|
|
Resource/w tools selected
|
Webinars
|
Behavioral & Mental Health, Health Equity, Infection Control, Policies and Procedures
|
|
|
teest
|
|
|
|
|
test
|
|
|
|
|
test
|
|
|
|
|
STET CMS & tools
|
STET Tracers
|
Accreditation & Survey Preparation
|
|
|
STET CMS
|
Utilities
|
|
|
|
resource/w basic overwrite
|
|
|
|
|
Sample blanket-warmer risk assessment
|
Tools
|
Accreditation & Survey Preparation
|
|
|
test resource
|
|
|
|
|
2023 CMS Compliance Crosswalk
|
CMS Compliance
|
Accreditation & Survey Preparation
|
|
|
OSHA Dental Facilities Update - November 2023
|
OSHA Program Manuals
|
|
|
|
OSHA Medical Facilities Update - November 2023
|
OSHA Program Manuals
|
|
|
|
Tab 2, Medical Facilities OSHA Manual- August 2023
|
OSHA Program Manuals
|
|
|
|
Tab 2, Dental Facility OSHA Manual- August 2023
|
OSHA Program Manuals
|
|
|
|
About the Reviewer
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Preface
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Chapter 1: Understanding The Joint Commission Survey Process
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation, Environment and Facilities, Infection Control, Physical environment
|
|
|
Chapter 2: Chapter Format and Tracer Planning
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Chapter 3: Pulling It All Together: Mock Surveys and Patient Tracers
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Chapter 4: Patient Tracers
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Chapter 5: System Tracers
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Chapter 6: Tracer Tactics
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 00: Accreditation Participation Requirements (APR)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 01: National Patient Safety Goals (NPSG)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 02: Emergency Management (EM)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 03: Environment of Care (EC)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 04: Human Resources (HR)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 05: Performance Improvement (PI)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 06: Infection Prevention and Control (IC)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 07: Leadership (LD)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Checklist 08: Life Safety Code (LSC)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 09: Information Management (IM)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 10: Medical Staff (MS)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 11: Medication Management (MM)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 12: Nursing (NR)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 13: Provision of Care, Treatment, and Services (PC)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 14: Record of Care, Treatment, and Services (RC)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 15: The Rights and Responsibilities of the Individuals (RI)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 16: Transplant Safety (TS)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Checklist 17: Waived Testing (WT)
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Basic Mock Survey Tactics
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: CMS Checklist Before, During, and After Surveys
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Information Sheet for Joint Commission Individual Tracer Unit Survey
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Ligature Risk Assessment for Patient Care Units
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Ligature/Self-Harm Risk Assessment for Behavioral Medicine Unit
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Medical Record Documentation Guide
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Pain Assessment and Management Standards Evaluation Tool
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: National Patient Safety Goals Tracer and Education Tool
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Infection Control Tracer
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: OB Vaginal Delivery Tracer Recording Form
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Caesarean Delivery Tracer Recording Form
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Patient Tracer Tool
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Patient Tracer Emergency Department
