Launching an office-based surgery suite is the first milestone. Keeping it accredited is the ongoing work. Standards, staff training, required documentation, quality improvement, infection prevention, medication management and facility readiness all need attention every month of the year.
The EYE SUITES Compliance Program carries that work for you so your suite stays organized, compliant and prepared for The Joint Commission survey. It is open to any ophthalmic OBS suite, whether or not EYE SUITES built it.
COMPLIANCE PROGRAM
Ongoing remote compliance support, running continuously throughout the year.
• Electronic compliance logs and tracking tools
• OBS compliance calendar and required activity tracking
• Online staff training modules with completion tracking and certificates
• Governing Body and Medical Executive meeting coordination and documentation support
• QAPI program support, including quarterly QAPI studies
• Monthly Peer Review assistance
• Credentialing and competency tracking guidance
• Infection prevention and sterile processing compliance support
• Medication management compliance support
• Emergency preparedness guidance
• Periodic review of compliance logs and documentation
• Updates and guidance on applicable OBS accreditation requirements
• Remote access to EYE SUITES for compliance questions
• Monthly compliance summary to your practice contact
COMPLIANCE PLUS
Everything in the Compliance Program, plus an EYE SUITES compliance expert onsite in your suite every quarter.
• Facility compliance walkthrough
• Mock accreditation survey
• Infection prevention review
• Sterile processing observation and documentation review
• Medication storage and management review
• Emergency equipment and preparedness review
• Review of required compliance logs
• Sample medical record and chart review
• Staff workflow and competency observations
• Identification of potential accreditation deficiencies
• Staff coaching and corrective-action recommendations
• Written findings and readiness recommendations after each visit
The Compliance Program is open to any ophthalmic office-based surgery suite, including suites EYE SUITES did not design or build. If your suite is already accredited and you want it to stay that way without the work landing on your clinic staff, schedule a call and we will walk through how the program fits your practice.
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Office-based surgery suites for ophthalmology
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