Guidance to Surveyors: End-Stage Renal Disease Facilities

[Meinuk]

This is the document prepared by Medicare that is the guide for State Health Inspectors doing a Facility "survey"

This is from 2004, and I believe may be a bit out date, but it is still an interesting read.  There are a lot of chapters, buut I have cut and pasted The Components of the Basic Survey

http://www.cms.gov/manuals/Downloads/som107ap_h_esrd.pdf

The Components of the Basic Survey
A BASIC SURVEY of an ESRD facility consists of the following tasks:
Task 1 Preparation Presurvey Off-site.
Task 2 Activities at the Beginning of the Survey.
Task 3 Tour for Observations.
Task 4 Survey of the Reuse Area.
Task 5 Survey of the Water Treatment Area.
Task 6 Selection of Samples for Interviews and Records
Task 7 Interviews/Observations of Patients.
Task 8 Interviews/Observations of Personnel.
Task 9 Review of Clinical Records.
Task 10 Review of the Quality Assurance/Improvement Program
Task 11 Review of Operational Logs.
Task 12 Review of Personnel Records.
Task 13 Review of Affiliations.
Task 14 Assessment of Special Situations.
Task 15 Exit Conference at the Conclusion of the Survey.

[cattlekid]

OMG, this is some awesome stuff.  I started reading through the whole PDF and am laughing my butt off.  My clinic should be raked over the coals for not meeting half of these requirements.  I just dare an inspector to come visit me when I am on treatment...their ears would be burning after all I would tell them. 

I am wondering how one becomes a state inspector.  Maybe I need a career change.  I am a nitpicker to the nth degree and I would love to be the one conducting these surveys.

[CebuShan]

OMG, this is some awesome stuff.  I started reading through the whole PDF and am laughing my butt off.  My clinic should be raked over the coals for not meeting half of these requirements.  I just dare an inspector to come visit me when I am on treatment...their ears would be burning after all I would tell them.
I am wondering how one becomes a state inspector.  Maybe I need a career change.  I am a nitpicker to the nth degree and I would love to be the one conducting these surveys.

Did you read this part? The center might try to make sure you weren't selected.   

As a patient-centered protocol, the survey protocol is organized around interviews with selected patients.  Italics are mine.

Maybe they feel you aren't qualified     

Inherent in the patient-centered survey approach is the principle that the patient is qualified to assess the quality and effectiveness of the care given at the facility.

Sorry that you are not happy with your center.   

[cattlekid]

Well, if the inspector wanted to talk with someone on my shift who wasn't hard of hearing or spoke English, I'd be one of the two or three people that they could talk to. 

It's not that I'm not happy with my center, it's just after reading this I realize how many corners are cut on a daily basis.  Also, the staff at my center treats everyone the same...like we're kindergardners.  The paragraphs in the PDF about involving the patient in a long-term care plan just made me chuckle.  How could the neph at my center work out a long term care plan for me?  He only sees me for two minutes twice a month!

Did you read this part? The center might try to make sure you weren't selected.   

As a patient-centered protocol, the survey protocol is organized around interviews with selected patients.  Italics are mine.

Maybe they feel you aren't qualified     

Inherent in the patient-centered survey approach is the principle that the patient is qualified to assess the quality and effectiveness of the care given at the facility.

Sorry that you are not happy with your center.   

[jazzin11]

  The paragraphs in the PDF about involving the patient in a long-term care plan just made me chuckle.  How could the neph at my center work out a long term care plan for me?  He only sees me for two minutes twice a month!



And don't forget that the nephrologist charged you $100 for each of those two minute sessions!