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Hospital Appendix A Survey Readiness Checklist and Crosswalk

Checklists
The ASHE CMS State Operations Manual Appendix A Crosswalk provides

Sample Patient Experience Dashboards

Dashboards/Scorecards
The sample dashboards that follow provide examples for a multihospital system as well as a single community hospital.

Focus on Compliance: Hospital checklist for fire safety inspection, testing, and maintenance

Checklists
This document provides a checklist for hospitals to document the inspection, testing, and maintenance of fire safety equipment and fire safety building systems.

Focus on Compliance: Special ventilation rooms monthly log

Checklists
This downloadable Word document is a sample monthly log for maintaining special ventilation rooms.

Focus on Compliance: Sample pressure relationships policy and procedure

Checklists
This downloadable Word document is a sample pressure relationship policy you can customize to fit the needs of your facility.

Physician Compact

Position Descriptions
Reprinted with permission from Virginia Mason Medical Center.

Balanced Scorecard for Achieving Leadership Convergence and Accelerating Performance Improvement

Dashboards/Scorecards
While your organization may strive to improve safety, patient experience, workforce engagement and clinical quality as discrete performance domains, your leadership — and your resources — may be convened around multiple strategies and action plans. Without a single strategy that aligns improvement efforts and acts on the interdependencies of vertical domains, siloed planning can undermine workforce coordination and sustainable change.