>b~TC5;[+0^eTX 