Q&A: Clarifying PC.01.02.01 EP23 (Incomplete preprocedure H&P)
Q: During our recent survey, the surveyor cited three instances where the preprocedure H&P was missing elements based on the medical staff rule requirements. How can I clarify this?
A: Consider the following in this case for a clarification:
- What do the bylaws state regarding the minimum components of H&Ps for outpatients?
- Are exceptions noted in the number of criteria needed for specific procedures?
Based on the number of procedures requiring an H&P, these three citations should fall as a minority in the total numerator and denominator to demonstrate 90% compliance and can be cleared by performing the audit.
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