| E0000 |
Initial Comments - Not A Deficiency Citation |
Memo |
|
| E0003 |
Establishment Of The Ep Program Dialysis |
Condition |
|
| E0004 |
Develop Ep Plan, Review And Update Annually |
Standard |
|
| E0009 |
Local, State, Tribal Collaboration Process |
Standard |
|
| E0013 |
Development Of Ep Policies And Procedures |
Standard |
|
| E0029 |
Development Of Communication Plan |
Standard |
|
| E0039 |
Ep Testing Requirements |
Standard |
|
| V0000 |
Initial Comments - Not A Deficiency Citation |
Memo |
|
| V0110 |
Cfc - Infection Control |
Condition |
|
| V0113 |
Ic - Wear Gloves/Hand Hygiene |
Standard |
|
| V0117 |
Ic - Clean/Dirty Areas, Med Prep Area, No Common Med Carts |
Standard |
|
| V0122 |
Ic - Clean, Disinfect Surfaces & Equipment/Written Protocols |
Standard |
|
| V0124 |
Ic - Hbv - Test All Pts, Review Results/Pt Status Known Preadmit |
Standard |
|
| V0147 |
Ic - Staff Education Re Catheters/Catheter Care |
Standard |
|
| V0190 |
Softeners - Automatically Regenerated/Timers/Salt/Salt Level |
Standard |
|
| V0250 |
Dialysate Proportioning - Monitor Ph/Conductivity |
Standard |
|
| V0260 |
Personnel - Training Program/Periodic Audits |
Standard |
|
| V0401 |
Pe - Safe, Functional, Comfortable Environment |
Standard |
|
| V0450 |
Cfc - Patients' Rights |
Condition |
|
| V0456 |
Participate In Care, Discontinue/Refuse Treatment |
Standard |
|
| V0506 |
Immunization/Medication History |
Standard |
|
| V0509 |
Rd - Nutritional Status |
Standard |
|
| V0520 |
Frequency Reassessment - Unstable - Monthly |
Standard |
|
| V0540 |
Cfc: Patient Plan Of Care |
Condition |
|
| V0543 |
Manage Volume Status |
Standard |
|
| V0544 |
Achieve Adequate Clearance |
Standard |
|
| V0546 |
Manage Mineral Metabolism |
Standard |
|
| V0547 |
Manage Anemia/H/H Measured Monthly |
Standard |
|
| V0552 |
Psychosocial Counseling/Referrals/Assessment Tool |
Standard |
|
| V0556 |
Poc Completed/Signed By Idt & Patient |
Standard |
|
| V0625 |
Cfc - Quality Assessment & Performance Improvement |
Condition |
|
| V0628 |
Measure, Analyze And Track Quality Indicators |
Standard |
|
| V0629 |
Qapi Indicator - Adequacy Of Dialysis |
Standard |
|
| V0630 |
Qapi Indicator - Nutritional Status |
Standard |
|
| V0631 |
Qapi Indicator - Mineral Metabolism/Bone Disease |
Standard |
|
| V0632 |
Qapi Indicator - Anemia Management |
Standard |
|
| V0633 |
Qapi Indicator - Vascular Access |
Standard |
|
| V0634 |
Qapi Indicator - Medical Injuries/Errors |
Standard |
|
| V0636 |
Qapi Indicator - Pt Satisfaction & Grievances |
Standard |
|
| V0637 |
Qapi Indicator - Infection Control - Trend/Plan/Act |
Standard |
|
| V0710 |
Cfc - Responsibilities Of The Medical Director |
Condition |
|
| V0711 |
Medical Director Qualified/Accountable To Governing Body |
Standard |
|
| V0750 |
Cfc - Governance |
Condition |
|
| V0751 |
Identifiable Governing Body W/Full Authority/Responsibility |
Standard |
|