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1
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2
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- Allocate TIME to do the assessment
- Consider two or more work sessions
- Connect the RIGHT people to the assessment
- Who on your team has the information to answer the probes on the
assessment?
- Many areas require departmental collaboration
- The assessment is a foundation for strategic planning and goal
prioritization
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3
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- Can be obtained at the FHCA website at www.fhca.org
- Click on the Quality Credentialing Link
- Click on “Self Assessment Checklist”
- Print out a working copy
- Go to “File” and click on save
- Name your document for future use
- The saved version of the document can be filled in (in word format) once
all the information is gathered
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4
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5
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- Assign a recorder to take notes, and to coordinate the assessment over
time
- Record the group responses.
- Consider using a flip chart
- Be specific. The assessment tool
highlights systems integration and opportunities
- The assessment is the roadmap for QUALITY
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6
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- Answer honestly
- Do not be intimidated by Not Mets
- Use the comment section to identify work in progress, identified action
items and target dates, next steps, and assignment of responsibility (as
applicable)
- As you identify “Not Mets”, identify resources and LTC Stakeholders who
can be of assistance Examples:
FHCA, Hospice, FADONA
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7
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- Prioritize the “Not Mets” and rank order where to start
- Consider appointing teams to work on specific areas such as end of life
initiatives or safety
- Establish short and long term goals, and assign responsibility
- Use the Assessment over time as part of monthly RM/QA reviews
- Update the assessment, just like a care plan!
- Applaud your successes, and build on your strengths
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8
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- Ask the group to take turns responding to the questions, “Who is
responsible for Risk Management and Quality?
- What is YOUR ROLE in the coordination of Risk Management and Quality?
- How are you involved, who do you include in your efforts, when does this
happen? Do you have specific
formalized programs you participate in?
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9
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- Assessment areas are often revealed during the initial brainstorming
session in which the team identifies their role in facility performance
- Let things FLOW
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10
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