Patient Safety Curriculum Module 10: The National Landscape ...

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Arrival Instructions• Verification that front desk has been alerted• Notification of department leaders through pre-established group page• Where will the opening meeting take place and who will attend?• Who will escort the regulators?• What tools do escorts need?• What documents will regulators request?• Have suitable work space pre-selected and bring the regulators there.• Verify the regulators’ identities and agencies and have visitor badgescreated.• Assemble leadership and bring the regulators to an opening meeting.46NPSF Professional Learning Series
Opening Meetings• Getting off on the right foot is important.• Most regulators plan to have a formal opening meeting whereyou will learn the scope, focus, and duration of the visit. Insiston an opening discussion if it is not planned.• Have a standard slide deck prepared that gives generalinformation about your organization: size, locations, goals, etc.• Be proud to tell your story• Discuss your plans to provide escorts to the regulatorsthroughout their visit.• Ask the regulators to commit to informal daily debriefs.47NPSF Professional Learning Series
Page 1 and 2: NPSF Professional Learning Series p
Page 3 and 4: Goals of this module• Upon comple
Page 5 and 6: “End result system of hospitalsta
Page 7 and 8: Patient Safety in the Popular Press
Page 9 and 10: The Cost Landscape• Per capita he
Page 11 and 12: Mounting Pressures for Transparency
Page 17 and 18: Regulatory Landscape17NPSF Professi
Page 19 and 20: Example of One Year of PotentialReg
Page 21 and 22: The Joint CommissionDPHCMSThe Regul
Page 23 and 24: Potential CMS CoP Findings• Condi
Page 25 and 26: Influences on the Joint CommissionS
Page 27 and 28: Customized Survey Process• Priori
Page 29 and 30: “Tracing” the Patient: Across S
Page 31 and 32: “Tracing” the Patient - Priorit
Page 33 and 34: Sample: Unannounced SurveySchedule
Page 35 and 36: National Patient Safety Goals(NPSGs
Page 37 and 38: 2011 Hospital NPSGs• There are si
Page 39 and 40: Goal 8: Reconcile Medications• Ac
Page 41 and 42: Managing Regulatory Visits41NPSF Pr
Page 43 and 44: The Regulatory Survey CycleMonitorc
Page 45: Survey Preparations• Develop a re
Page 49 and 50: Command Central (Bull Pen)• Large
Page 51 and 52: Exit Conference• At the exit conf
Page 53 and 54: Attributes of a Well ManagedRegulat
Page 55 and 56: Regulatory ReadinessPreparing for t
Page 57 and 58: Quality and Safety FrameworkQuality
Page 59 and 60: Culture: Communications Plan forSur
Page 61: Final Thoughts• B Teams with A Sy

Patient Safety Curriculum Module 10: The National Landscape ...

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