| 01 |
No |
$0 |
$0 |
|
|
The Executive Director oversees improvements to the telephone system to ensure identified vulnerabilities are addressed.
|
| 02 |
No |
$0 |
$0 |
|
|
Facility leaders ensure exit signs lead to an exit.
|
| 03 |
No |
$0 |
$0 |
|
|
Facility leaders install detectable warning surfaces anywhere a walkway transitions into a roadway.
|
| 04 |
No |
$0 |
$0 |
|
|
The Executive Director ensures staff keep patient care areas clean and safe.
|
| 05 |
No |
$0 |
$0 |
|
|
Facility leaders ensure staff conduct a risk assessment for electrical cord management to identify and implement any needed improvements.
|
| 06 |
No |
$0 |
$0 |
|
|
The Executive Director ensures staff post biological hazard signs on doors where potentially infectious materials may be present and store clean and dirty items separately.
|
| 07 |
No |
$0 |
$0 |
|
|
The Executive Director ensures prompt disposal of biohazardous waste.
|
| 08 |
No |
$0 |
$0 |
|
|
Facility leaders ensure staff conduct a risk assessment on liquid nitrogen use and storage, to include devices in exam rooms, and implement changes accordingly.
|
| 09 |
No |
$0 |
$0 |
|
|
The Executive Director ensures the Comprehensive Environment of Care Committee identifies at least one facility-specific environment of care trend and establishes a performance improvement plan, including outcome measures, to address it.
|
| 10 |
No |
$0 |
$0 |
|
|
Facility leaders ensure staff develop service-level workflows for the communication of test results for each service.
|
| 11 |
No |
$0 |
$0 |
|
|
Facility leaders review the test result communication policy to ensure it complies with the VHA requirement for communicating critical results outside of normal business hours.
|
| 12 |
No |
$0 |
$0 |
|
|
Facility leaders develop a formal process for staff to track performance metrics for test result communication, implement improvement actions, and report compliance to an appropriate oversight committee.
|
| 13 |
No |
$0 |
$0 |
|
|
Facility leaders manage panel sizes to ensure patients have timely access to high-quality care.
|
| 2 |
No |
$0 |
$0 |
|
|
Facility leaders ensure exit signs lead to an exit.
|
| 1 |
No |
$0 |
$0 |
|
|
The Executive Director oversees improvements to the telephone system to ensure identified vulnerabilities are addressed.
|
| 3 |
No |
$0 |
$0 |
|
|
Facility leaders install detectable warning surfaces anywhere a walkway transitions into a roadway.
|
| 4 |
No |
$0 |
$0 |
|
|
The Executive Director ensures staff keep patient care areas clean and safe.
|
| 5 |
No |
$0 |
$0 |
|
|
Facility leaders ensure staff conduct a risk assessment for electrical cord management to identify and implement any needed improvements.
|
| 6 |
No |
$0 |
$0 |
|
|
The Executive Director ensures staff post biological hazard signs on doors where potentially infectious materials may be present and store clean and dirty items separately.
|
| 7 |
No |
$0 |
$0 |
|
|
The Executive Director ensures prompt disposal of biohazardous waste.
|
| 8 |
No |
$0 |
$0 |
|
|
Facility leaders ensure staff conduct a risk assessment on liquid nitrogen use and storage, to include devices in exam rooms, and implement changes accordingly.
|
| 9 |
No |
$0 |
$0 |
|
|
The Executive Director ensures the Comprehensive Environment of Care Committee identifies at least one facility-specific environment of care trend and establishes a performance improvement plan, including outcome measures, to address it.
|
