102.1. Do the policies and procedures address: M a. handwashing, D D Procedures are b. cleaning and disinfection/sterilization of patient M being updated care equipment, M c. separation of infected and uninfected patients, D and D M Need written d. housekeeping procedures? procedure for Medical similar to Dental M Communicable 103. Is there a control plan to identify and manage D Disease suspected transmittable diseases (e.g., tuberculosis, Screening SARS) Procedure M 104. Is equipment that is used for disinfection/ D sterilization purposes subject to quality control procedures? Equipment Safety 105. Does all equipment at the physician practice site X undergo periodic inspection, testing, and preventive maintenance? 105.1.Are inspection and preventive maintenance X procedures documented? 105.2. Are office personnel instructed on what to do if a X device malfunctions? 105.3. Are all devicerelated incidents reported to risk X management? 106. Do all officebased users of medical devices receive X adequate training before use on patients? Violence Prevention and Control 107. Has a security audit been conducted to identify the X potential for violence at the physician practice site? 108. Have providers and staff of the practice received X training to recognize risk factors for violence? 108.1. Does the training include deescalation techniques X and prevention, management, and control of violent incidents? Managed Care Liability 109. Are managed care contracts and agreements X reviewed by risk management/legal counsel?
102.1. Do the policies and procedures address: a. handwashing, M D b. cleaning and disinfection/sterilization of patient care equipment, D M Procedures are being updated c. separation of infected and uninfected patients, and M D d. housekeeping procedures? D M Need written procedure for Medical similar to Dental 103. Is there a control plan to identify and manage suspected transmittable diseases (e.g., tuberculosis, SARS) M D Communicable Disease Screening Procedure 104. Is equipment that is used for disinfection/ sterilization purposes subject to quality control procedures? M D Equipment Safety 105. Does all equipment at the physician practice site undergo periodic inspection, testing, and preventive maintenance? X 105.1.Are inspection and preventive maintenance procedures documented? X 105.2. Are office personnel instructed on what to do if a device malfunctions? X 105.3. Are all devicerelated incidents reported to risk management? X 106. Do all officebased users of medical devices receive adequate training before use on patients? X Violence Prevention and Control 107. Has a security audit been conducted to identify the potential for violence at the physician practice site? X 108. Have providers and staff of the practice received training to recognize risk factors for violence? X 108.1. Does the training include deescalation techniques and prevention, management, and control of violent incidents? X Managed Care Liability 109. Are managed care contracts and agreements reviewed by risk management/legal counsel? X