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

09 - Preparing for Unit Survey_Ahwal

Pdf Summary

In this document, Kimberly Ahwal, RN, discusses various time-based requirements and preparations for a unit survey inspection in a GI practice management setting. She emphasizes the importance of meeting accreditation requirements and keeping licenses and certifications up to date. The governing body must conduct regular meetings, review applications for reappointment and privileges, and ensure data collection for peer review. The Quality Assessment and Performance Improvement (QAPI) program should prioritize high-risk areas and demonstrate measurable improvement through ongoing data collection and analysis. Staff must undergo initial orientation, annual competency assessments, and training on new policies and procedures. Facility requirements include regular inspection of fire extinguishers, emergency drills, maintenance of medical equipment, and testing of fire suppression systems and illuminated exit signs. Risk management policies should address refusing care to patients, impaired healthcare professionals, and grievances. Plans and programs for emergency and disaster preparedness and infection prevention and control must be regularly reviewed, updated, and approved by the governing body, with staff and provider training documented. The infection prevention program should address COVID-19, including risk assessment, adherence to guidelines and manufacturers' instructions, monitoring and documentation processes, staff and provider exposure, COVID-19 testing, contact tracing, hazardous waste disposal, and updated personal protective equipment (PPE) requirements. Ahwal concludes by emphasizing the need for year-round preparation for inspections and the ongoing review and updating of necessary documentation and training.

Keywords

Kimberly Ahwal

unit survey inspection

accreditation requirements

data collection

peer review

QAPI program

training

emergency drills

COVID-19