Common use of Retrospective Clause in Contracts

Retrospective. The provider must develop a patient care record (PCR) plan which should at a minimum include: • Compliance with County EMS Policy “Santa Xxxx County Patient Care Record”. Frequency of PCR review. Review for AMA Policy compliance. Verify that the requisite ECG documentation is on the record. Ensure proper documentation including xxxxx xxxxx. . Evaluate appropriateness of care rendered and the times documented. . Ensure that all records are properly filed and archived for future review according to the standards outlined in CCR, Title 22. . Base Station contact made according to protocol. . Ensure that copies of are timely and properly routed to the EMS office and base hospital. . Ensure that the destination hospital was appropriate. . Ensure the prompt filing of Radio Failure Reports and IO Reports. AMRW: Pages 7-8 & 10 EMSIA: PCR Plan Tab, Section A Data Collection and Analysis: Every record for responder and patient encounter must be entered into the County electronic PCR program. A policy must be developed that provides a method of ensuring compliance. Each agency may want to also consider developing their own database of information. AMRW: Page 8 EMSIA: Data Collection Analysis Tab, Section B Incident Review: A policy must be developed regarding the process of incident investigation and follow up. The policy should outline the process when inquiries are received from outside agencies as well as internal incident investigation. Additionally, personnel polices should address the personnel disciplinary process. AMRW: Pages 10 EMSIA: Incident Review Tab, Section C Response: For a number of reasons delayed medical response is an inevitability. A plan should be written that identifies a process of problem identification and resolution. AMRW: Page 10 EMSIA: Delayed Response Tab, Section D Remediation Plan: A process should be established regarding personnel remediation in the event that an investigation indicates this need. The County EMS never abrogates its authority to separately conduct its own investigation. AMRW: Page 11 EMSIA: Employee Remediation Tab, Section E Sentinel Event Review: Some issues in EMS deserve urgent individual scrutiny and follow-up procedures. Examples of this would be esophageal intubation, medication error (either route or dose), a late response with an adverse outcome, or patient complaints. A plan for dealing with these issues on an urgent and timely basis should be developed. AMRW: Page 11 EMSIA: Sentinel Event Review Tab, Section F Recognition: Some attempt should be made to recognize employee’s actions that are extra- ordinary. AMRW: Page 12 EMSIA: Employee Recognition Tab, Section G and Audits: In order to evaluate employee performance and to sample protocol compliance, a plan must be developed that requires random chart audits. The computerized system lends itself particularly well for this purpose. AMRW: Page 12 EMSIA: Sample Study Audits Tab, Section H Patient Complaints: The perception by the patient of the quality of medical care received cannot be ignored. It is therefore important that an internal plan be developed to resolve patient complaints regarding the quality of care rendered. AMRW: Page 12 EMSIA: Patient Complaints Tab, Section I Infection Control Xxxx Xxxxx Federal Law: The Xxxx Xxxxx Federal Law and State OSHA standards require that every agency whose employees may encounter blood or body fluids must develop an infection control plan. At a minimum, the plan requires the designation of an internal reporting officer, a plan for employees inoculation, an exposure notification process, a plan for employee medical exam and treatment if exposed to an infectious disease, and a plan for disposal of contaminated material including sharps and body tissue or fluid-contaminated materials. The communicable disease (CD) plan should also outline procedures for body substance isolation (formerly known as universal precautions) and related disciplinary action to be taken if an employee repeatedly violates the CD policy. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.092 Biomedical Hazardous Material Management: A plan should be developed regarding biomedical hazardous material disposal and decontamination. The plan should identify the disposal process for bodily fluids and tissues, and sharps. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.097

Retrospective. The provider must develop a patient care record (PCR) plan which should at a minimum include: • ⚫ Compliance with County EMS Policy “Santa Xxxx Cruz County Patient Care Record”. Frequency of PCR review. Review for AMA Policy compliance. Verify that the requisite ECG documentation is on the record. Ensure proper documentation including xxxxx xxxxx. . 📬 Evaluate appropriateness of care rendered and the times documented. . 📬 Ensure that all records are properly filed and archived for future review according to the standards outlined in CCR, Title 22. . 📬 Base Station contact made according to protocol. . 📬 Ensure that copies of are timely and properly routed to the EMS office and base hospital. . 📬 Ensure that the destination hospital was appropriate. . 