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Commercial - Credentialing Recredentialing |
Site Visits (Practitioners only)
ConnectiCare may conduct site visits for complaints related to
physical accessibility, physical appearance, and adequacy of waiting room and
examining room space. The site visit includes, but is not limited to, an
assessment of the physical accessibility and appearance, the adequacy of waiting
room and examining room space, adequacy of equipment, and patient safety
practices.
On initial visit, practitioners must achieve a minimum passing
score of 75%. A score of 80% must be achieved on subsequent monitoring
visits.
Standards for Performing Site Visits
- Access to Facility
- Parking
- Handicapped parking is available.
- Parking should be off-street.
- Handicap Access
- All offices should have handicapped
accessibility. If handicapped access is not available, the physician must
provide some alternative access for handicapped patients to his/her care (i.e.,
a statement of policy that the physician will perform house calls for
handicapped patients or will provide services at an alternate accessible site at
no extra cost to patient/payer).
- Patient bathroom can accommodate handicapped patients.
- Entrance Identified
- The building and/or office is easily identified.
- If physician/office is in a multi-physician office/building, the physician’s
name must be listed in the directory.
- Waiting/Reception/Treatment Areas
- Waiting/reception areas neat and clean. These areas appear to be cleaned regularly and are free of excessive
clutter.
- There should be an adequate number of examination rooms to accommodate patient volume (Standard: two [2]
examination/treatment rooms per MD in office per day.)
- Discussion of protected health information should not be audible from the waiting room or other patient
areas.
- Safety Practices*
- Medications
- All refrigerated medications must be in a separate refrigerator.
They must not be stored in the same refrigerator as beverages and foodstuffs.*
- All controlled substances are clearly labeled and stored in a locked area.*
- Drug samples and pharmaceuticals for dispensing to patients have not expired.
- Drug samples and pharmaceuticals are stored in a secure location.*
- Prescription pads are kept in an area/location away from patient access.*
- Emergencies
- There is a plan to handle emergencies both natural and/or medical. A written plan is preferred.*
- One staff person, besides the physician, is trained in CPR.
- Disposal
- Receptacles for medical waste are readily available, clearly marked.*
- Receptacles for sharps are located in or near treatment area. (Pediatric
treatment rooms should have additional precautions to prevent child access.)*
- Sterilization
- There is evidence of proper sterilization (autoclave, disposables, liquid sterilant).*
- If by autoclave, equipment is tested regularly. A maintenance record should be maintained.*
- Treatment area safety
- Examination room(s) are cleaned and prepared for each patient and
medical supplies used for prior patients have been removed.
- Contaminated work surfaces should be cleaned and decontaminated with a tuberculocidal disinfectant or a diluted
bleach solution after contact with blood or other potentially infectious
materials. Disinfection/sterilization must be preceded by meticulous cleaning
and thorough rinsing.*
* Items designated with an asterisk are considered key elements. Any facility with noted
deficiencies in one of these categories is required to submit a Corrective Action Plan. Two or
more deficiencies will necessitate a Corrective Action Plan and a revisit in six
months to assess improvement.
- Contractual Review
- Office staff is cooperative when scheduling site visit and medical review.
- Office staff and physician are courteous and respectful
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