| Standard |
Rationale |
| EXTERIOR |
STANDARD 1 |
Handicapped Entrance (O)
1-A
|
An existing public facility, or facility used by the public,
undergoing an alteration other than ordinary maintenance, after July 20,
1975, shall meet the barrier-free design requirements contained in the
state construction code. |
Parking Adequate (O)
1-B |
Adequate parking must be available to provide accessibility to the
facility in a safe and convenient manner for all patients. |
Handicapped Parking Space (O)
1-C
|
Part 4 of the Building Code rules from the Michigan Department of
Labor, (1987) states that off street parking for 1-25 cars must include
one (1) handicapped marked parking space. |
Adequate Lighting (O)
1-D
|
Proper lighting for safety in parking lots is necessary to ensure
patient safety. |
Adequate Maintenance/Cleaning (O)
1-E
|
Adequate maintenance/cleaning is necessary to ensure patient
safety. |
| INTERIOR/GENERAL
PREMISES |
STANDARD
2
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Adequate Lighting (O)
2-A
|
Proper lighting can prevent accidental injury and is conducive to
proper practice. For example, a medication room with low or no light
could lead to improper dosing. |
Handicapped Restroom with Rails (O)
2-B
|
It is recommended that at least one public restroom have
handicapped
accessibility, with handrails, to allow for barrier free accessibility
in a safe and
convenient manner for all patients. An existing public facility or
facility used by
the public undergoing an alteration other than ordinary maintenance
after July 20, 1975, shall meet the barrier free design requirements
contained in the state construction code. |
Waiting Room Seating Adequate (O)
2-C
|
Adequate waiting room seating must be provided for patients. |
Hallways Clear (O)
2-D
Exits Clear (at least two) (O)
2-E
|
All exits must be free from obstruction AT ALL TIMES. The Fire
Marshal requires that corridors, hallways and doorways are free from
obstruction so that a stretcher can be moved down the hallway in case of
an emergency. In case of fire, exits and hallways must be clear so that
time is not lost in evacuating the building. NOTHING can be left in
hallways that may obstruct the emergency exit path. |
Proper Storage of Toxic/Hazardous/Combustible Materials (O)
2-F
|
Cleaning agents are potentially hazardous and should not be stored in
exam rooms. They may leak and contaminate other items stored nearby and
also pose a threat to small children. Cleaning supplies may be stored
under sinks only in work areas or utility rooms.
Combustible items must NEVER be stored on or near the furnace, water
heater or any other source of heat. |
All Patient Care Supplies Stored Off the
Floor (O)
2-G
|
To prevent both contamination of patient
supplies and injury due to accidents, patient care supplies are to be
stored off the floor.
|
Medical Records Stored Away from Patient
Care Areas (O, N)
2-H
|
Medical records must be stored away from
patient care areas to ensure
confidentiality.
|
| CONFIDENTIALITY
|
STANDARD
3
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Use of Authorization to Release
Records/Confidential Information (COC Form)
3-A
|
The release of patient
records/confidential information is granted only with appropriate,
documented authorization by the patient/legal guardian/power of
attorney.
|
Procedure for Locking and Securing
Patient Files
3-B
|
It is recommended that a written policy
exist and be enforced to ensure patient files are locked and maintained
in a secure environment.
|
Computer Screen Locations Do Not Violate
Confidentiality
3-C
|
Computer screens displaying confidential
information regarding patients shall not be accessible or visible to
patients or other individuals not directly involved in the patient's
care, clinically or administratively.
|
Separate Files Exist for Each
Patient
3-D
|
Practitioners must maintain an
individual medical record for each member according to accepted
professional standards. |
Written Policies & Procedures
Address Confidentiality (N)
3-E
|
It is recommended that a written policy
regarding confidentiality of patient information and records is
maintained. Priority Health's policy on confidentiality is available upon
request.
|
Notice of Privacy Practices (O)
3-F
|
|
BIOMEDICAL WASTE
|
STANDARD
4
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Medical Waste Plan Pesent (O)
4-A
|
All offices must have a medical waste
plan. The plan should also be available for staff review. The Department
regulates the management of medical waste to ensure that the public
health and the environment are adequately protected.
|
Employee Access to Medical Waste Plan
(O)
4-B
|
The medical waste plan must be readily
accessible.
|
Syringes Disposed Of in Puncture-Proof
Containers (O)
4-C
|
Syringes, once used, must be disposed of
in their entirety in the proper manner. Do not bend, break or remove the
needle to prevent accidental needle puncture with contaminated needles.
