BlueLincs HMO Health Delivery Organization Site Survey Residential Treatment Facility

Physical Setting and Safety Standards

1. Facility is accessible to the disabled; parking, entrance, restrooms, hallways, elevators

2. Hallways and floors clear and adequate for movement  

3. Exit Signs visible

4. Visible, charged fire extinguishers (A,B,C)

5. Fire/disaster evacuation routes posted

6. Equipment maintenance current and documented

7. Emergency carts/kits are up to date/log maintained; drugs, equipment, O2, etc.

8. Controlled drugs are properly handled; locked cabinet, log maintained

Biohazard and Waste Management

9. Written policies and procedures 

10. Provisions for appropriate disposal of bio-hazardous materials/waste; signs posted

Disaster Plan

11. Written emergency procedures

12. Written evidence of unannounced test and analysis

Quality Program Review

13. Scope and Mission of facility is documented

14. DOH License is current

Quality Improvement

15. Written Plan, Policies and Procedures

16. Annual review/revision of written plan with evidence of oversight

17. QA/QI Committee meets regularly and contemporaneous minutes are signed/dated

18. Evidence of coordination/monitoring of activities throughout the facility

19. Regular analysis of services provided that address quality and appropriateness of service.

20. Regular analysis of critical incidents reported and action taken.

Infection Control Plan

21. Written Policies and Procedures

22. Documented monitoring of problems/trends with correction action plans

Safety and Plant Management Program

23. Written policies and procedures

24. Inspections are completed at least annually with documented results and corrective action plan if indicated.

Lab

25. Current CLIA certificate is displayed or certificate of waiver available

26. Written policies and procedures

27. Equipment maintenance log available

Pharmacy

28. Registered pharmacist oversees the pharmacy

29. If no registered pharmacist, written policy/procedure or process for oversight

Radiology

30. Current Oklahoma State radiation certificate is available

31. Written policy and procedures

32. Safety badges visible

33. Lead protective shields available

34. Pregnancy notices posted

Employee Review

Medical Staff Bylaws

35. Written plan of medical staff qualifications and responsibilities

Medical Staff Credentialing Plan

36. Written plan, policies and procedures for credentialing include criminal background checks, licensure and liability insurance with ongoing monitoring.

Professional Staff Licensure

37. Written plan, policies and procedures for license verification and criminal background checks with ongoing monitoring.

Non-Professional Staff Oversight

38. Written plan, policy and procedure for certifications with criminal background checks.

Employee Orientation

39. Written plan for orientation with documentation of job description with competency-based training with annual review.

40. Written plan for orientation to include identification of critical incidents and management with annual review.

41. Written plan for orientation to include orientation policy to include a system of patient rights to include confidentiality, privacy, freedom from abuse or neglect with annual review.

Complaint Monitoring

42. Evidence of files maintained and investigated with results and resolution.