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17

TOC

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Waiting rooms – comfort, current reference and reading materials,

toys

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Examining rooms – adequate size and equipment, private

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Washrooms – accessibility, cleanliness

b.

Telephone System

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Number of incoming lines and available staff for answering

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Are fax, e-mail services available

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Scheduled call back time or other means of returning calls

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System to ensure incoming messages are appropriate directed and

acknowledged

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Physician’s contactability – during office hours as well as after hours

on-call system

c.

Appointment System

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Does it satisfactorily accommodate patients

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Booking rate (patients per hour) for new or full assessments

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Booking rate (patients per hour) for repeat patients

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Waiting time for appointments, waiting time in waiting room

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Does physician keep to appointment schedule

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System for urgent or emergency appointments

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Is a Day Sheet maintained – manual or computerized

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Mechanism to ensure patients are not missed in the waiting room

d.

Filing System

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Chart types: EMR or paper charts – family or individual

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Is the filing system efficient and accessible

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How are the charts coded

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System to avoid mis-filing

e.

Medical Instruments and Equipment

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Ensure equipment, including minor surgical materials, is

appropriate to the type of practice

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Appropriate sterilization procedures in place

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System for managing biomedical waste and medication disposal

f.

Drug Supplies and Samples

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Ensuring appropriate drugs are available and appropriately stored

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Maintaining current list of drugs on hand, monitoring expiration

dates

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Narcotic/controlled drug security

g. Emergency Facilities

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Emergency tray/cart – appropriately stocked, centrally stored,

readily available

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Availability of Adrenalin and appropriate syringes for administration

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Presence of 9-1-1 service in community or alternate emergency

personnel

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List of minimal drugs and supplies in the clinic, monitoring of

expiration dates

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Knowledge of office staff in the event of an emergency of disaster