TABLE OF CONTENTS
The ESRD Self-Survey Process
What are the Conditions for Coverage?
What will the self-survey team do?
How do you mentally prepare to survey?
What does the survey team need?
Survey Schedule Overview
Initial Walk Through
Initial Walk Through Audit
Infection Control and Treatment Observation
Infection Control Documentation
Equipment Maintenance and Repair
Physical Plant & Other Safety Issues
Medical Record Auditing
Admission and Discharge
QAPI and Governing Body
Statement of Deficiency
Facility Specific Information Needed
Tour & Observations of Care
Observation of hemodialysis patient care
Water Treatment & Dialysate Preparation
Reuse (if applicable)
Home Training Department Review
Medical Record Review
Emergency preparedness review
Personnel Record Review
86 pages of documents, checklists,
forms, and helpful advice
to save you time and money