Policies and Procedure

81問 • 1年前

問題一覧

are administrative tools used to carry out effective and efficient management

policies and procedures

In large health-care organizations, the development, review, and implementation of policies and procedures are driven by

the joint commission

A _______________ is expected to reduce confusion and inconsistencies about patient care that may occur among various units and disciplines

Multidisciplinary Approach

Reasons to develop and implement policies and procedures

Meet the requirements of licensing, Avoid potential trap of relying on memory, Demonstrate thoughtful, thorough attention to details to stakeholders, Evidence during legal proceedings, Reflect compliance of organization’s commitment to laws

Access to the manual is the second important criteria

False

To be more usable, the policies and procedures manual for ay health-care organization must be, except:

Include clinical guidelines protocols

Sets forth criteria for WHAT IS TO BE DONE

Policies

Is a statement of what an organization or part of an organization will do in a given situation

Policies

Also states why an organizational activity will be performed in a certain manner

Policies

Regularly mature

Policies

Set forth regulations with daily operations take placeSet forth regulations with daily operations take place

Policies

Participative management

Policies

Should be written and assembled into a manual for quick reference

Policies

It should be concise, specific, understandable to all affected employees

Policies

It should be reviewed at regular intervals and revised if indicated

Policies

Review should be more in regular scheduled basis

Policies

Sets forth HOW THINGS ARE TO BE DONE

Procedures

describes a particular way of accomplishing an action. It is a series of steps to provide

Procedures

It is a particular course of action or way of doing something

Procedures

Contains detailed elaboration of the policy itself

Procedures

Written procedure should be available

Procedures

Communicate performance evaluation

Internal

Sets standards against which performance can be measured

Internal

Manage and control workflow

Internal

Educate managers and staff

Internal

Limit the liability of the organization

Internal

Establish and clarify responsibilities

Internal

Standardized output

Internal

Protect the rights and well being of the organization’s employee and customers

Internal

Meet the requirements to the state license

External

Meet the requirements of the state and fedeeal certification

External

Meet the requirements for accreditation

External

Limit insurance premiums by limiting the risk of performance errors

External

Control employee interaction with the community

External

Responsibility for the development of policies and procedures generally falls to

Administrators, Managers

Implementation and follow through generally falls to

Non-managerial staff

To facilitate effective implementation, all affected employees should have input when policies and procedures are developed or revised

True

Affect all segments of the organization

Administrative or organizational

Affect several but not all, segment of the organization

Interdepartmental

Affect a single segment of an organization

Departmental

Refers to the number of segments of the organization it regulates

Scope and type

After policies and procedures have been written and put into operation, the should be assembled into a manageable form

True

After policies and procedures have been written and put into operation, the should be assembled into a manageable form. An effective method is to:

Develop an operational manual

Effective organization manual includes

Organizational charts, Job descriptions, Personnel policies and procedures, Other policies and procedures

new-employee should sign a written statement that he has received, read, & understands the center’s policies : & procedures

Orientation

for protection of employer and patients

Pre employment physical examination

trial & adjustment period for both employee & employer

Probationary period

Probationary period should not bé less than 1 mo. & not more than 3 mos.

True

performance evaluation should be done after this period

Probationary period

for optimum personnel management &. professional growth

Performance evaluation

should specify when & by whom will it be administered as well as how are the results going to be processed and used

Performance evaluation

should state when increases are given & in what conditions

Salary policy

should specify the additional work hours required of the ‘employee, as well as whether these will be compensated

Hours of work

should include when they should be done, who will pay for them, what action will be done if these requirements are not met

Health services

should also establish the accrual rate & maximum accrual permitted

Vacation

should cover all authorized LOAs not covered in the sick leave or vacation policies

Authorized leave of absence

policy should state whether it is with or without pay

Authorized leave of absence

Policy states the age limit at which employment must be terminated

Retirement

policy establishes regulations for reimbursement of certain expenses such as travel, room, meats, etc.

Expense reimbursement

policy should also cover topics such as reimbursements & retention of honoraria

Speaking engagments

includes restrictions regulating employment or practice of personnel outside of employment with the PT service

Additional employment

policy sets conditions required for referring patients for evaluation & Rx & the conditions for 'acceptance

Referral policy

should also specify the sources, methods, & information required

Referral policy

policy should list by category the persons or agencies entitled to discount rates & meets optimum operational standards

Discount policy

policy should clearly state the recruitment & employment practices put into effect to prohibit discrimination

Affirmative action

policy should provide assurance that equipment are properly calibrated & meets optimum operational standards

Equipment maintenance

include procedures on how to do transfers, how to apply infrared, ultrasound, etc.

Treatment activities

e.g what are the steps on how to apply for sick leave, how to request approval for speaking engagements, etc.

Personnel

Procedures should specify how to compile, control & store records; where & in what order is information placed in the record; & the personnel responsible for them

Record

should state what data will be kept, how will they be recorded & summarized & who Is responsible for them

Statistics

details exactly what is to be done.by each employee during such situations

Fire and evaluation

includes use of the PT dept, physical facilities & services in the event of a disaster

Disaster plan

e.g. grounding of electrical equipment, use: of non slip floors

Safety plan

states what is to be done in the event that an accident or medical incident happens to a patient or employee

Accident and medical incident

explains how Rx charges are made and how they are forwarded to the accounting office

Financial records

Explains how to buy non-inventoried supplies used in dep.

Purchasing

provides method of obtaining materials necessary for day to day operation

Supplies requisition

states procedures for maintaining equipment in clean, sanitary & working condition

Equipment maintenance

should specify how often & how cleaning is done

Equipment maintenance

most common method of purchasing

Purchase requisition, Purchase orders

Give 5 selected Policies and Procedures Required by The Joint Commission

Consent, Infant and child security, Pain management, Patient care planning, Patient and family education

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Kyla Rafols · 71問 · 2年前

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