Learn more about CMS PATIENT SAFETY STRUCTURAL MEASURE (PSSM)
Domain 1: A. Hospital senior governing boards prioritize safety as a core value, hold hospital leadership accountable for patient safety, and include patient safety metrics to inform annual leadership performance…
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This component is used by process improvement teams to document what the PI project is about, how the test will be conducted, how the results will be collected and what the decision (adopt, adapt, abandon) is at end of the project. The Plan-Do-Study-Act (PDSA) framework is utilized here.
This component includes tools for Employee Health to track employees/volunteers/residents/ and contractors’ compliance in vaccination and annual evaluations such as tuberculosis screening, medical surveillance, respirator fit testing. Staff incidents and time-off work due to injuries can also be tracked here. Reporting includes the auto-generation of OSHA log. Workers Compensation and Employee Portal capabilities, round out a comprehensive solution for reducing the labor required of employee health departments by 50 to 85%.
This component contains 5 of the Surveys on Patient Safety Culture (SOPS®) from AHRQ: hospital, medical office, community pharmacy, ambulatory surgery, and nursing home. It is easy to administer and comes with real-time reporting, including composite reports that can be used to compare your organization to others.
This component contains forms for process audits. Workflow routes non-compliance to department leaders who are notified of new tasks, reminders and escalations via email.
This component streamlines the OPPE, FPPE, and APP review processes with workflows and automated tasks. The quality team can initiate a review or rules can be set up to automatically trigger a review from an adverse event that is reported. Task owners are guided with specific prompts to address; this ensures all the required information is provided. Relevant documents can be uploaded for easy access at any time. Letters can be generated from saved templates.
This component is used to track potentially compensable events, malpractice, and professional liability claims, and summons. It allows for documentation of physicians, experts, defendants, depositions, claim committee discussions, expenses, etc. to be managed in one easy-to-retrieve repository.
This component contains forms for infection prevention audits and for infection tracking. Also included is a form for construction infection control risk assessment, with workflow to streamline the approval process. Reports with audit results are available in real-time to department leaders.
This component contains forms to capture patient complaints/grievances and staff compliments, as well as workflows to route the events to owner(s) who are responsible for investigation, corrective action(s) and closure. The workflow for patient complaint is different from patient grievances; the latter includes the auto-generation of acknowledgement and closure letters that are formatted to be printed.
