Support Services

1. JCI KPIs

   1. % of calls answered within 20 seconds 

   2. % of missed call answering 

2. Documents Requirements

ACC

1. ADMISSION INTIMATION

2. INTERNAL REFERRAL FORM

3. PATIENT EXTERNAL REFERRAL FORM

4. PATIENT REGISTRATION FORM 

5. WAITING TIME NOTIFICATION FORM

PCC

1. CUSTOMER FEEDBACK, COMPLAINT FORM

2. PATIENT EXPERIENCE SURVEY

3. PATIENTS BILL OF RIGHTS-ENGLISH(MODEL)

4. WAIVER FOR REFUSAL OF TREATMENT, MEDICATION, SERVICE

CONSENT FORMS

1. CONSENT FOR RELEASE OF INFORMATION

HCT

1. TELEMEDICINE PROCESS FLOW

2. TELEMEDICINE CHECKLIST 

3. NEW SOFTWARE ASSESEMENT CHECKLIST 

4. IT NEW TECHNOLOGY EVALUATION 

IT DOWNTIME 

1.PLANNED DRILL

• 1. IT DOWNTIME DRILL OBSERVATION OPD PLANNED

  2. IT DOWNTIME PLANNED 

2.UNPLANNED DRILL

• 3. IT DOWNTIME DRILL EVALUATION FORM.

