Convenient Care Clinic Self Assessment

Convenient Care Clinic
Self Assessment

Instructions	Licensure and Insurance	HIPAA	Employee Training	Care Triage	Risk Management
Quality Improvement	Environment of Care	Infection Control	Patient Management	Documentation	Pharmaceutical Management

CRITERIA MEASURE	Met	Not Met	Comments	Refer to Department
Waiting patients are triaged for the most critical need
Staff roles are well defined
Discharged patients receive:
Discharge Instructions
Appropriate prescriptions
Referrals to follow-up physicians or offices
Diagnosis
Reason for discharge
The clinic has protocols for influx or risk of influx of infectious patients
The clinic keeps abreast of current information about the emergence of epidemics or new infection risks
Each clinic supervises infection control practices according to infection control policies
Wait times are monitored, tracked and trended
Staff ratios meet required standards