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TABLE OF CONTENTS
(Excerpts) Team Leadership 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 Preparation Documents List Survey Schedule Overview Initial Walk Through Initial Walk Through Audit Infection Control and Treatment Observation Infection Control Documentation Water/Dialysate Equipment Maintenance and Repair Physical Plant & Other Safety Issues Emergency Preparedness Patient Care Medical Record Auditing Admission and Discharge Personnel Files Interviews QAPI and Governing Body Statement of Deficiency CMS Tools Entrance Conference Facility Specific Information Needed Tour & Observations of Care Observation of hemodialysis patient care Water Treatment & Dialysate Preparation Reuse (if applicable) Machine Operation/Maintenance Home Training Department Review Patient Interviews Medical Record Review QAPI Emergency preparedness review Personnel Record Review Admission/Discharge Audit
References
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