QIS / ASE-Q

QIS Onsite Revisits

Revisit Checklist

Quality Indicator Survey 2

Revisit Steps

• Offsite Preparations

• Onsite Preparations

• Transition

• Revisit Investigation

• Revisit Stage 2 Analysis

• Post Revisit Activities

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Offsite Prep for Revisit

• Gather supplies• Obtain shell in ACO• Import the shell into ASE• Update Team Roster• Verify complete

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Obtain survey shell from ACO

• Contains MDS data

• Includes completion dates

• Obtain close to revisit start date

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Need screen shot

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Need screen shot

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Onsite Preparations

Request upon arrival at facility:

• Alphabetical list of residents

• Info required to supplement sample

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f

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Post Revisit Activities

• Finalize the CMS-2567

• Import revisit survey into ACO

• Delete the survey from ASE

Quality Indicator Survey 67