the survey visit and common nonconformities10 july 2017 survey visit process 16 •corrective action...

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Dr Paul Mara QPA, e l . We GPs. “We w d a GP. O ν n a d a @, p s, ŋ a d l x s. O ν n a t k , ŋ y Xy t, ŋ a t x c e. GPs, @ l n’t t r t’s t s, e w y . We a פ’s s e s y y. QPA, n’t l s: m.” Welcome to The survey visit and common nonconformities 10 July 2017 www.gpa.net.au Webinar certificates of participation Certificates can only be issued to participants who complete the evaluation survey for today’s session The evaluation survey must be completed by close of business today The survey is only found on the webinars page of our website www.gpa.net.au/webinars Please check your data entry as your name will appear as you enter it, and the certificate will be emailed to the address you enter in the survey Each participant must complete an evaluation survey to receive individual certificates If you have any difficulty with completing the survey, please contact us today so that we can assist you before the survey is closed 3

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Page 1: The survey visit and common nonconformities10 July 2017 Survey visit process 16 •Corrective action must be submitted through your Connect portal: your QAM will give you a due date

Dr Paul Mara

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Welcome to The survey visit and

common nonconformities

10 July 2017 www.gpa.net.au

Webinar certificates of participation

• Certificates can only be issued to participants who complete the evaluation survey for today’s session • The evaluation survey must be completed by close of business today • The survey is only found on the webinars page of our website www.gpa.net.au/webinars • Please check your data entry as your name will appear as you enter it, and the certificate will be

emailed to the address you enter in the survey • Each participant must complete an evaluation survey to receive individual certificates • If you have any difficulty with completing the survey, please contact us today so that we can assist you

before the survey is closed

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Page 2: The survey visit and common nonconformities10 July 2017 Survey visit process 16 •Corrective action must be submitted through your Connect portal: your QAM will give you a due date

10 July 2017 www.gpa.net.au

Today’s agenda - the nonconformity hit list • Business continuity plans • Health summaries • Schedule 8 regulations • Patient feedback surveys • Quality improvement • CPR training • Home visits and after hours arrangements • Doctor’s bag • Out-of-date stock • Vaccine logs

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10 July 2017 www.gpa.net.au

Business continuity plans

• No business continuity plan at all • A business continuity plan that doesn’t support the

practice in the event of an IT disaster • A business continuity plan that is little more than a

quote / proposal, and doesn’t actually exist • Using a template without including unique practice

information

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10 July 2017 www.gpa.net.au6

Health summaries

• Less than 75% of active patient health records have a health summary

• No risk factors • No family or social history

- • Allergies are usually well-recorded • Consider using clinical coding for better data analysis

Page 3: The survey visit and common nonconformities10 July 2017 Survey visit process 16 •Corrective action must be submitted through your Connect portal: your QAM will give you a due date

10 July 2017 www.gpa.net.au

Schedule 8 regulations

• Improper storage arrangements • Improper recording • Improper disposal • Schedule 8 medicines in the doctor’s bag

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10 July 2017 www.gpa.net.au

Patient feedback surveys • Process not started • Use of a survey that has not been approved by the

College • Failure to complete the process prior to the visit • No evidence of quality improvement in relation to the

feedback of patients

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10 July 2017 www.gpa.net.au

Quality improvement

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• No understanding of quality improvement • No evidence of quality improvement • No evidence of review and discussion • No leader(s) of quality improvement in the practice

Page 4: The survey visit and common nonconformities10 July 2017 Survey visit process 16 •Corrective action must be submitted through your Connect portal: your QAM will give you a due date

10 July 2017 www.gpa.net.au

CPR training

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• No CPR training • Out-of-date CPR training • Not understanding who needs to complete CPR training • No evidence of the intention to complete CPR training

10 July 2017 www.gpa.net.au

Home visits and after hours

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• No home visits at all • No policy around home visits • No evidence of home visits • No after hours care arrangements • No signage or message about how to access care outside business hours • No after hours information on the practice information sheet

10 July 2017 www.gpa.net.au

Doctor’s bag

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• No doctor’s bag at all • Essential equipment missing • Out of date stock • Inappropriately stored Schedule 8 medicines • No medicines appropriate to the patient population • Individualised equipment that needs to be added,

but with no reminder present

Page 5: The survey visit and common nonconformities10 July 2017 Survey visit process 16 •Corrective action must be submitted through your Connect portal: your QAM will give you a due date

10 July 2017 www.gpa.net.au

Out-of-date stock

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• Stock that will be checked includes medicines, medical consumables, and samples

• Airways feature prominently on the list of expired stock found at survey visits

• This is one area that can often be rectified at the time of the visit

10 July 2017 www.gpa.net.au

Vaccine logs

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• Minimum and maximum temperature must be manually recorded twice a day

• Data loggers are excellent, but do not replace the need for manual records

10 July 2017 www.gpa.net.au

Survey visit process

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• Surveyors will be assigned to your practice. Via the Survey Visit module in Connect, you will be able to see, and approve, your surveyor team, and visit date and time.

• Surveyors will attend the visit and assess your practice for compliance against the Standards. Assessment information is submitted online, and nonconformities will be published in your Connect portal.

• Your Quality Accreditation Manager will review the findings, and call you to discuss any nonconformities, and what you need to do.

Page 6: The survey visit and common nonconformities10 July 2017 Survey visit process 16 •Corrective action must be submitted through your Connect portal: your QAM will give you a due date

10 July 2017 www.gpa.net.au

Survey visit process

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• Corrective action must be submitted through your Connect portal: your QAM will give you a due date.

• Your accreditation report will be prepared for review and presentation to the Accreditation Committee

• If your corrective action is satisfactory, nonconformities will be closed.

• The Accreditation Committee will make the certification decision, conferring accreditation.

10 July 2017 www.gpa.net.au

Question time

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To ask a question please use the Question function in your GoToWebinar control panel. If you type your question in, we can read it out and answer it to share the knowledge with the audience.

10 July 2017 www.gpa.net.au

Upcoming webinar sessions

2.1.2 Patient feedback WL&�� July 26 at 1pm (AEST)

5.2 Practice equipment Tu��y ��s 8 at 2pm (AEST)

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Page 7: The survey visit and common nonconformities10 July 2017 Survey visit process 16 •Corrective action must be submitted through your Connect portal: your QAM will give you a due date

10 July 2017 www.gpa.net.au

Webinar certificates of participation

• Certificates can only be issued to participants who complete the evaluation survey for today’s session • The evaluation survey must be completed by close of business today • The survey is only found on the webinars page of our website www.gpa.net.au/webinars • Please check your data entry as your name will appear as you enter it, and the certificate will be

emailed to the address you enter in the survey • If you have any difficulty with completing the survey, please contact us today so that we can assist you

before the survey is closed • Certifications are only issues to attendees at live presentations, and cannot be provided if you only

watch the recording afterwards

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Thank you for joining us