Westlake Bp Houston Jeopardy Template

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)

Westlake BP Houston-Site Assessment

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