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MASTERING THE PROCESS Helpful Hints for Inspectors

MASTERING THE PROCESS Helpful Hints for Inspectors. Edgar H. Pierce, Jr. MD Regional Commissioner Mid-Central Region 13. THE ASSIGNMENT. MASTERING THE PROCESS. Welcome It Use It Plan For It. THE PACKET. MASTERING THE PROCESS. Expect It Open It Examine It Organize With It

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MASTERING THE PROCESS Helpful Hints for Inspectors

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  1. MASTERING THE PROCESSHelpful Hints for Inspectors Edgar H. Pierce, Jr. MD Regional Commissioner Mid-Central Region 13

  2. THE ASSIGNMENT MASTERING THE PROCESS • Welcome It • Use It • Plan For It

  3. THE PACKET MASTERING THE PROCESS • Expect It • Open It • Examine It • Organize With It • Distribute It

  4. MESSAGE TO THE LABORATORY MASTERING THE PROCESS • Reapplication Sent 150 Days Before Anniversary • Return Reapplication in 35 Days • When You Send the Application…... They Will Come!!

  5. MESSAGE FROM THE CAP TO THE INSPECTOR MASTERING THE PROCESS • Mailed When Application is Complete • When You Get the Packet ……. They Are Ready!!

  6. INSPECTION DATE (30 Days Before Anniversary) MASTERING THE PROCESS • Team Convenience • Make the Call • Write a Note • Turn in Your Date (1-800-323-4040 option 2)

  7. THE TEAM MEMBERS MASTERING THE PROCESS • Pick Them • Augment Them • Supply Them • Meet With Them • Rely On Them • Plan For Them • Thank Them

  8. TRAVEL ARRANGEMENTS MASTERING THE PROCESS • Ask the Locals For Advice • Decide on Convenient Mode of Transportation • Call The CAP Travel Office (1-800-323-4040 X 7800) • Keep Your Receipts • Watch Your Expenses

  9. THE SCHEDULE MASTERING THE PROCESS • Time - Where Does It Go • Allow Plenty for Travel & Meals • Get an Early Start at the Lab • Finish at a Reasonable Hour

  10. INSPECTORS MASTERING THE PROCESS • Know Your Section • Review Your Checklist - Twice • Review the Commentary

  11. INSPECTORS MASTERING THE PROCESS FIND IN THE PACKET • The Extent of Service • Size & Complexity of Section • Previous Deficiencies

  12. INSPECTORS MASTERING THE PROCESS • Relax (you will do fine) Remember this is a peer review process that is educational to all

  13. THE BIG DAY MASTERING THE PROCESS • Show Up Promptly • Smile (this is fun) • Do the Introductions • Go To Your Sections

  14. TEAM LEADER MASTERING THE PROCESS • Fill-In the Medical Director • Make an Appointment With Administration • Make an Appointment With Chief of Staff • Do Your Section - DON’T GET TIED UP!

  15. WATCH YOUR PACE MASTERING THE PROCESS • A Large Section by Noon • Confer at Lunch • Small Sections in PM • Questions During Pre-summation

  16. IN THE LAB MASTERING THE PROCESS • Follow The Specimen • See The Written Process • See It In Action • Stay On Task

  17. LOOK, ASK, CHECK, COMPARE MASTERING THE PROCESS • Look Around At The Bench • Ask Open Ended Questions • Check Cupboards, Refrigerators, Sinks & Shelves • Compare What You See With The Manual • Ask Specifics When Something Is Missing

  18. STAND IN THEIR SHOES -BE THEM! MASTERING THE PROCESS • Stand Or Sit Where They Work • Where Would The QC Records Be? • Where Would The Maintenance Records Be? • Do You See What You Need To Work At This Station?

  19. EXCHANGE IDEAS MASTERING THE PROCESS • Make Observations That May Help Them • Ask For Copies Of Good Material • Avoid “Making It Your Way” • Be Open & Receptive

  20. DEFICIENCIES MASTERING THE PROCESS • Immediate Fixes Allow Them • Systemic Problems Look for Them • Document The Reason

  21. DEFICIENCIES MASTERING THE PROCESS • Be Careful • Be Sure • Be Fair TELL THEM NOW!

  22. TELL THEM NOW! MASTERING THE PROCESS • Let Them Respond • Let Them Do It Their Way • Let Them Fix The Isolated Incidental • Record The Reasons For Deficiencies

  23. PRE-SUMMATION CONFERENCE MASTERING THE PROCESS • Review Checklist Again • Confer For Systemic Problems • Clear Up Questions • Make Sure You Record What Was Wrong (so they know what to address) • Relax (you’ve done a good job)

  24. SUMMATION CONFERENCE MASTERING THE PROCESS • Thank Them • Compliment Them • Report Your Findings • Listen To Rebuttal • Defer To Team Leader

  25. INSPECTION SUMMATION REPORT MASTERING THE PROCESS • Team Leader Completes • Medical Director Signs • Leave a Copy of Deficiencies • Tell Them To Respond Within 30 Days (they will receive nothing further or “official” from the College)

  26. COMPLETE THE PROCESS MASTERING THE PROCESS • Discard Checklists • Fill Out Expense Forms • Mail Back The Packet

  27. THE ACCREDITATION MASTERING THE PROCESS • Packet Arrives at LAP (within 5 days) • Responses Received (within 30 days) • Data Entry Into Scores • Technical Review • Commissioner Review (within 120 days)

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