| 01 |
No |
$0 |
$0 |
|
|
Facility leaders install detectable warning surfaces where crosswalks transition onto a vehicle roadway.
|
| 02 |
No |
$0 |
$0 |
|
|
Facility leaders ensure clinical staff who perform toxic exposure screenings complete mandatory training.
|
| 03 |
No |
$0 |
$0 |
|
|
The Director ensures staff implement processes to prevent repeat environment of care findings related to dusty sprinkler heads.
|
| 04 |
No |
$0 |
$0 |
|
|
Facility leaders evaluate all areas where biohazardous materials are located to ensure staff store clean and dirty items separately.
|
| 05 |
No |
$0 |
$0 |
|
|
The Director ensures staff keep the environment clean and safe.
|
| 06 |
No |
$0 |
$0 |
|
|
Facility leaders ensure their policy aligns with VHA Directive 1088(1) and develop workflows for all services that communicate test results to patients.
|
| 07 |
No |
$0 |
$0 |
|
|
The Chief of Staff and Associate Director for Patient Care Services ensure corrective actions address unfavorable trends in communication of test result data.
|
| 08 |
No |
$0 |
$0 |
|
|
The Director ensures the Chief of Staff chairs and attends the Peer Review Committee meetings as required by VHA.
|
| 09 |
No |
$0 |
$0 |
|
|
The Director ensures patient safety managers identify adverse events as sentinel events when they meet criteria.
|
| 10 |
No |
$0 |
$0 |
|
|
Facility leaders evaluate and improve processes to identify adverse events that warrant an institutional disclosure.
|
| 11 |
No |
$0 |
$0 |
|
|
The Director implements processes to ensure staff track action plans until they are completed and report to leaders those that are outstanding.
|
| 12 |
No |
$0 |
$0 |
|
|
The Director ensures leaders train staff on their roles and responsibilities when responding to a medical emergency, including the location of equipment used for medical emergencies.
|
| 13 |
No |
$0 |
$0 |
|
|
The Director ensures leaders revise the emergency response policy based on recertification time frames in VHA Directive 0999(1) or sooner, if warranted.
|
| 14 |
No |
$0 |
$0 |
|
|
Facility leaders ensure all applicable staff maintain basic life support certification and take appropriate action for those staff without it.
|
| 15 |
No |
$0 |
$0 |
|
|
The Director ensures facility leaders manage primary care teams panel sizes to support patients access to care.
|
| 1 |
No |
$0 |
$0 |
|
|
Facility leaders install detectable warning surfaces where crosswalks transition onto a vehicle roadway.
|
| 2 |
No |
$0 |
$0 |
|
|
Facility leaders ensure clinical staff who perform toxic exposure screenings complete mandatory training.
|
| 3 |
No |
$0 |
$0 |
|
|
The Director ensures staff implement processes to prevent repeat environment of care findings related to dusty sprinkler heads.
|
| 4 |
No |
$0 |
$0 |
|
|
Facility leaders evaluate all areas where biohazardous materials are located to ensure staff store clean and dirty items separately.
|
| 5 |
No |
$0 |
$0 |
|
|
The Director ensures staff keep the environment clean and safe.
|
| 6 |
No |
$0 |
$0 |
|
|
Facility leaders ensure their policy aligns with VHA Directive 1088(1) and develop workflows for all services that communicate test results to patients.
|
| 7 |
No |
$0 |
$0 |
|
|
The Chief of Staff and Associate Director for Patient Care Services ensure corrective actions address unfavorable trends in communication of test result data.
|
| 8 |
No |
$0 |
$0 |
|
|
The Director ensures the Chief of Staff chairs and attends the Peer Review Committee meetings as required by VHA.
|
| 9 |
No |
$0 |
$0 |
|
|
The Director ensures patient safety managers identify adverse events as sentinel events when they meet criteria.
|