📬 Ensure the prompt filing of Radio Failure Reports and IO Reports. AMRW: Pages 7-8 & 10 EMSIA: PCR Plan Tab, Section A Data Collection and Analysis: Every record for responder and patient encounter must be entered into the County electronic PCR program. A policy must be developed that provides a method of ensuring compliance. Each agency may want to also consider developing their own database of information. AMRW: Page 8 EMSIA: Data Collection Analysis Tab, Section B Incident Review: A policy must be developed regarding the process of incident investigation and follow up. The policy should outline the process when inquiries are received from outside agencies as well as internal incident investigation. Additionally, personnel polices should address the personnel disciplinary process. AMRW: Pages 10 EMSIA: Incident Review Tab, Section C Response: For a number of reasons delayed medical response is an inevitability. A plan should be written that identifies a process of problem identification and resolution. AMRW: Page 10 EMSIA: Delayed Response Tab, Section D Remediation Plan: A process should be established regarding personnel remediation in the event that an investigation indicates this need. The County EMS never abrogates its authority to separately conduct its own investigation. AMRW: Page 11 EMSIA: Employee Remediation Tab, Section E Sentinel Event Review: Some issues in EMS deserve urgent individual scrutiny and follow-up procedures. Examples of this would be esophageal intubation, medication error (either route or dose), a late response with an adverse outcome, or patient complaints. A plan for dealing with these issues on an urgent and timely basis should be developed. AMRW: Page 11 EMSIA: Sentinel Event Review Tab, Section F Recognition: Some attempt should be made to recognize employee’s actions that are extra- ordinary. AMRW: Page 12 EMSIA: Employee Recognition Tab, Section G and Audits: In order to evaluate employee performance and to sample protocol compliance, a plan must be developed that requires random chart audits. The computerized system lends itself particularly well for this purpose. AMRW: Page 12 EMSIA: Sample Study Audits Tab, Section H Patient Complaints: The perception by the patient of the quality of medical care received cannot be ignored. It is therefore important that an internal plan be developed to resolve patient complaints regarding the quality of care rendered. AMRW: Page 12 EMSIA: Patient Complaints Tab, Section I Infection Control Xxxx Xxxxx Federal Law: The Xxxx Xxxxx Federal Law and State OSHA standards require that every agency whose employees may encounter blood or body fluids must develop an infection control plan. At a minimum, the plan requires the designation of an internal reporting officer, a plan for employees inoculation, an exposure notification process, a plan for employee medical exam and treatment if exposed to an infectious disease, and a plan for disposal of contaminated material including sharps and body tissue or fluid-contaminated materials. The communicable disease (CD) plan should also outline procedures for body substance isolation (formerly known as universal precautions) and related disciplinary action to be taken if an employee repeatedly violates the CD policy. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.092 Biomedical Hazardous Material Management: A plan should be developed regarding biomedical hazardous material disposal and decontamination. The plan should identify the disposal process for bodily fluids and tissues, and sharps. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.097

Retrospective. The provider must develop a patient care record (PCR) plan which should at a minimum include: • ⚫ Compliance with County EMS Policy “Santa Xxxx Cruz County Patient Care Record”. ⚫ Frequency of PCR review. ⚫ Review for AMA Policy compliance. ⚫ Verify that the requisite ECG documentation is on the record. ⚫ Ensure proper documentation including xxxxx xxxxx. . ⚫ Evaluate appropriateness of care rendered and the times documented. . ⚫ Ensure that all records are properly filed and archived for future review according to the standards outlined in CCR, Title 22. . ⚫ Base Station contact made according to protocol. . ⚫ Ensure that copies of are timely and properly routed to the EMS office and base hospital. . ⚫ Ensure that the destination hospital was appropriate. . ⚫ Ensure the prompt filing of Radio Failure Reports and IO Reports. AMRW: . Pages 7-8 & 10 EMSIA: PCR Plan Tab, Section A Data Collection and Analysis: Every record for responder and patient encounter must be entered into the County electronic PCR program. A policy must be developed that provides a method of ensuring compliance. Each agency may want to also consider developing their own database of information. AMRW: Page 8 EMSIA: Data Collection Analysis Tab, Section B Incident Review: A policy must be developed regarding the process of incident investigation and follow up. The policy should outline the process when inquiries are received from outside agencies as well as internal incident investigation. Additionally, personnel polices should address the personnel disciplinary process. AMRW: Pages 9-10 EMSIA: Incident Review Tab, Section C Response: For a number of reasons delayed medical response is an inevitability. A plan should be written that identifies a process of problem