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Patient Tracer Laboratory
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Patient Tracer Nursing Unit
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Patient Tracer Perioperative
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Patient Tracer Pharmacy
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Patient Tracer Radiology
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Restraints and Seclusion Review Tool
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: The Joint Commission Survey IOU Items
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: The Joint Commission Survey Patient Information
|
|
|
|
|
Sample: The Joint Commission Survey Question Tracking
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: The Joint Commission Survey Staff Interviewed
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
Sample: Tracer Findings and Action Log
|
Mock Tracers & Checklists
|
Accreditation & Survey Preparation
|
|
|
CMS Fire Safety Survey Report Form 2786R
|
Tools
|
Environment and Facilities, Fire & Life Safety
|
|
|
Checklist for on-the-go emergency disaster kits for staff
|
Tools
|
Natural & Manmade Disasters
|
|
|
Tab 1, Dental Facility OSHA Manual- April 2023
|
OSHA Program Manuals
|
|
|
|
Tab 1, Medical Facilities OSHA Manual- April 2023
|
OSHA Program Manuals
|
|
|
|
Rural Emergency Hospitals Conditions of Participation December 2023
|
Tools
|
Accreditation & Survey Preparation, Fire & Life Safety, Leadership & Finance, Policies and Procedures
|
|
|
Analyzing the Hospital Life Safety Survey, Fourth Edition
|
eBooks
|
Fire & Life Safety
|
|
|
The Complete Guide to Laboratory Safety, Fifth Edition
|
eBooks
|
Laboratory Safety
|
|
|
Building a High-Reliability Organization: A Toolkit for Success, Second Edition
|
eBooks
|
Patient Safety, Quality & Errors
|
|
|
Workplace violence risk assessment tool
|
Tools
|
Environment and Facilities
|
|
|
Workplace violence prevention hotwash scorecard
|
Tools
|
Environment and Facilities
|
|
|
AQCC benefits
|
|
|
|
|
Sample kitchen fire inspection report
|
Tools
|
Fire & Life Safety
|
|
|
Drug Diversion Prevention in Healthcare, Second Edition
|
eBooks
|
|
|
|
OSHA Program Manual for Dental Facilities - October 2022 Revisions
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Medical Facilities - October 2022 Revisions
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Medical Facilities - June 2022 Revisions
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Dental Facilities - June 2022 Revisions
|
OSHA Program Manuals
|
|
|
|
Peer Review After COVID
|
Webinars
|
Quality & Errors
|
|
|
Tab 7, OSHA Program Manual for Dental Facilities - May 2022 Revisions
|
OSHA Program Manuals
|
|
|
|
Tab 6, OSHA Program Manual for Medical Facilities - May 2022 Revisions
|
ACC 101 Working with Colleagues
|
Accreditation & Survey Preparation, Behavioral & Mental Health
|
|
|
OSHA Program Manual for Medical Facilities - December 2021 Revisions
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Medical Facilities - August 2021 Revisions
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Medical Facilities - May 2021 Revisions
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Medical Facilities
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Dental Facilities - December 2021 Revisions
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Dental Facilities - August 2021 Revisions
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Dental Facilities - May 2021 Revisions
|
OSHA Program Manuals
|
|
|
|
OSHA Program Manual for Dental Facilities- January 2022a
|
OSHA Program Manuals
|
|
|
|
The Intersection of Quality and Peer Review
|
Webinars
|
Quality & Errors
|
|
|
Peer Review: How, When, and Why
|
Webinars
|
Quality & Errors
|
|
|
The CMS Compliance Crosswalk ebook only
|
|
|
|
|
Responding to community spread of COVID-19
|
Tools
|
Infection Control
|
|
|
How to build an N95 mask decontamination trellis
|
Tools
|
Infection Control
|
|
|
Infographic - Understanding the Difference, Surgical Mask, N95 Respirator
|
Tools
|
Infection Control, Workplace safety
|
|
|
University of Utah Hospitals and Clinics policy: Cleaning of toys
|
Tools
|
Environment and Facilities, Infection Control, Patient Safety, Policies and Procedures
|
|
|
AQCC Demo Video
|
Tools
|
|
|
|