Place the entire syringe in a container that complies with the Michigan
Medical Waste Regulatory Act.
|
PHARMACY/MEDICATIONS
|
STANDARD
5
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Medications Stored Away from Patient
Care Areas (except Local Anesthetics) (O)
5-A
|
All medications (except for injectable
local anesthetic agents) must be stored away from patient care areas to
ensure patient safety.
|
Sample Medications Dispensed Intact
(O)
5-B
|
Only physicians licensed by the State
Board of Pharmacy may dispense and/or repackage medications. All sample
medications must be dispensed intact.
|
All Medications/Emergency Medications
are Current (O)
1. Expiration dates checked monthly
2. Monthly log maintained (PH)
5-C
|
Medications that have passed the
manufacturer's known expiration date are not considered safe for use in
the treatment of patients. Medications should be checked monthly for
expiration dates. It is recommended that a medication review log be used
to ensure that this activity is routinely performed.
|
Narcotics Double-Locked (O)
1. Sign-out sheet
2. Restricted access to keys
5-D
|
Double locking of narcotics (Class II -
V medications) is a Federal regulation and must be adhered to by
providers who maintain narcotics on site. Restricted access to keys is
important to the doctor whose name is on the DEA license for (s)he is the
one who may be audited. A log documenting narcotic administration is
required and must include date, patient name, drug name, dosage,
physician prescribing, and individual administering the narcotic. This
helps to prevent potential abuse of narcotics and accounts for narcotics
within the facility.
|
Prescription Pads/Syringes Stored Away
from Patient Care Areas (O)
5-E
|
Prescription pads and syringes need to
be stored away from patient care areas to eliminate the potential for
theft and illicit use.
|
OFFICES IN RESIDENCES OR NON-RELATED BUSINESS
SITES
|
STANDARD
6
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Dedicated Entrance (PH)
6-A
|
The entrance is separate from other
areas (residential or other businesses) not used for business purposes in
order to maintain confidentiality.
|
Dedicated Waiting Area and Office Space
(PH)
6-B
|
The waiting area and office space are
dedicated to a sole purpose and separate from other areas (residential or
other businesses) not used for business purposes in order to maintain
confidentiality.
|
Physical Separation from Other Areas Not
used for Business Purposes (PH)
6-C
|
A designated office site cannot share
common space with others (dissimilar business or residential) and must
have a physical separation from other areas not used for business
purposes in order to maintain confidentiality.
|
Occupancy Business Permit Valid
(PH)
6-D
|
Authorization must be granted in
accordance with local zoning requirements for a designated office site to
serve as a location in which business may be conducted. Therefore,
all offices in a residential area must have a valid occupancy permit to
operate a business and show proof of the permit. The permit should
also be available for staff review.
|
ACCESSIBILITY
|
STANDARD
7
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Routine Care (N)
Psychiatrist Initial Evaluation (N)
7-A
Psychiatrist Medication Check (N)
7-B
Therapist (N)
7-C
|
Within 10 business days
For each site, access for all four areas is determined by first
availability of any therapist and first availability of any psychiatrist
(or mid-level practitioner under the supervision of a psychiatrist),
rather than by individual practitioner.
|
AVAILABILITY
|
STANDARD
8
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After-Hours Availability (N)
8-A
Random Phone Call (N)
8-B
|
Article II, section 2.1-A of the
Practitioner's Agreements and Obligations states that as a practitioner
you "will provide Medically Necessary Covered Services with reasonable
promptness and will be accessible by telephone or otherwise to Members,
either personally or through back-up coverage from other Participating
Practitioners (or non-Participating Practitioners, if Medically
Necessary), twenty-four (24) hours per day, seven (7) days per week,
three hundred sixty five (365) days per year, in accordance with the
Member's Plan. In the case of a Psychiatric Emergency, practitioner
agrees to obtain, where feasible and consistent with the appropriate
standard of care, from a 24-hour on-call service provided by Priority
Health, prior approval for any services not pre-authorized by Priority
Health."
|
