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Site Organization Privacy and Security Medication/Equipment Quality of Care Art of Quality
100
How do team members communication occur on a regular basis?
Team Member Communication-Staff Meetings, QI Meeting, Email, Huddle
100
Where is the Notice of Privacy ocated?
Notice posted in patient waiting area-Privacy Notice
100
How are medications and medical products maintained and monitored?
Utilizing the Medication and Product Log. This included medications, vaccines, lab supplies and other medical supplies.
100
How is hand hygiene surveillance monitored?
Covert in Primary Care (secrete shoppers/patients).
Overt-Dental (Dental Manager observation)
100
What is the method of communicating goals and updates within the Center?
Plan of the Day
200
What is the process of communication for patients/members after hours?
For urgent matters Answering Service relays information to Provider on-call, all other call sent to Front Desk team via fax for follow-up
200
How do patients/member voice concerns or grievances?
Complaint Resolution Notice Posted in waiting areas.
Suggestion box with comment cards are available.
200
Where are medications and vaccines stored?
Medications and vaccines are stored in approved refrigerator and/or freezer per CDC guidelines.
200
How do you ensure patient identification?
2 unique patient identifiers ( i.e. name & date of birth)
200
What is the process for recording and using personalized patient information?
Personalization
300
How are patients/members informed of how to obtain treatment after hours of emergency care?
Information posted on all entry doors of the Wellness Center and an after hours voicemail has information of how to access care after hours.
300
How is patient confidentiality and privacy maintained?
Medical Records are kept in Electronic Medical Record (EMR). Computer Screens are locked when not in use.
300
How frequently are refrigerators/freezers checked and monitored?
Daily and monitored using approved thermometers with alarms that must to kept on.
300
How often is OSHA training completed?
OSHA training is completed for all team members upon hire and annually.
300
What is the Premise process of demystifying processes and establishes expectation for our patients/members?
Warm Hand Off
400
How are secure messages sent via electronic communication?
Premise Secure is typed in subject line of emails.
400
How are patients/members informed of Advanced Directives?
Printed information is available in the Center's Waiting Area. Additionally, a laminated card with additional information is available to guide the providers with documenting the Advanced Directive conversation.
400
How often does patient/member medication reconciliation occur?
Medication reconciliation occurs with each provider visit.
400
Do you know the Center's Patient Satisfaction Score and Premise's Bench Mark Score?
4.79 versus 4.85
400
How many Quality Improvement Studies are expected to maintain AAAHC compliance?
Two studies, one showing an improvement in each three year accreditation cycle.
500
How are patients/members kept aware of appointment delays?
Medical and Dental Team alert the Administrative Assistants Team aware of the reason for appointment delays. Any clinical team member running late will notify Department Managers of the estimated time delay. Patient will be asked if rescheduling is needed.
500
Where are the language resources are available to our patients/members?
Propio-Language Translations resource. EPIC AVS and Patient/Member Instructions available in different languages.
500
How are look alike and sound alike medications (i.e. DTaP & Tdap) stored?
Medications should be clearly labeled and stored in separate bins
500
How many emergency drills are conducted annually? (give examples)
At least 5-Two fire drills, two medical (Adult/Pediatric CPR/AED) and one Business Continuity Emergency Plan
500
How many Art of Quality Standards are expected for each team member to utilize routinely?
At least five (Plan of the Day, Personalization, Appointment reminders, Greeting, Check-in, Wait times, Environment and Warm hand off)






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