Restraint and Seclusion: Training Staff on Close Observation Precautions for At-Risk Patients
|
Webinars
|
Patient Safety
|
|
|
Urgent Care Industry White Paper
|
Tools
|
Environment and Facilities, Natural & Manmade Disasters
|
|
|
Drug Diversion by Healthcare Personnel
|
Webinars
|
Accreditation & Survey Preparation, Environment and Facilities, Infection Control, Policies and Procedures
|
|
|
Customizable infection control unit data report-Gowe
|
Tools
|
Accreditation & Survey Preparation, Infection Control, Quality & Errors
|
|
|
Preventing Violence in the ED: Designing an Effective Violence Prevention Program
|
Webinars
|
Natural & Manmade Disasters, Environment and Facilities
|
|
|
Suicide risk room checklist
|
Tools
|
|
|
|
Preventing Suicides and Eliminating Ligature Risk in 2019
|
Webinars
|
|
|
|
Breaking New Ground: EPA’s New Hazardous Waste Pharmaceuticals Rule
|
Webinars
|
Environment and Facilities
|
|
|
CDC Fall Risk Checklist
|
Tools
|
Patient Safety, Quality & Errors
|
|
|
Patient Handoffs: Stop Errors and Improve Compliance
|
Webinars
|
Environment and Facilities, Patient Safety, Quality & Errors
|
|
|
WHO "How to Handwash" Poster
|
Tools
|
Infection Control
|
|
|
California Nurse-to-Patient Ratio Chart
|
Tools
|
Leadership & Finance, Patient Safety
|
|
|
Accreditation-Specific Certifications Chart
|
Tools
|
Accreditation & Survey Preparation
|
|
|
Meet CIHQ
|
ACC 101 What is Accreditation
|
Accreditation & Survey Preparation
|
|
|
Meet DNV-GL
|
ACC 101 What is Accreditation
|
Accreditation & Survey Preparation
|
|
|
Update on HFAP
|
ACC 101 What is Accreditation
|
Accreditation & Survey Preparation
|
|
|
Full edition of Briefings on Accreditation & Quality
|
ACC 101 What is Accreditation
|
Accreditation & Survey Preparation, Quality & Errors
|
|
|
The First 100 Days
|
ACC 101 Being a ACC Specialist
|
Accreditation & Survey Preparation
|
|
|
Accreditation Salary Survey Report 2017
|
ACC 101 Being a ACC Specialist
|
Accreditation & Survey Preparation
|
|
|
Accreditation and Patient Safety Resources
|
ACC 101 Being a ACC Specialist
|
Accreditation & Survey Preparation, Patient Safety
|
|
|
Inpatient Tracer Example
|
ACC 101 Being a ACC Specialist
|
Patient Safety
|
|
|
NPSG Tracer Training Tool 2018
|
ACC 101 Being a ACC Specialist
|
Accreditation & Survey Preparation
|
|
|
Tracer Reporting Calendar
|
ACC 101 Being a ACC Specialist
|
Accreditation & Survey Preparation
|
|
|
AO Comparision Chart: Quick guide to State Operations Manual Appendices
|
ACC 101 Survey Process
|
Accreditation & Survey Preparation
|
|
|
State Operations Manual, Appendix A
|
ACC 101 Survey Process
|
Accreditation & Survey Preparation
|
|
|
Quick Guide to State Operations Manual Appendices
|
ACC 101 Survey Process
|
Accreditation & Survey Preparation
|
|
|
CMS Survey Tips
|
ACC 101 Survey Preparation
|
|
|
|
CMS Survey Prep Checklist
|
ACC 101 Survey Preparation
|
Accreditation & Survey Preparation
|
|
|
Command Center Tool
|
ACC 101 Survey Preparation
|
Accreditation & Survey Preparation
|
|
|
Joint Commission Scribe Template
|
ACC 101 Survey Preparation
|
Quality & Errors
|
|
|
Sweeper Checklist for all Inpatient and Outpatient Facilities
|
ACC 101 Survey Preparation
|
Accreditation & Survey Preparation
|
|
|
Project Management Document
|
ACC 101 Sustaining Compliance
|
Leadership & Finance, Quality & Errors
|
|
|
Go to Green Action Plan
|
ACC 101 Sustaining Compliance
|
Accreditation & Survey Preparation, Leadership & Finance, Quality & Errors
|
|
|
Quality Assessment and Performance Improvement Plan
|
ACC 101 Sustaining Compliance
|
Leadership & Finance, Policies and Procedures, Quality & Errors
|
|
|
How to Run a Quality Improvement Plan
|
ACC 101 Sustaining Compliance
|
Leadership & Finance, Quality & Errors
|
|
|
Order of Succession Checklist
|
ACC 101 Sustaining Compliance
|
Accreditation & Survey Preparation, Natural & Manmade Disasters, Leadership & Finance
|
|
|
Contracted Clinical Services Checklist
|
ACC 101 Sustaining Compliance
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Contract Approval Forms
|
ACC 101 Sustaining Compliance
|
Accreditation & Survey Preparation, Leadership & Finance, Policies and Procedures
|
|
|
High Reliability Checklist
|
ACC 101 Sustaining Compliance
|
Accreditation & Survey Preparation, Quality & Errors
|
|
|
ORO 2.0
|
ACC 101 Sustaining Compliance
|
Accreditation & Survey Preparation
|
|
|
CMS Surveyor Quality Assessment Performance Improvement (QAPI) Worksheet
