Looking at GI Practice Management Differently: Fortify the Business of Healthcare in the GI Practice | November 2021-09

09 - Preparing for Unit Survey_Ahwal

Pdf Summary

This document provides information on preparing for a unit survey and what to expect during an inspection. Some key points mentioned include time-based requirements for the governing body, quality assessment and performance improvement, staff, facility, and risk management. <br /><br />For the governing body, it is important to meet according to bylaws or policies, review accreditation requirements, collect data for peer review, and approve applications and privileges. <br /><br />In terms of quality assessment and performance improvement, there should be a program that sets priorities and demonstrates measurable improvement. Ongoing data collection and analysis of quality indicators and patient care aspects are essential, as well as reporting progress to a Quality Management Committee (QMC).<br /><br />Staff requirements include initial orientation within 30 days of hire, annual competency evaluation, and training on new policies and procedures. Current certifications for Basic Life Support (BLS), Advanced Cardiovascular Life Support (ACLS), and Pediatric Advanced Life Support (PALS) are also necessary.<br /><br />Facility requirements include regular inspection of fire extinguishers and emergency drills, scheduled inspection of medical equipment, maintenance and temperature logs, testing of fire suppression systems, and verification of illuminated exit signs.<br /><br />Risk management involves policies on refusing care, dealing with incapacitated or impaired healthcare professionals, and addressing complaints and grievances. Incidents that are not considered routine care or operation should be included in incident definitions.<br /><br />The plans and programs that need to be reviewed and updated include emergency and disaster preparedness, infection prevention and control (including COVID-19 considerations), and the process for staff or provider exposure to COVID-19. Training and documentation are important aspects of these plans and programs.<br /><br />Overall, preparing for an inspection should be a year-long process, with regular review and updating of plans, programs, and training.

Keywords

unit survey

inspection

governing body

quality assessment

performance improvement

staff requirements

facility requirements

risk management

emergency preparedness

infection prevention