  4. IT DOWNTIME UNPLANNED SCENERIO

MOI

1. AUTHOIRIZATION FOR RELEASE OF MEDICAL RECORDS

2. DOCUMENT REQEST FORM

3. COPY AND PASTE AUDIT TOOL 

MEDICAL RECORD AUDIT 

1. MEDICAL RECORD REVIEW TOOL

QPS

1. RCA_FRAMEWORK  JCI

2. INCIDENT REPORTING FORM 

3. ACTION PLAN FORM

4. RISK ASSESSMENT TEMPLATE

5. MINUTES OF MEETING 

6. RCA FRAME WORK 

SQE 

1. ANNUAL STAFF PERFORMANCE APPRAISAL FORM

2. DEPARTMENT ORIENTATION CHECKLIST

3. EMPLOYEE SATISFACTION SURVEY FORM UPDATED (1)

4. EMPLOYEE SATISFACTION SURVEY QUESTIONNAIRE

5. EMPLOYEE TRAINING CHECKLIST

6. NEW HIRE ORIENTATION CHECKLIST

7. STAFF FILE COMPLETION CHECKLIST.

8. STAFFING PLAN TEMPLATE

9. TRAINING ATTENDANCE

HR FILE - CATEGORY WISE REQUIREMENTS

1. HR FILE DOCUMENTS LIST

1. JCI KPIs

   1. Ontime Meal Delivery Rate

1. JCI KPIs

   1. Incidence of variations from the procurement process

   2. Percentage of drugs and consumables rejected before preparation of goods receipt Note [GRN]

2. Documents Required 

ASC 

1. ATTENDANCE SHEET FOR COMPANY REPRESENTATIVES_IMPLANTS[1]

2. IMPLANT TRACKING REGISTER.DOCX

MMU

1. DECLARATION OF NEAR EXPIRY, RECALLED OR DAMAGED MEDICATIONS

2. DRUG RECALL FORM

3. EVALUATION OF MEDICATION SUPPLIER COMPANY FORM

4. FLOOR STOCK DAILY MEDICATION CHECKLIST

5. MED STORAGE AREA AUDIT TOOL

6. NEWLY ADDED DRUG EVALUATION FORM

7. REFRIGERATOR TEMP LOG

FMS

1. EQUIPMENT INVENTORY 

2. HAZARDOUS WASTE MATERIAL INVENTORY 

3. HAZMAT INVENTORY 

4. MAINTENANCE LOG 

5. MEDICAL WASTE COLLECTION RECORDS

6. TEMPERATURE AND HUMIDITY RECORD

7. UTILITY EQUIPMENT INVENTORY

PCI

1. BLOOD SPILL KIT

2. HAND HYGIENE COMPETENCY

3. HAND HYGIENE OBSERVATION TOOL

4. TEMPERATURE AND HUMIDITY RECORD

5. WASTE DISPOSAL AUDIT TOOL

INFECTION CONTROL AUDIT CHECKLIST

1. GENERAL INFECTION CONTROL CHECKLIST 1

QPS

1. INCIDENT REPORTING FORM 

2. ACTION PLAN FORM

3. RISK ASSESSMENT TEMPLATE

4. RCA FRAME WORK 

5. RCA_FRAMEWORK  JCI

SQE

1. DEPARTMENT ORIENTATION CHECKLIST

2. EMPLOYEE TRAINING CHECKLIST

3. STAFF FILE COMPLETION CHECKLIST.

4. TRAINING ATTENDANCE

HR FILE - CATEGORY WISE REQUIREMENTS

1. HR FILE DOCUMENTS LIST

2. PROFESSIONAL WISE SQE REQUIREMENTS

3. SQE STAFF FILE LIST CATEGORY WISE

1. JCI KPIs

   1. Laundry Quality Compliance Rate

   2. Laundry TAT 

1. JCI KPIs

   1. Laundry Quality Compliance Rate

   2. Laundry TAT 

1. JCI KPIs

   1. Security incidents closure rate

   2. Security Staff awareness on Code Red protocol

   3. Security Staff absenteeism Rate

2. Documents Required

ACC

1. MONITORING TRANSFER AND TRANSPORTATION

2. WAITING TIME NOTIFICATION FORM

FMS

1. SECURITY CHECKLIST

2. HVA - SAMPLE 

3. FACILITY ROUNDS CHECKLIST - TEMPLATE 

4. JCIA FACILITY TOUR MAP FOR COMPLETION

5. SUB-CONTRACTORS SITE INDUCTION SHEET

6. CHECKING FIRE HOSE REELS 

7. CHECKING FIRE HYDRANT SYSTEM  

8. EMERGENCY FIRE EXIT LED LIGHT CHECKLIST 

9. FIRE DOOR INSPECTION QUARTERLY CHECKLIST 

10. FIRE EXTINGUISHER INSPECTION CHECKLIST 

11. FIRE SPRINKLER INSPECTION CHECKLIST 

12. SMOKE DETECTOR CHECKLIST

13. TEMPLATE CODE DRILL EVALUATION REPORT

FMS PROGRAM RISK ASSESSMENT

1. SECURITY MANAGEMENT RA

2. DISASTER MANAGEMENT

3. FIRE SAFETY MANAGEMENT

4. RISK ASSESSMENT - FIRE SAFETY - REVIEWED

DRILL EVALUATION FORMS 

1. CODE BLACK - BOMB THREAT

2. CODE PINK PATIENT MISSING EVALUATION FORM

3. VIOLENT PERSON DRILL OBSERVATION

4. EXTERNAL DISASTER DRILL EVALUATION FORM

5. CODE RED, GREEN DRILL EVALUATION

6. CODE RED,EVALUATION MODIFIED

EMERGENCY CODE SCENERIO

1. CODE WHITE (VIOLENT PATIENTVISITOR) SCENARIO

2. CODE AMBER CHILD ABDUCTION SCENARIO

3. CODE RED SCENARIO

4. CODE GREEN MASS EVACUATION SCENARIO

5. CODE GREY - TRACKCARE DOWNTIME SIMULATION

FMS RISK ASSESSMENT 

1. HOSPITAL-WIDE RISK ASSESSMENT PRIORITIES 

WORKPLACE VIOLENCE

1. OSHA_WORKPLACE VIOLENCE WORKSITE AUDIT CHECKLISTS

2. WORK SITE ANALYSIS CDC CHECKLIST-3

3. OSHA_WORKPLACE VIOLENCE PROGRAM CHECKLISTS

4. WORK SITE ANALYSIS CDC CHECKLIST-2

GLD

CULTURE OF SAFETY

1. HSOPS2-DATABASE-REPORT-PART -I

2. SAFETY CULTURE SURVEY SAMPLE PPT

3. HOSPITAL SURVEY 2 - form

4. 2024-HOSPITAL-WORKPLACE-SAFETY-REPORT-ptI

5. 2024-HOSPITAL-DATABASE-REPORT-ptI

6. SOPS-HOSPITAL-SURVEY-2.0-ENGLISH-05.18.21

HCT

IT DOWNTIME 

1. NEW SOFTWARE ASSESEMENT CHECKLIST 

2. IT NEW TECHNOLOGY EVALUATION 

1.PLANNED DRILL

1. IT DOWNTIME DRILL OBSERVATION OPD PLANNED

2. IT DOWNTIME PLANNED 

2.UNPLANNED DRILL

1. IT DOWNTIME DRILL EVALUATION FORM.

2. IT DOWNTIME UNPLANNED SCENERIO

PCI

1. EPIDEMIC DISASTER DRILL EXERCISE REPORT

2. EPIDEMIC DISASTER MEMBERS DUTIES AND RESPONSIBILITIES

3. EPIDEMIC DRILL EVALUATION FORM FINAL

4. ICRA CHECKLIST AND PERMIT CONSTRUCTION; RENOVATION; DEMOLITION