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Meet the Team

Training In Our Office

Describe the photo or the page it links to

Every semester we offer 1 or 2 in-office training to your employees.

Every year all the following reports must be completed under the supervision of the Agency's Administrator or delegate.

Administrator/DON: Survey Ready Check List

Survey Ready Check List


(The template must be updated with your discussion and Agency's reality data)

ADD to Infection Control LOG, also discuss in BD meetings:

DON-QA Prioritized Infection Risk Report (Monthly)

Prioritized Infection Risk Surveillance of Infections Report


DON-QA Infection Control program effectiveness Report (Quarterly)

Infection Control Effectiveness

DON-QA Hand Hygiene Improvement Intervention (to be posted in the Agency's Information Board) (Quarterly)

Handwashing Improvement

Hand Hygiene Patient Survey         Hand Hygiene Pt Survey Summary

Add to Fall Prevention LOG, and BD meeting:

DON-QA Fall Prevention Intervention Plan (Monthly)

Fall Prevention Intervention Plan


DON-QA Fall Prevention Program (Intervention Analyzes Report) (Quarterly)

Fall Prevention Intervention


DON-QA Fall Prevention Assessment (Quarterly)        Fall Investigation Report(Quarterly)

Agency Fall Prevention Assessment                        Fall Investigation Report


DON-QA Fall Prevention Data Collection (Monthly)

Fall Prevention Data Collection


DON: Fall Prevention (Prioritized List) LOG (Must be completed monthly)

Fall Prioritized List

DON: Medication Management Analyzes (Quarterly)

Medication Management Analyzes                                BEERS Criteria Medication List


DON: Home Health Value Based Purchased report to CMS (Quarterly)

Value Based Purchased

DON/QA: Performance Levels, Patterns, Trends, Variations:  (Quarterly)

PI: Performance, Patterns, Trends


DON: OBQI Analyzes LOG (OBQI report must be analyzed by the Agency on Regular BD meeting, this log documented the review of the OBQI (Casper) reports) (Quarterly)

OBQI Analyzes Log                              Adverse Event (OBQI Analyzes)

DON: Total Monthly Discharge Patients by reasons Report Must be completed (Monthly)

Total Discharge Patients

DON-Administrator Following Policy Log (Quarterly), Compliance Report  (Quarterly)

Following Policy Log                      Compliance Report                                        

Safety Tracking LOG (All year long)

Safety Tracking Log

DON: Diabetes/Insulin Administration (PI Data Control List) LOG Must be completed (Quarterly)

Diabetes Control Log

Add to PAC meeting (Quarterly)

DON/Administrator: INCIDENT Occurrence Report Must be completed (Monthly)

Incident Occurence Report


Administrator Financial and Billing Report to BD (Quarterly)

Financial/Billing Reports

DON: More Common Diseases report by counties: (Monthly)


Any Foridal County

Miami Dade    Monroe County (Keys)    Broward

Palm Beach    Duval County    Indian River           

Seminole County    Orange County    Brevard County

Osceola County    Hardee County    Highlands County

Hillsborough County    Manatee County    Polk County

Charlotte County    Collier County    DeSoto County

Glades County    Hendry County    Lee County

Sarasota County    Pasco County    Pinellas County


Los Angeles County CA


Cook County IL


Bucks County PA


Fort Bend County TX    Harris County TX


CMS Medicare Balance Report: Due on 1 - 30 of January, April, July and October (Quarterly)

  Medicare Balance Report   You can fax the report to: (803) 419-3277



Disclaimer: Every template is only your Guide/Agenda to complete each report, your Agency Officials must assure that the meeting occur, the quorum is acceptable, and every member had active participation in the discussion and confection of the Reports, Evaluations, Documents.