|
ACC 101 Sustaining Compliance
|
Accreditation & Survey Preparation, Quality & Errors
|
|
|
CMS Surveyor Discharge Planning Worksheet
|
ACC 101 Sustaining Compliance
|
Accreditation & Survey Preparation
|
|
|
Competency Based Orientation Tool
|
ACC 101 Working with Colleagues
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Chapter Team Examples
|
ACC 101 Working with Colleagues
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Chapter Team Approach
|
ACC 101 Working with Colleagues
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Friday Rounding with Leadership
|
ACC 101 Working with Colleagues
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Infection Control Monitoring Tool
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Infection Control
|
|
|
CMS Infection Control Surveyor Worksheet
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Infection Control
|
|
|
Sepsis Poster
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Infection Control
|
|
|
World Health Organization (WHO) Surgical Safety Checklist
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Infection Control, Patient Safety, Quality & Errors
|
|
|
Overlapping Surgery Checklist
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Patient Safety, Quality & Errors
|
|
|
CDC Fall Risk Checklist
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Patient Safety, Quality & Errors
|
|
|
Post-fall Assessment Guide
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Patient Safety, Quality & Errors
|
|
|
Emergency Room Suicide Prevention Checklist
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Behavioral & Mental Health, Natural & Manmade Disasters
|
|
|
Patient Handoff Article
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Patient Safety, Quality & Errors
|
|
|
Fire Drill Matrix
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Natural & Manmade Disasters, Environment and Facilities
|
|
|
CMS Emergency Prep Quiz
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Natural & Manmade Disasters
|
|
|
Documentation: Getting the details right
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Policies and Procedures, Quality & Errors
|
|
|
Being compliant isn’t hard when you have a library card
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Policies and Procedures, Quality & Errors
|
|
|
Disclosure Communications Checklist
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Medical Reconciliation Flow Chart
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation
|
|
|
ECRI Top Health Technology Hazards 2018
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Patient Safety
|
|
|
ASQ Suicide Screening Questions
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation
|
|
|
Columbia-Suicide Severity Rating Scale (C-SSRS)
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation
|
|
|
Bringing Universal Suicide Screening to your Hospital
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation
|
|
|
Restraint Documentation Audit
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Patient Safety, Policies and Procedures
|
|
|
Restraint and Seclusion Guide
|
ACC 101 Hot Topics
|
Accreditation & Survey Preparation, Patient Safety, Policies and Procedures
|
|
|
Clean hands or RFI
|
ACC 101 Hot Topics
|
Infection Control
|
|
|
Picking an Accrediting Organization
|
ACC 101 What is Accreditation
|
Accreditation & Survey Preparation
|
|
|
Case Study in Preliminary Denial of Accreditation
|
ACC 101 What is Accreditation
|
Accreditation & Survey Preparation
|
|
|
2019 Training and Education Compliance Checklist
|
Tools
|
Accreditation & Survey Preparation, Quality & Errors
|
|
|
2019 Accreditation Professional Salary Survey
|
Tools
|
Accreditation & Survey Preparation
|
|
|
CMS explains its Accrediting Role
|
ACC 101 What is Accreditation
|
Accreditation & Survey Preparation
|
|
|
Preventing Violence in the ED: Designing an Effective Violence Prevention Program - On-Demand
|
|
Natural & Manmade Disasters, Patient Safety, Quality & Errors
|
|
|
The Survey Coordinator's Handbook, 20th Edition
|
eBooks
|
Accreditation & Survey Preparation
|
|
|
Chapter Leader's Guide to Emergency Management, Second Edition
|
eBooks
|
Natural & Manmade Disasters
|
|
|
Accreditation 101: A Beginner's Guide to Hospital Surveys
|
Webinars
|
Accreditation & Survey Preparation
|
|
|
High-reliability Markers Checklist
|
Tools
|
