Morgan Sandbox

Process - front

Please refer to Standard as the definitive answer, in summary PSV:

Medical School

Residency

Board Certification

Medical License

DEA
State Prescribing, if applicable

NPDB
OIG
Sex Offender Register
ECFMG, Foreign Graduate, if applicable
Malpractice Coverage

For education and board certification the AMA profile is sufficient if obtained by the organization (vs. self query).

We have multiple clinics in the same area. Can we have one clinic with only staff (Front and RN/MA) on site, but have clinicians available via telemed and send people to the sister clinic if the visit requires something that needs something to be seen in person?

Having a center cover another with Telemedicine services is acceptable as a short-term solution to unexpected staffing shortages. Otherwise, the center would not meet the criteria for Urgent Care Scope and the Accreditation would be identified as Telemedicine.

Can an anesthesiologist work in an accredited Urgent Care?

While it would be rare for an anesthesiologist to work in an Urgent Care setting, it is not prohibited by CAUCQ Standards. The anesthesiologist would need to be privileged to the scope (delineation of privileges) of the Urgent Care. The anesthesiologist may have other training and professional experience that would qualify them to work under the scope. It is the responsibility of the Urgent Care to fully vet the qualifications of the anesthesiologist.

Standards - behind

CAUCQ does not specify placement of evacuation maps (e.g., all patient care rooms).  If not directed by local code, or other regulatory body, it would be up to the organization to determine placement and quantity. To comply with Standard, the center should have a minimum of one map.

Where are evacuation maps required?

Are Board Certification verifications only needed for patient-direct clinician or is it any clinician employed by the organization who has a healthcare license? 

HR13 only applies to the clinicians that treat Urgent Care patients (in-person or virtually) directly, or indirectly, such as through clinician supervision.  Other clinicians, non-urgent care or non-patient treating, would not fall under HR13.  Accreditation does not require board certification of clinicians; however, if held by the clinician, the board certification would need to be primary source verified.

Do we need to directly query OIG and NPDB, or may we utilize a verification service such as CAQH, to fulfill the requirements of HR13B-C?

CAQH’s verification service, and other services such as ProviderTrust, Verify Comply, that check OIG will meet Standard HR13C.  The Standard does not require you to query the OIG website manually. For HR13B, the organization needs to register with NPDB and directly obtain queries to comply with HR13B. 

What should be included in a Verbal and Standing Orders policy?

For the verbal orders policy, if you do not have approved verbal orders the policy would be brief and just state that – that all staff must confirm written or standing orders before rendering. Please note that most organizations allow verbal orders for emergencies and if this is true for you, it should be outlined in your policy. For standing orders, the most common are immunizations and occupational health services (e.g., drug screens); others include urine dip and blood glucose based on patient presentation.

Can oxygen concentrators be used instead of oxygen tanks?

You need to have the ability to administer oxygen to those in an emergency, adult and pediatrics, until EMS can arrive. The oxygen should be available/administered at the recommended levels; therefore, your supplies of oxygen, mask, etc. need to meet the concentration levels needed and be portable (taken to where the patient is at and without need of power outlet). Medical leadership should compare the equipment/supplies to current clinical best practices.

Can we provide information via the patient portal, or does it have to be physically printed and handed to the patient?

Yes, information can be provided through the patient portal if the portal is actively used by the patient, and with each visit, the staff communicates this process and receives affirmation back from the patient. There are many ways to do this, for example, at the end of the visit, the staff uses the following question, “I see you are signed up for our patient portal, do you want to use it for your discharge instructions, or would you like us to give you a printed copy?”

Process - behind

I've finished my survey findings checklist, how do I submit evidence and information to CAUCQ?

Respond and attach your documents to the original email containing the [response findings document]. If the volume of documents exceeds attachment limits, multiple replies to the email may be sent. Please label each as Part X of X so we know how many we should have received. If you are concerned about using email, you can upload to a file share of your choice and invite us to access at connect@caucq.org.

Do you have a template for the QI plan required in QI1?

We do not have a sample QI plan, we recommend you create a plan to meet the needs of your organization. We do have a Quality Improvement Plan and Data Tracker available for purchase as a resource.

On the workforce list, do we list all degrees earned, only the highest, or only those associated with their role?

Please list the highest degree associated with their role.