A Self-Assessment Guide for Health Care Organizations - IFC
A Self-Assessment Guide for Health Care Organizations - IFC
A Self-Assessment Guide for Health Care Organizations - IFC
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Measurable Element Look <strong>for</strong> Score Observations<br />
What is required<br />
5) The organization’s<br />
leaders plan services with<br />
recognized leaders in the<br />
community and other<br />
health care organizations.<br />
How is this element<br />
assessed<br />
Documents demonstrate<br />
involvement of community leaders<br />
and other health care<br />
organizations in planning services,<br />
e.g. strategic or program planning.<br />
0 5 10 Why did you give this score<br />
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Standard CGL.3 [Oversight of contracts]<br />
The organization’s leaders provide oversight of contracts <strong>for</strong> outsourced clinical and support services.<br />
Intent of CGL.3<br />
<strong>Organizations</strong> frequently have the option to either provide services directly or to arrange services through referral, consultation, contractual<br />
arrangements, or other agreements. Such services may range from diagnostic imaging services to financial accounting services. In all cases,<br />
there is leadership oversight <strong>for</strong> such contracts, or other arrangements to ensure that the services meet patients’ needs. They are monitored<br />
as part of the organization’s quality management and improvement activities. Department managers receive and act on regular reports from<br />
contracting agencies and ensure the reports are integrated into the organization’s quality monitoring process when appropriate.<br />
Measurable Element Look <strong>for</strong> Score Observations<br />
What is required<br />
1) Contracts and other<br />
arrangements are<br />
monitored, as appropriate<br />
to the nature of the<br />
contract, as part of the<br />
organization’s quality<br />
management and<br />
improvement program.<br />
How is this element<br />
assessed<br />
Contracts with any vendor (e.g.<br />
housekeeping, laboratories) include<br />
expectations <strong>for</strong> quality and how it<br />
will be monitored. Documents<br />
show that quality monitoring is<br />
done, results are communicated to<br />
leadership and actions are taken as<br />
needed.<br />
All independent contractors<br />
providing clinical services (e.g.<br />
diagnostic, consultation or<br />
treatment) have been <strong>for</strong>mally<br />
awarded documented privileges by<br />
the organization to provide such<br />
services.<br />
0 5 10 Why did you give this score<br />
........................................................<br />
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2) Services provided<br />
under contracts and other<br />
arrangements meet<br />
patients’ needs.<br />
Results of patient satisfaction<br />
surveys or complaints regarding<br />
contracted services are documented<br />
and followed up.<br />
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<strong>IFC</strong> <strong>Self</strong>-<strong>Assessment</strong> <strong>Guide</strong> <strong>for</strong> <strong>Health</strong> <strong>Care</strong> <strong>Organizations</strong> 19