Leadership & Finance, Quality & Errors
|
|
|
Accrediting Organization Comparison Chart
|
Tools
|
Accreditation & Survey Preparation
|
|
|
PSS-3 Suicide Prevention Screener
|
Tools
|
Patient Safety
|
|
|
Ask Suicide-Screening Questionnaire (ASQ)
|
Tools
|
Behavioral & Mental Health, Patient Safety
|
|
|
Columbia-Suicide Severity Rating Scale (C-SSRS)
|
Tools
|
Patient Safety
|
|
|
Fire Drill Matrix
|
Tools
|
Environment and Facilities
|
|
|
Ask Suicide-Screening Questionnaire (ASQ)
|
ACC 101 Hot Topics
|
Patient Safety
|
|
|
Report Out Form
|
Tools
|
Leadership & Finance, Quality & Errors
|
|
|
How STET Files Are Organized
|
STET CMS
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
INTRO to STET CMS (Centers for Medicare and Medicaid Services)
|
STET CMS
|
Accreditation & Survey Preparation
|
|
|
Changes to the CoPs
|
STET CMS
|
Accreditation & Survey Preparation
|
|
|
CMS Checklist of Frequent Findings
|
STET CMS
|
Accreditation & Survey Preparation
|
|
|
CMS Checklist: Before, During, and After Surveys
|
STET CMS
|
Accreditation & Survey Preparation
|
|
|
Emergency Preparedness Checklist
|
STET CMS
|
Accreditation & Survey Preparation, Natural & Manmade Disasters
|
|
|
Patient Compliant and Grievance Process Chart
|
STET CMS
|
Accreditation & Survey Preparation, Patient Safety
|
|
|
Example of a Condition of Participation from the State Operations Manual
|
STET CMS
|
Accreditation & Survey Preparation
|
|
|
Prepare for CMS Surveys Sheet
|
STET CMS
|
Accreditation & Survey Preparation
|
|
|
INTRO to STET General CAMH
|
STET General CAMH
|
Accreditation & Survey Preparation
|
|
|
Frequently Cited Standards
|
STET General CAMH
|
Accreditation & Survey Preparation, Patient Safety
|
|
|
Environment of Care and Life Safety Quiz
|
STET General CAMH
|
Accreditation & Survey Preparation, Environment and Facilities, Patient Safety
|
|
|
Emergency Management Quiz
|
STET General CAMH
|
Accreditation & Survey Preparation, Natural & Manmade Disasters
|
|
|
Infection Control Quiz
|
STET General CAMH
|
Accreditation & Survey Preparation, Infection Control
|
|
|
Medication Management Quiz
|
STET General CAMH
|
Accreditation & Survey Preparation
|
|
|
Provision of Care (PC) Quiz
|
STET General CAMH
|
Accreditation & Survey Preparation, Patient Safety
|
|
|
Record of Care, Treatment, and Services (RC) Quiz
|
STET General CAMH
|
|
|
|
Medical Record Documentation Guide
|
STET General CAMH
|
|
|
|
Leadership (LD) Quiz
|
STET General CAMH
|
Leadership & Finance
|
|
|
National Patient Safety Goals Quiz
|
|
|
|
|
Rights, Ethics, and Communication Quiz
|
STET General CAMH
|
Leadership & Finance, Patient Safety, Policies and Procedures
|
|
|
Leadership Team Invite Letter
|
Tools
|
Leadership & Finance
|
|
|
Report Out Guidelines Example
|
Tools
|
Leadership & Finance, Quality & Errors
|
|
|
INTRO to STET Manager Training Tools
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
After the Survey: Responding to the Survey Report
|
STET Manager Training Tools
|
Accreditation & Survey Preparation
|
|
|
Antimicrobial Stewardship Checklist
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Quality & Errors
|
|
|
Sentinel Event Alert 56: Suicide Ideation Checklist
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Patient Safety
|
|
|
Documents List: Joint Commission Survey
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Quality & Errors
|
|
|
Emergency Management Plan Checklist
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Natural & Manmade Disasters, Quality & Errors
|
|
|
Example: CMS Statement of Deficiencies and Plan of Correction Form
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance, Quality & Errors
|
|
|
Governing Board Questions
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Joint Commission Daily Unit Survey Checklist
|
STET Manager Training Tools
|
Accreditation & Survey Preparation
|
|
|
Staff Preparation: Joint Commission Basics
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Leadership (LD) Checklist
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Leadership Questions for Survey Preparedness
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Leadership Session Preparation Questions
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Patient Safety Systems Chapter Checklist
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Patient Safety
|
|
|
Performance Improvement Data Requirements
