Incident register ( including current Hazard/risk register accident related to H & S) register of accidents/ or review incidents) 20.1 Registration and enrolment form Forms Upload to QA2QI Medical questionnaire (if applicable) A documented process to cover 20.1 Procedure Upload to QA2QI 20.4.Registration / enrolment – process 20.3 Tracking & retrieval of medical Procedure Upload to QA2QI records 21.1 Medical records notes audit Audit report Upload to QA2QI - Practice wide collated report- as per a Report: Patient records record PDSA format or quality – review improvement action plan All clinical staff, long term locums and regular part-time clinical staff Do not load individual clinician audits onto QA2QI Use current (Jan 2017) medical record audit template- 10 records each. 22.3 Triaging urgent medical needs/ Procedure Upload to QA2QI Documented triage system 23.1 Patient test results, imaging reports Policy Upload to and investigations, clinical correspondence tracking and management 24.2 Repeat Prescribing Policy Upload to QA2QI 24.3 Standing orders (if applicable) Policy Upload to QA2QI Audit 24.5 Audits of prescribing Audit Reports Upload to QA2QI /24.6 24.7 28.1 Screening and Recall ( optional), Procedure Have available on the day, latest outlining systems and audits/reviews report on health targets ( SLM (25.2) Report) 28.1 Incident Management policy Policy Upload to Incident reporting form Form Upload to QA2QI Incident register Register Have available for Assessor to view on the day 29.1 Quality Plan listing quality Plan Upload to QA2QI 29.2 improvements, quality goals and clinical goals for the year 29.3 Strategic Plan Plan Load into QA2QI Or have available for Assessor to view on the day 29.5 Quality improvement activity Documented Have available for Assessor to activity e.g. PDSA view on the day Criteria Document Type 31.2 / Orientation Manual Practice Resource Resource Manual Have available for Assessor to 38.3 view on the day
Incident register ( including accident related to H & S) or review current Hazard/risk register register of accidents/ incidents) 20.1 Registration and enrolment form Medical questionnaire (if applicable) A documented process to cover 20.1 – 20.4.Registration / enrolment process Forms Procedure Upload to QA2QI Upload to QA2QI 20.3 Tracking & retrieval of medical records Procedure Upload to QA2QI 21.1 Medical records notes audit Report: Patient records – record review All clinical staff, long term locums and regular part-time clinical staff Use current (Jan 2017) medical record audit template- 10 records each. Audit report Upload to QA2QI - Practice wide collated report- as per a PDSA format or quality improvement action plan Do not load individual clinician audits onto QA2QI 22.3 Triaging urgent medical needs/ Documented triage system Procedure Upload to QA2QI 23.1 Patient test results, imaging reports and investigations, clinical correspondence tracking and management Policy Upload to 24.2 Repeat Prescribing Policy Upload to QA2QI 24.3 Standing orders (if applicable) Policy Audit Upload to QA2QI 24.5 /24.6 24.7 Audits of prescribing Audit Reports Upload to QA2QI 28.1 Screening and Recall ( optional), outlining systems and audits/reviews (25.2) Procedure Have available on the day, latest report on health targets ( SLM Report) 28.1 Incident Management policy Incident reporting form Incident register Policy Form Register Upload to Upload to QA2QI Have available for Assessor to view on the day 29.1 29.2 Quality Plan listing quality improvements, quality goals and clinical goals for the year Plan Upload to QA2QI 29.3 Strategic Plan Plan Load into QA2QI Or have available for Assessor to view on the day 29.5 Quality improvement activity Documented activity e.g. PDSA Have available for Assessor to view on the day Criteria Document Type 31.2 / 38.3 Orientation Manual Practice Resource Resource Manual Have available for Assessor to view on the day