2022 Hospital Compliance Assessment Workbook

Author : Thomas J. Huser
Publisher : HC Pro, Inc.
ISBN 13 : 1601468148
Total Pages : 149 pages
Book Rating : 4.6/5 (14 download)

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Download or read book The Chapter Leader's Guide to Environment of Care written by Thomas J. Huser and published by HC Pro, Inc.. This book was released on 2011-04-20 with total page 149 pages. Available in PDF, EPUB and Kindle. Book excerpt: The Chapter Leader's Guide to Environment of Care: Practical Insight on Joint Commission Standards Thomas J. Huser, MS, CHPS Quick, concise standard explanations for Environment of Care chapter leaders "This book has significant daily use and will prepare and support facility professionals. The author candidly describes how to make difficult things happen even when other people may not be immediately on board...and the survey preparation is thorough and very user intuitive. I like the easy-to-follow format. The policy and procedure forms and examples are excellent." --Stephen J. Thurston, Safety Officer, Emergency Managment Coordinator, Indiana University Health The Chapter Leader's Guide to Environment of Care breaks down the Joint Commission's Environment of Care requirements into easy-to-understand solutions to meet the challenges of these complex standards. You get simplified explanations of the chapter's key components along with communication techniques to help foster a strong and successful partnership between survey coordinator, chapter leader and staff of all levels. Plus, to make staff training easy, this guide includes two downloadable PowerPoint(R) presentations highlighting key compliance takeaways. Benefits of The Chapter Leader's Guide to Environment of Care: Build an interdisciplinary team to ensure Environment of Care compliance Achieve buy-in and support from leadership Educate staff of all levels on compliance utilizing ready-made tools and strategies Use practical advice from a seasoned expert in the field to avoid RFIs on your next survey What's inside: Standard-by-standard breakdowns and explanation by hospital safety veteran and expert Practical advice for successfully communicating with multiple levels of staff to better gain buy-in and compliance Quick tip sheets, checklists, and PowerPoint presentations for educating staff Sample mock tracer observations and questions in all areas of EOC Hospital safety and construction risk assessments Dozens of EOC policies, procedures, reports, and maintenance logs Department EOC report card and simplified scoring sheet to better communicate current compliance to department leaders and board members Table of Contents Part I: Organization and Accountabilities Board of Directors CEO Medical Staff Management Staff Key Players Part 2: Communication and Culture Hospital Staff Departmental Leadership Board of Directors Senior Leadership Part 3: Policy and Procedures Plan (EC.01.01.01) Safety and Security (EC.02.01.01, EC.02.01.03) Hazardous Materials and Waste (EC.02.02.01) Fire Safety (EC.02.03.01, EC.02.03.03, EC.02.03.05) Medical Equipment (EC.02.04.01, EC.02.04.03) Utilities (EC.02.05.01, EC.02.05.03, EC.02.05.05, EC.02.05.07, EC.02.05.09) Other Physical Environment Requirements (EC.02.06.01, EC.02.06.05) Staff Competence (EC.03.01.01) Monitor and Improve (EC.04.01.01, EC.04.01.03, EC.04.01.05) Part 4: Effective Survey Preparation Education and Training Organization Preparation Data Collection List of tools: Sample Board of Directors Report Survey Preparation for Physicians: Emergency Management Information Environment of Care Compliance: Sample Observations and Questions Survey Preparation for Staff: Emergency Management Information Security Quick Tips Temperature Logs Quick Tips Maintaining a Safe Environment Quick Tips Emergency Medical Equipment Quick Tips Fire Response Quick Tips Hazardous Materials Quick Tips Medical Equipment Failure Quick Tips Utility Failure Quick Tips Environment of Care Report Card Scoring Worksheet Safety Inspection Report Environment of Care Report Card for Department Leaders Safety Officer Statement of Authority Safety Risk Assessment Tool Officer's Report of Fall/Injury Forensic Patient Policy and Procedure Smoking Interventions Log Life Safety System Preventative Maintenance Grid Life Safety Equipment Repairs Log Interim Life Safety Management Implementation Worksheet Safe Medical Device Reporting Policy Emergency Generator Test Log and Report Construction Risk Assessment Form Employee Environment of Care Survey Plus: EOC Power Point Presentations: What You Need to Know to Train Your Staff Annual Education for Staff Who will benefit? Accreditation coordinator, accreditation specialist, survey coordinator, Joint Commission survey coordinator, Environment of Care chapter leader, safety officer, safety director, facility manager, and facility director Earn Continuing Education CreditsNational Association for Healthcare Quality (NAHQ) This activity is pending approval by the National Association of Healthcare Quality for CE credits.