identification and resolution. AMRW: Page 10 EMSIA: Delayed Response Tab, Section D Employee Remediation Plan: A process should be established regarding personnel remediation in the event that an investigation indicates this need. The County EMS never abrogates its authority to separately conduct its own investigation. AMRW: Page 11 EMSIA: Employee Remediation Tab, Section E Sentinel Event Review: Some issues in EMS deserve urgent individual scrutiny and follow-up procedures. Examples of this would be esophageal intubation, medication error (either route or dose), a late response with an adverse outcome, or patient complaints. A plan for dealing with these issues on an urgent and timely basis should be developed. AMRW: Page 11 EMSIA: Sentinel Event Review Tab, Section F Employee Recognition: Some attempt should be made to recognize employee’s actions that are extra- ordinary. AMRW: Page 12 EMSIA: Employee Recognition Tab, Section G and Audits: In order to evaluate employee performance and to sample protocol compliance, a plan must be developed that requires random chart audits. The computerized system lends itself particularly well for this purpose. AMRW: Page 12 EMSIA: Sample Study Audits Tab, Section H Patient Complaints: The perception by the patient of the quality of medical care received cannot be ignored. It is therefore important that an internal plan be developed to resolve patient complaints regarding the quality of care rendered. AMRW: Page 12 EMSIA: Patient Complaints Tab, Section I 3 Infection Control Xxxx Xxxxx Federal Law: The Xxxx Xxxxx Federal Law and State OSHA standards require that every agency whose employees may encounter blood or body fluids must develop an infection control plan. At a minimum, the plan requires the designation of an internal reporting officer, a plan for employees inoculation, an exposure notification process, a plan for employee medical exam and treatment if exposed to an infectious disease, and a plan for disposal of contaminated material including sharps and body tissue or fluid-contaminated materials. The communicable disease (CD) plan should also outline procedures for body substance isolation (formerly known as universal precautions) and related disciplinary action to be taken if an employee repeatedly violates the CD policy. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.092 Biomedical Hazardous Material Management: A plan should be developed regarding biomedical hazardous material disposal and decontamination. The plan should identify the disposal process for bodily fluids and tissues, and sharps. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.097204.097 Blood Borne Pathogens: The Xxxx Xxxxx Federal Law and State OSHA requires internal plans be developed that addresses safety precautions used by staff who come in contact with blood and body fluids, disposal of contaminated materials, exposure reporting, and a health care plan for inoculation, medical interventions after exposure and exposure follow-up. Health Services Manual EMSIA: Infection Control Tab, Section A, and 204.096 Decontamination Plan (biological): A plan must be developed for either replacing biologically contaminated equipment or decontamination of medical equipment that may not be disposable. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.096 Hazardous Material Additionally, a plan must be developed regarding the response of the medical team to a hazardous materials release incident including support to the entry team, field staff personal protection, and ambulance transport preparation. AMRW: Page 13 EMSIA: Hazardous Exposure Tab, Section B, Pages 1- 102 Fleet Maintenance: A plan for this program should be developed. This item of planning is of particular importance if your agency is responding in a transport-capable vehicle. A fleet preventative maintenance program is important for patient safety as well as minimizing unit failure during a response. AMRW: Page 14 Appendix 11 EMSIA: Fleet Maintenance Tab, Section C Patient Belongings Plan: A frequent problem in the provision of health care is the tracking and protection of personal belongings. Belongings range from money and clothes to prosthetic appliances (limbs, teeth, etc.). A plan should be developed for accounting for a patient’s belongings. AMRW: Page 14 Appendix 12 EMSIA: Patient Belongings Accountability Tab, Section D EXHIBIT A. Training

Retrospective. The provider must develop a patient care record (PCR) plan which should at a minimum include: • Compliance with County EMS Policy “Santa Xxxx County Patient Care Record”. • Frequency of PCR review. • Review for AMA Policy compliance. • Verify that the requisite ECG documentation is on the record. • Ensure proper documentation including xxxxx xxxxx. . • Evaluate appropriateness of care rendered and the times documented. . • Ensure that all records are properly filed and archived for future review according to the standards outlined in CCR, Title 22. . • Base Station contact made according to protocol. . • Ensure that copies of are timely and properly routed to the EMS office and base hospital. . • Ensure that the destination hospital was appropriate. . • Ensure the prompt filing of Radio Failure Reports and IO Reports. AMRW: . Pages 7-8 & 10 EMSIA: PCR Plan Tab, Section