JCAH0 - MANAGEMENT PRACTICE MODEL

Index

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FOCUS AREA

CRITICAL FACTORS

RVU

Actual

Written Plan for Current Year, Incl Schedule of Implementation

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Plan is Consistent with Hospital Program and Professional Stds

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Objectives are Posted, Known by Staff, and Drive Daily Tasks

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Complete, Correct, Concise, and Current: Useful to Staff

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Organized, Accessible and Understandable/ Neat Appearance

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Table of Contents/ Logical Sections/ Numbering System

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Current - Fairly Reflects the Responsibilities of Each Position

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Standard Format / Easy to Understand: Staff Agree with Content

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Used as a Basis for Orientation/Staff Development/Perf Appraisal

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Organized Files & Ref Library/ Effective Communication System

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Effective Decision Support Structure, Statistics, MIS, EIS

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Reporting System assists in Improving Dept/Hosp Operations

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Organization Chart/ Staff Appropriate to Workload (Mix, Skills & Qty)

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Leadership within the Dept Promotes/Motivates/Empowers

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Recruiting and Retention Strategies are Defined, Effective

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Orientation Program - New Dept Staff/Interdepartmental

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Everyone Involved in Continuing Education/ Dept Meetings

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Use of Skills Inventory/ Progress Encouraged and Monitored

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Adequate and Appropriate Stock/Supplies Available

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Departmental Procedures for Control of Utilization/Storage

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Procurement Procedures and Support Services are Effective

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Adequate and Appropriate Equipment is Available, Leading Technologies

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Operators Well-trained in Use and Care of Equipment, Ownership

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Maintenance is Timely, Systematic, and Effective (See Maint)

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Capital Asset Procurement Procedures are Responsive to Dept Needs

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Adequate and Well-utilized Space, Appropriate Facilities

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Effective Floor Plan and Interior Design Conducive to Work

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Effective Location in Relation to Other Depts and Traffic Patterns

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Evidence of Responsive and Thorough Maintenance Service

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Emphasis on Pro-active and Preventive Maintenance

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Departmental Responsibilities for Protecting and Preserving Assets

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Attention to Cleanliness & Neatness/ Tasks Assigned to Staff

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Effective Relations with Housekeeping Services/ Responsiveness

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Safety Standards/Roles Defined - Fire/Accident/Infection Control

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Effective Correction of Deficiencies/ Follow-up of Incidents

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Instruction in Safe Methods/Effective Body Mechanics

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Use of Standards and Measurement to Evaluate and Upgrade Performance

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Creative Development and/or Implementation of New Ideas: TQM/CQI

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Assertiveness and Insistence on Professionalism and Maturity, Leadership

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Fiscal Accountability/ Effective Use of Financial Resources

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Evidence of Effective Cost/Rev Reporting/Budgeting Control

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Focus is on the Patient or Customer Satisfaction/ Being Pro-Active

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Responsive to the Needs of Other Departments and to the Hospital

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Scale 1-5 (5=Excellent) RVU = Priority Value or Relative Weight Actual = Level of Achievement or Satisfaction