A Self-Assessment Guide for Health Care Organizations - IFC

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Measurable Element Look for Score Observations What is required 6) Data are collected and analyzed for the for the purposes of planning and improvement, e.g. under a medical utility management program. How is this element assessed Key indicators for effective functioning of the utility systems are kept. Reports or minutes show that the monitoring data are reviewed and used for improving the utility systems 0 5 10 Why did you give this score ........................................................ ........................................................ ........................................................ IFC information resources - Environmental, fire and life safety More detailed resources are available online at: IFC Environmental, Health and Safety Guidelines for Health Care Organizations www.ifc.org/ifcext/sustainability.nsf/AttachmentsByTitle/gui_EHSGuidelines2007_HealthCareFacilities/$FILE/Final+- +Health+Care+Facilities.pdf IFC Performance Standards on Social and Environmental Sustainability www.ifc.org/ifcext/sustainability.nsf/AttachmentsByTitle/pol_PerformanceStandards2006_full/$FILE/IFC+Performance+Standards.pdf IFC Environmental, Health and Safety General Guidelines (section on Life and Fire Safety in section 3.3, p79-81) www.ifc.org/ifcext/sustainability.nsf/AttachmentsByTitle/gui_EHSGuidelines2007_GeneralEHS/$FILE/Final+-+General+EHS+Guidelines.pdf 72 IFC Self-Assessment Guide for Health Care Organizations
IFC Self-Assessment Guide for Health Care Organizations 73
Page 1 and 2:
PROMOTING STANDARDS IN THE PRIVATE
Page 3 and 4:
Contents Foreword 2 Acknowledgement
Page 5 and 6:
Acknowledgements This Guide was dev
Page 7 and 8:
introduction IFC Self-Assessment Gu
Page 9 and 10:
Why are Standards Important Why sho
Page 11 and 12:
Leadership Systems Data Where to Be
Page 13 and 14:
Preparing for the self-assessment I
Page 15 and 16:
Facility Safety and Emergency Manag
Page 17 and 18:
The self -assessment template IFC S
Page 19 and 20:
Clinical Governance and Leadership
Page 21 and 22:
Measurable Element Look for Score O
Page 23 and 24: Measurable Element Look for Score O
Page 25 and 26: Standard CGL.6 [Staff recruitment,
Page 27 and 28: Standard EPR.2 [Patient and family
Page 29 and 30: Standard EPR.3 [Informed consent] P
Page 31 and 32: Standard EPR.4 [Ethical management]
Page 33 and 34: Standard EPR.5 [Organ and tissue do
Page 35 and 36: Standard EPR.6 [Reproductive health
Page 37 and 38: Standard EPR.7 [Termination of preg
Page 41 and 42: Quality Measurement and Improvement
Page 43 and 44: Standard QMI.2 [Leaders’ collabor
Page 51 and 52: Standard QMI.4 [Medications use] Me
Page 57 and 58: Patient Safety (PS) Standard PS.1 [
Page 59 and 60: Standard PS.2 [Effective communicat
Page 61 and 62: Standard PS.4 [Correct site, proced
Page 63 and 64: Standard PS.5 [Health care associat
Page 65 and 66: Facility Safety and Emergency Manag
Page 73: Standard FSE.6 [Utilities managemen
Page 77 and 78: After the self-assessment Next Step
Page 79 and 80: Baseline Score Score Score Clinical
Page 81 and 82: EPR.6 Reproductive health policies
Page 83 and 84: QMI.4 Medications use 1 Medication
Page 85 and 86: Baseline Score Score Score Facility
Page 87 and 88: STEP 5: Develop an Action Plan The
Page 89 and 90: IFC Self-Assessment Guide for Healt
Page 91 and 92: Appendices IFC Self-Assessment Guid
Page 93 and 94: 11. Organ donation and transplant T
Page 95 and 96: Clinical Privileging Committee The
Page 97 and 98: emergency 1. An unanticipated or su
Page 99 and 100: privileging The process whereby a s
Page 102: Contact Information Health and Educ
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A Self-Assessment Guide for Health Care Organizations - IFC

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