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what tool did Kaoru Ishikawa develop to analyze causes and effects in processes
Fishbone diagram
what do K-Tags focus on in healthcare facilities
Life safety code compliance
which of the following is required by the e=0004 regulation regarding emergency preparedness plans
creating an emergency preparedness plan and updating it annually
what do F-tags specifically address in healthcare facilities
resident care and rights
which of the following is a primary focus of the life safety survey in a nursing home
compliance with fire safety, building safety, and emergency requirements
what is the purpose of public reporting healthcare
to enable consumers to compare healthcare providers performance
what is the primary purpose of the nursing home survey process
to evaluate compliance with federal regulations and resident care standards
which agency is responsible for establishing federal nursing home requirements for Medicare and Medicaid facilities
CMS
surveys of nursing homes are generally conducted
at least annually and as needed for complaints
surveyors may enter a nursing home
unannounced to assess compliance
during a standard survey, surveyors commonly use
all of the above
what is deficiency
a failure to meet a regulatory requirement
which component helps determine the seriousness of a deficiency
scope and severity
immediate jeopardy refers to
a deficiency that has caused or is likely to cause serious harm or death
what is the purpose of the entrance conference
to introduce the survey team and gather initial information
which group is typically interviewed during a survey
residents and family members
following identification of deficiencies, the facility must usually submit a
plan of correction
what is the purpose of plan of correction
to explain how the facility will fix and prevent recurrence of deficiencies
a complaint survey may occur when
a concern is reported regarding resident care and safety
what should staff do if they do not know the answer to a surveyors question
state they do not know and identify someone who can provide the information