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Quality & Errors
|
|
|
Restraint and Seclusion Documentation Guide
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Patient Safety, Policies and Procedures, Quality & Errors
|
|
|
Risk Assessment Tool
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance, Quality & Errors
|
|
|
Manager's Survey Readiness Checklist
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Test Your Knowledge Quiz
|
STET Manager Training Tools
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Tipsheet for Leaders
|
STET Manager Training Tools
|
Leadership & Finance
|
|
|
Unit Manager NPSGs
|
STET Manager Training Tools
|
|
|
|
INTRO to STET Tracers
|
STET Tracers
|
|
|
|
Example: Evidence of Standards Compliance form
|
STET Tracers
|
Quality & Errors
|
|
|
Alarm System Safety Tracer
|
STET Tracers
|
Environment and Facilities, Quality & Errors
|
|
|
Contracted Services Tracer
|
STET Tracers
|
Quality & Errors
|
|
|
Disinfection and Sterilization Tracer
|
STET Tracers
|
Infection Control, Quality & Errors
|
|
|
Emergency Department Tracer
|
STET Tracers
|
Natural & Manmade Disasters, Quality & Errors
|
|
|
Medication Management Tracer
|
STET Tracers
|
Quality & Errors
|
|
|
Patient Assessment Tracer
|
STET Tracers
|
Patient Safety, Quality & Errors
|
|
|
Patient Flow Tracer
|
STET Tracers
|
Patient Safety, Quality & Errors
|
|
|
Surgical Tracer
|
STET Tracers
|
Patient Safety, Quality & Errors
|
|
|
Project Charter
|
Tools
|
Leadership & Finance
|
|
|
Survey Training Essentials Toolkit
|
|
Accreditation & Survey Preparation, Quality & Errors
|
|
|
Preliminary Denial of Accreditation: Actions, Recovery, and Prevention
|
Webinars
|
Accreditation & Survey Preparation
|
|
|
Are You Ready? Targeting Hot Spots in Hospital Compliance
|
Webinars
|
Accreditation & Survey Preparation, Environment and Facilities
|
|
|
Practical Strategies for Dealing with Medical Staff Conflicts of Interest
|
Webinars
|
Leadership & Finance, Policies and Procedures, Quality & Errors
|
|
|
Infection-Free Vaccination: Safely Storing, Handling, Injecting, and Infusing Medications
|
Webinars
|
Infection Control, Patient Safety
|
|
|
Healthcare and Law Enforcement: Working Together Instead of Against Each Other
|
Webinars
|
Natural & Manmade Disasters, Environment and Facilities, Policies and Procedures
|
|
|
Active Shooter Incidents in Healthcare Facilities: Be Prepared and Improve Decision-Making in an Emergency
|
Webinars
|
Natural & Manmade Disasters, Environment and Facilities
|
|
|
The SAFER Matrix: Are You Ready for Joint Commission Surveys?
|
Webinars
|
Accreditation & Survey Preparation
|
|
|
2012 Accreditation Professional Salary Survey
|
Tools
|
Accreditation & Survey Preparation
|
|
|
2017 Accreditation Professional Salary Survey
|
Tools
|
Accreditation & Survey Preparation, Leadership & Finance
|
|
|
Manager Training - After the Survey: Responding to the Survey Report
|
|
Accreditation & Survey Preparation
|
|
|
STOP-BANG Sleep Apnea Questionnaire
|
Tools
|
Patient Safety
|
|
|
A Practical Approach to Achieving Patient- and Family-Centered Care - On-Demand
|
|
Accreditation & Survey Preparation, Patient Safety, Quality & Errors
|
|
|
2017 Top 10 Health Technology Hazards
|
Tools
|
Environment and Facilities, Infection Control, Patient Safety, Quality & Errors
|
|
|
2017 Hospital Education and Training Requirements for Joint Commission and CMS
|
Tools
|
|
|
|
Jan 2017 Joint Commission deleted hospital standards and EPs
|
Tools
|
Accreditation & Survey Preparation
|
|
|
Emergency Department Patient Tracer
|
Tools
|
Patient Safety
|
|
|
Medical Record Review Documentation Guide
|
Tools
|
|
|
|
Clinical Alarm System Safety - Assessment Tracer Tool
|
Tools
|
Accreditation & Survey Preparation
|
|
|
How Parkland Health & Hospital System Successfully Implemented a Suicide Risk Screening Program
|
Webinars
|
Natural & Manmade Disasters, Patient Safety, Quality & Errors
|
|
|
Medication Reconciliation: Practical Strategies and Tools for Compliance
|
eBooks
|
Accreditation & Survey Preparation, Behavioral & Mental Health, Environment and Facilities, Healthcare Staff, Patient Safety
|
|
|
PPE in Healthcare: How to Improve Culture, Consistency, and Compliance
|
Webinars
|
Infection Control, Policies and Procedures, Quality & Errors
|
|
|
Proper GI Scope Disinfection: How to Avoid Becoming a Statistic
|
Webinars
|
Infection Control
|
