(c) Procedures in relation to performance information
General:
– Document systems and test controls
– Identify level of senior management scrutiny of KPIs
– Recalculate KPIs to confirm mathematical accuracy
– Analytical review to historic performance
Patient/nurse ratio:
– Obtain definition of ‘average’ for patient/nurse ratio
– Identify which patients to include
– Confirm patient numbers to patient records
– Confirm staff numbers to HR records
Surgical rooms:
– Discuss normal levels of room usage
– Obtain hospital plans to identify number of surgical rooms
– Recalculate number of surgical hours available
– Confirm surgical times to underlying surgery/treatment records
Admissions for previously treated conditions
– Enquire how a previously treated condition is identified.
– Inspect patient admission records to identify readmissions within 28 days
– Inspect underlying patient records to identify if conditions match
Maximum marks 7
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Maximum 20
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