d.3 quality assurance surveillance plan.docx
DOCX document 15 KB Posted
- Solicitation number
- 36C24825R0029
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North Florida/South Georgia Home Oxygen Quality Assurance Surveillance Plan
1. Measure: Timeliness of Service Delivery made within 24 hours or receipt of order Numerator and Denominator: Number of VA patients delivered.
Quantity of Surveillance: Randomly pull 5% of files. results quarterly Acceptable Quality Level: 95% Method of Surveillance: Random Sampling
2. Measure: Timeliness of Service quarterly and monthly visits Numerator and Denominator: Number of VA patients delivered.
Quantity of Surveillance: Randomly pull 5% of files. results quarterly Acceptable Quality Level: 95% Method of Surveillance: Random Sampling
3. Measure: Vendor Audit Numerator and Denominator: On site review of vendor contract regulatory requirements, on-call response, employee records, warehouse inspection equipment tracking and management, patient record review and vehicle inspection.
Quantity of Surveillance: Random survey results quarterly.
Acceptable Quality Level: 95% Method of Surveillance: Random Sampling
4. Measure: Home Visit Findings Numerator and Denominator: Number of VA patients receiving service, Equipment as ordered, Home Safety, Prescription compliance Quantity of Surveillance: Random. home visits by PSAS RRTs results quarterly Acceptable Quality Level: 95% Method of Surveillance: Random Sampling
5. Measure: Falls per JC NPSG Numerator and Denominator: Number of VA patients who had an incident related to oxygen Equipment to include accidents, malfunctions, injuries, deaths, and sentinel events.
Number of VA patients receiving oxygen equipment.
Quantity of Surveillance: Home Visits by RRTS, Contractor, HBPC and Home Oxygen Clinical Staff identification of at Risk for Falls Acceptable Quality Level: 0% Method of Surveillance: Random Sampling reported quarterly
6. Measure: Fires per JC NPSG Numerator and Denominator: Number of VA patients who had an incident related to oxygen Equipment to include accidents, malfunctions, injuries, deaths, and sentinel events.
Number of VA patients receiving oxygen equipment Quantity of Surveillance: Home Visits by RRTS, Contractor, HBPC and Home Oxygen Clinical Staff identification of at Risk for Fire Acceptable Quality Level: 0% Method of Surveillance: Random Sampling reported quarterly
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