Specifications: Hospitals that share a Medicare Provider Number are required to report by facility. Please carefully review . Reporting Time Period: Answer questions #1-12 for the latest 3 month period prior to the submission of this section of the survey. What is the latest 3-month reporting period for which your hospital is submitting ______ responses to this section? 3-month reporting time period ending: Format: MM/YYYY Does your hospital use a Bar Code Medication Administration (BCMA) system that is linked to the electronic medication administration record (eMAR) when administering medications at the bedside in at least one inpatient unit? Yes No If complete questions #3-12. “yes,” If skip to the affirmation. “no,” Does your hospital operate Intensive Care Units (adult, pediatric, and/or neonatal)? Yes No If skip questions #4 and #5. “no,” If how many of this type of unit are open and staffed in the hospital? _____ “yes,” How many of the in question #4 utilized the BCMA/eMAR system when administering medications at the bedside? Does your hospital operate Medical and/or Surgical Units? Yes No If skip questions #7 and #8. “no,” If how many of this type of unit were open and staffed in the hospital? _____ “yes,” How many of the units in question #7 utilized the BCMA/eMAR system when _____ administering medications at the bedside? If to questions #3 AND #6, skip the remainder of the questions and go to the affirmation. Your “no,” hospital will be scored as Not Otherwise, move on to questions #9-12. “Does _____ The number of inpatient medication administrations ordered and scannable during the reporting period in those units indicated in questions #3-8 above?
Specifications: Hospitals that share a Medicare Provider Number are required to report by facility. Please carefully review . Reporting Time Period: Answer questions #1-12 for the latest 3 month period prior to the submission of this section of the survey. What is the latest 3-month reporting period for which your hospital is submitting responses to this section? 3-month reporting time period ending: ______ Format: MM/YYYY Does your hospital use a Bar Code Medication Administration (BCMA) system that is linked to the electronic medication administration record (eMAR) when administering medications at the bedside in at least one inpatient unit? If “yes,” complete questions #3-12. If “no,” skip to the affirmation. Yes No Does your hospital operate Intensive Care Units (adult, pediatric, and/or neonatal)? If “no,” skip questions #4 and #5. Yes No If “yes,” how many of this type of unit are open and staffed in the hospital? _____ How many of the in question #4 utilized the BCMA/eMAR system when administering medications at the bedside? Does your hospital operate Medical and/or Surgical Units? If “no,” skip questions #7 and #8. Yes No If “yes,” how many of this type of unit were open and staffed in the hospital? _____ How many of the units in question #7 utilized the BCMA/eMAR system when administering medications at the bedside? _____ If “no,” to questions #3 AND #6, skip the remainder of the questions and go to the affirmation. Your hospital will be scored as “Does Not Otherwise, move on to questions #9-12. The number of inpatient medication administrations ordered and scannable during the reporting period in those units indicated in questions #3-8 above? _____
2016Survey_Final_Updated08222016.docx