Kyle Seale Parkway Ambulatory Surgery Center

Performance Improvement

10 MINUTES TEMPLATE

• 10.3 Minutes Template

20 PERFORMANCE IMPROVEMENT PLAN

• 20.3 Performance Improvement Plan

25 ANNUAL ASSESSMENT

• 25 Annual Assessment

30 ACTIVITIES SUMMARY AND CHART

• 30.1 Activities Summary and Chart

40 PERFORMANCE INDICATORS

• 40.1 Performance Indicators

50 PATIENT QUESTIONNAIRES

• 50.1 Patient Questionnaires
• 50A.1 Patient Questionnaire Form
• 50C Investigation Patient Questionnaire Responses

60 PHARMACY

• 60 Pharmacy
• 60A.2 Pharmacy Review

70 RISK MANAGEMENT

• 70.1 Risk Management and Patient Safety

80 INFECTION CONTROL

• 80.3 Infection Control
• 80A.1 Investigation of Wound Infections

90 PATHOLOGY REPORTS

• 90 Pathology Reports

95 RADIOLOGY REVIEW

• 95 Radiology Review

100 MEDICAL RECORDS

• 100 Medical Records

110 PEER REVIEW

• 110.1 Peer Review
• 110A.2 QA/PI Data Collection Form (Peer Review – Physician)
• 110B.4 QA/PI Data Collection Form (Peer Review – Anesthesia)
• 110C Medical Affiliate Peer Review
• 110D.2 QA/PI Data Collection Form (AHP PA Scrub Review)

120 MEDICAL NECESSITY

• 120 Medical Necessity

130 QUALITY IMPROVEMENT STUDIES

• 130.1 Quality Improvement Studies

140 STAFF COMMUNICATIONS

• 140 Staff Communications

150 FIRE AND DISASTER DRILLS

• 150.4 Fire and Disaster Drills

160 ENVIRONMENTAL HEALTH AND SAFETY

• 160.2 Environment of Care Review
• 160A.4 Safety Survey

170 BENCHMARKS

• 170 Benchmarks

200 OUTSIDE SERVICE ASSESSMENT

• 200.1 Outside Service Assessment
• 200A Outside Service Assessment Tool