A Data Collection and Analysis: Every record for responder and patient encounter must be entered into the County electronic PCR program. A policy must be developed that provides a method of ensuring compliance. Each agency may want to also consider developing their own database of information. AMRW: Page 8 EMSIA: Data Collection Analysis Tab, Section B Incident Review: A policy must be developed regarding the process of incident investigation and follow up. The policy should outline the process when inquiries are received from outside agencies as well as internal incident investigation. Additionally, personnel polices should address the personnel disciplinary process. AMRW: Pages 9-10 EMSIA: Incident Review Tab, Section C Response: For a number of reasons delayed medical response is an inevitability. A plan should be written that identifies a process of problem identification and resolution. AMRW: Page 10 EMSIA: Delayed Response Tab, Section D Employee Remediation Plan: A process should be established regarding personnel remediation in the event that an investigation indicates this need. The County EMS never abrogates its authority to separately conduct its own investigation. AMRW: Page 11 EMSIA: Employee Remediation Tab, Section E Sentinel Event Review: Some issues in EMS deserve urgent individual scrutiny and follow-up procedures. Examples of this would be esophageal intubation, medication error (either route or dose), a late response with an adverse outcome, or patient complaints. A plan for dealing with these issues on an urgent and timely basis should be developed. AMRW: Page 11 EMSIA: Sentinel Event Review Tab, Section F Employee Recognition: Some attempt should be made to recognize employee’s actions that are extra- ordinary. AMRW: Page 12 EMSIA: Employee Recognition Tab, Section G and Audits: In order to evaluate employee performance and to sample protocol compliance, a plan must be developed that requires random chart audits. The computerized system lends itself particularly well for this purpose. AMRW: Page 12 EMSIA: Sample Study Audits Tab, Section H Patient Complaints: The perception by the patient of the quality of medical care received cannot be ignored. It is therefore important that an internal plan be developed to resolve patient complaints regarding the quality of care rendered. AMRW: Page 12 EMSIA: Patient Complaints Tab, Section I 3 Infection Control Xxxx Xxxxx Federal Law: The Xxxx Xxxxx Federal Law and State OSHA standards require that every agency whose employees may encounter blood or body fluids must develop an infection control plan. At a minimum, the plan requires the designation of an internal reporting officer, a plan for employees inoculation, an exposure notification process, a plan for employee medical exam and treatment if exposed to an infectious disease, and a plan for disposal of contaminated material including sharps and body tissue or fluid-contaminated materials. The communicable disease (CD) plan should also outline procedures for body substance isolation (formerly known as universal precautions) and related disciplinary action to be taken if an employee repeatedly violates the CD policy. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.092 Biomedical Hazardous Material Management: A plan should be developed regarding biomedical hazardous material disposal and decontamination. The plan should identify the disposal process for bodily fluids and tissues, and sharps. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.097204.097 Blood Borne Pathogens: The Xxxx Xxxxx Federal Law and State OSHA requires internal plans be developed that addresses safety precautions used by staff who come in contact with blood and body fluids, disposal of contaminated materials, exposure reporting, and a health care plan for inoculation, medical interventions after exposure and exposure follow-up. Health Services Manual EMSIA: Infection Control Tab, Section A, and 204.096 Decontamination Plan (biological): A plan must be developed for either replacing biologically contaminated equipment or decontamination of medical equipment that may not be disposable. Health Services Manual EMSIA: Infection Control Tab, Section A, 204.096 Hazardous Material Additionally, a plan must be developed regarding the response of the medical team to a hazardous materials release incident including support to the entry team, field staff personal protection, and ambulance transport preparation. AMRW: Page 13 EMSIA: Hazardous Exposure Tab, Section B, Pages 1- 102 Fleet Maintenance: A plan for this program should be developed. This item of planning is of particular importance if your agency is responding in a transport-capable vehicle. A fleet preventative maintenance program is important for patient safety as well as minimizing unit failure during a response. AMRW: Page 14 Appendix 11 EMSIA: Fleet Maintenance Tab, Section C Patient Belongings Plan: A frequent problem in the provision of health care is the tracking and protection of personal belongings. Belongings range from money and clothes to prosthetic appliances (limbs, teeth, etc.). A plan should be developed for accounting for a patient’s belongings. AMRW: Page 14 Appendix 12 EMSIA: Patient Belongings Accountability Tab, Section D EXHIBIT A. Training